Senior Software Engineer, Backend

Senior Backend Engineer (GenAI / LLM Workflows)Compensation: $170,000–$230,000 base + equity Location: San Francisco, CA or (open to remote to start)Our client has built a leading AI-powered clinical documentation platform for home health, used daily by thousands of clinicians and reducing documentation time by 80%+. By giving clinicians their time back, the platform helps home health organizations deliver better care to older adults who want to remain at home.The company is growing quickly, backed by top-tier investors, and shipping new capabilities into real clinical workflows every week. They're now hiring a Senior Backend Engineer to scale the core services that power the platform and build new Generative AI / LLM-driven workflows clinicians will rely on every day.The RoleThis is a backend-heavy role for an engineer who enjoys solving real production problems: scalability, reliability, data integrity, and building practical AI-enabled workflows that directly support patient care.What You'll DoShip complex backend services using FastAPI with MongoDB and/or PostgresBuild APIs and infrastructure that interface with LLMs and Generative AI modelsLeverage AI-assisted development tools (e.g., ChatGPT/Copilot-style tooling) to increase engineering velocity without sacrificing qualityPrototype MVPs quickly, then harden them into secure, scalable, reliable production systemsImprove backend architecture, observability, and code quality standardsDeploy and operate services using Docker and AWSCollaborate with senior engineers and mentor junior developers as the team scalesWhat Our Client Is Looking ForMust-Have Qualifications7+ years of professional software engineering experience with deep backend expertiseStartup experience shipping real features in high-growth environmentsExperience designing distributed systems and/or data-heavy backend architecturesExperience working with Generative AI / LLM-powered systems in production or a strong desire to learn and build in this spaceStrong product mindset and comfort partnering with cross-functional teamsAbility to operate in ambiguity and move quickly without sacrificing qualityHigh standards for reliability, clarity, and maintainability when real users depend on your codeWhy JoinPlatinum health, dental, and vision insuranceFlexible PTOOpportunity to be at the forefront of LLM innovation in healthcareFounded by AI researchers (Cornell and Amazon Alexa backgrounds)Direct impact on clinicians and patients—software that meaningfully improves care deliveryMission-driven team backed by strong AI talent and reputable investors