Senior Backend Engineer, HealthTech Workflow Orchestration
Pivotal Health
Pivotal Health in San Francisco is hiring a Senior Software Engineer for the Case Execution team. You will own backend systems for eligibility, batching, submissions, and orchestration, handling data-heavy decision logic critical to reimbursement workflows. Ideal candidates have 5+ years of backend experience, strong Python skills, and a track record delivering reliable, scalable systems in a fast-moving startup environment. Remote and hybrid options are available depending on the role. #J-18808-Ljbffr
- ...MaC VC is building serverless systems to orchestrate annotation sessions, matching tasks to annotators, managing work queues, and ensuring... ...across a global workforce. You will own the real-time workflow engine that powers production labeling, with responsibilities...Senior
- ...Senior Backend Engineer, Sessions & Workflows Posted 6 months ago San Francisco, CA full-time About This Role Build the serverless systems that orchestrate Avala's annotation sessions — matching tasks to annotators, managing work queues, and ensuring quality...SeniorFull time
- ...Avala is seeking a Senior Backend Engineer for Sessions & Workflows in San Francisco. You will build serverless systems that orchestrate annotation sessions, match tasks to annotators, manage queues, and ensure quality at scale across our global workforce. You will own...Senior
$175k - $250k
...Compensation ~$175K – $250K We are seeking a Senior Backend Engineer to help design, build, and scale the... ...across backend services, APIs, and orchestration layers, collaborating closely with AI... ....js) to support conversational AI workflows Design, build, and manage...SeniorFull timeRemote workFlexible hours- ...OpenAI is seeking an experienced backend software engineer to build core systems powering next-generation agents in San Francisco. You will design... ...retain knowledge, and execute safely across long-running workflows. This role blends backend engineering with product...Senior
- ...OpenAI is seeking an experienced backend software engineer to build the core systems behind the next... ...knowledge, coordinate long-running workflows, and operate safely. This is a hands... ...to work across runtimes, orchestration, search, and observability. #J-18808...Senior
$164k
# Senior Backend EngineerNashSan Francisco (Hybrid)Full-timeUpload your... ...logistics platform, including job orchestration, carrier selection, tracking, and post-purchase workflows. The systems connect... ...comparesCompared with 1,635 open senior engineering jobs on October 10, 2026.Pay...SeniorPermanent employmentRemote workShift work- Get Hired. Work From Anywhere. in San Francisco seeks a Senior AI Backend Engineer to own the backend infrastructure behind multimodal AI... ...distributed systems with applied AI to ingest messy data, orchestrate workflows, and deliver reliable results at scale. You will design...Senior
- ...Sprinter Health is seeking a Senior Backend or Full-Stack Software Engineer with 5+ years of experience to build core systems for last-mile healthcare delivery. You will design and scale backend services, data flows, and integrations that drive patient booking, clinician...SeniorWork at office
- ...Quanata, LLC is seeking a Senior Back End Engineer to design, build, and maintain core services powering... ...the U.S. You will work on APIs, data orchestration, databases, observability, and... ...to GraphQL, gRPC, and AWS. A strong backend background and leadership mindset are...SeniorRemote work
- ...Deepgram is seeking a backend software engineer to lead the design and implementation of secure, robust, and scalable speech-processing services. You will build and optimize inference backends, orchestration, and scheduling while delivering delightful experiences for customers...Senior
- ...Temporal, a fully remote company, seeks a Senior Engineer to design, build, and maintain major backend components for Nexus, their durable execution platform... ...contribute across async processing and multi-tenant orchestration within a collaborative Compute and AI org. The...SeniorRemote work
$100k - $225k
...Senior Backend EngineerSan Francisco, CAAt Mesh, our mission is to enable consumers to pay and be paid with any asset. Today, trillions... ...reliable, useful, and ubiquitous. We combine a powerful orchestration engine with a seamless consumer app to unlock liquidity for the...SeniorWork at officeRemote work2 days per week- ...VCluster Labs is seeking a Senior Software Engineer (Backend) to architect and build the next generation of the vCluster platform. You will work... ...internals, writing high-performance Go code to power core orchestration features. The role emphasizes end-to-end ownership,...SeniorRemote work
- ...Tala Health is seeking a Senior AI Engineer to lead from ideation to production-grade AI systems... ..., leveraging modern ML models and orchestration tools. Collaboration with product and... ...ensures AI features address real clinical workflows and regulatory requirements. You will...Senior
$182k - $242k
...Senior Software EngineerCoreWeave is The Essential Cloud... ....Reporting to the Senior Engineering Manager for ML Workflows, this Senior Software Engineer... ..., working across the W&B backend, the Python SDK, and the... ..., cloud infrastructure, orchestration.Frontend and full-stack....SeniorPermanent employmentFull timeTemporary workCasual workWork at office- Rippling is hiring a Senior Software Engineer, Backend for Rippling AI in San Francisco Bay Area. You will own end-to-end AI platform initiatives, architect scalable agent infrastructure, and collaborate across product, infra, and platform teams to deliver high-impact solutions...Senior
- ...infrastructure for enterprises to build and orchestrate AI workforces. Our AI workers don't... ...for a versatile and highly skilled Senior Backend Software Engineer to join our team. This person will... ...that powers voice-based AI workflows Collaborate closely with frontend engineers...SeniorWorldwideShift work
- ...Profound is seeking engineers to build the Agent Runtime that powers scalable AI-backed workflows. You will craft core primitives for agents, tools, and dataflows, and own the real-time control plane from streaming to durable state. This is a Rust-first role with strong...Visa sponsorship
$166.6k - $208.3k
...embodies the elegance of simplicity in engineering, transforming the demanding task of controlling... ...is growing and we’re looking to hire senior backend engineers. We’re a team of pragmatic,... ...incorporates AI tools into their workflow and is excited about leveraging them to...Senior$150k - $205k
...mission to transform how people do work.About the roleAs a Senior Frontend Engineer, you'll own a product area end to end, from design through... ...and improve how work gets done, turning raw activity into workflow data leaders can trustWhat you'll doOwn projects from design...SeniorFull timeTemporary workWork at officeHome officeFlexible hours$150k - $205k
...our mission to transform how people work.About the roleAs a Senior Backend Engineer, you'll own a product area end to end, from design through... ...and improve how work gets done, turning raw activity into workflow data leaders can trustWhat you'll doWhat you'll do:Build and...SeniorFull timeTemporary workWork at officeHome officeFlexible hours- ...AI systems and secure, scalable backend infrastructure for automating customer support and compliance workflows. Lead complex AI projects from orchestration through deployment and monitoring... ...and product teams, and strengthen engineering quality through reviews, mentoring...Senior
$150k - $245k
...standards, are tool-agnostic, and expect engineers to own problems end-to-end. We... ...in the industry has.About the RoleAs a Senior Backend Engineer, you’ll help design the backbone... ...FastAPI + Pydantic) that power agentic workflows, AI copilots, and real-time financial infrastructure...SeniorTemporary workLocal areaWorldwide- ...for key components, support more junior engineers, and collaborate with cross-functional partners... ...plans.What You'll DoBuild and release backend services, taking responsibility for the... ...setup.Design reliable processing workflows that stay dependable when inputs are inconsistent...SeniorWork at office
- ...Quanata, a remote‑first engineering team, is seeking a Senior Back End Engineer to design and maintain core services powering our insurance‑tech platform... ...build scalable back end systems, connect data and ML workflows, and ensure performance, reliability, and security. You...SeniorRemote work
$10k
...time understanding their business. We're looking for a Senior Backend Engineer to build across that accounting experience. You could work... ...into the books, or the reliability of sync and reconciliation workflows. You'll own complex projects from design through production...SeniorFull timeWork at officeRelocationHome officeFlexible hours$182.75k - $278.5k
...healthcare for the better. The Work Backend At Headway Involves High-stakes Logic.... ...their time back. The Insurance Billing Engine: We apply AI pragmatically (blog) to... ...handle the burden of traditional billing workflows. You’ll scale the systems that handle the...SeniorFlexible hoursShift work- ...fal - Features & Labels is building the core backend platform for a generation of AI products, owning billing, pricing, accounts, access... ...product, infra, finance, revenue, security, and customer-facing teams to turn complex workflows into durable systems. #J-18808-Ljbffr...Senior
- ...across the U.S. About the role As a Backend Engineer on Ondo's market making team, you'll... ...and traditional venues. This is a small, senior team, working in Rust and Go, with high... ...trading team to define interfaces and workflows between pricing, execution, and market...SeniorRemote workFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Backend Engineer, HealthTech Workflow Orchestration. Be the first to apply!
- senior backend developer San Francisco, CA
- back-end developer San Francisco, CA
- backend software engineer San Francisco, CA
- remote back end developer San Francisco, CA
- senior living San Francisco, CA
- senior associate vice president San Francisco, CA
- senior php developer remote San Francisco, CA
- senior app developer San Francisco, CA
- senior manufacturing engineer San Francisco, CA
- senior ml engineer San Francisco, CA



