Senior Backend Engineer, Forward Deployed

Job-ID: 82e8815c-f42c-4f7c-b5f0-33d846bab5c8Location: San Francisco, California, United StatesSalary: USD 175000 - 250000 yearEmployment type: FULL TIMEPosted: 2026-05-01Ellipsis Health is creating cutting-edge AI/ML products that solve healthcare staffing challenges and administrative burdens using conversational AI and our patented voice biomarker technology, helping deliver better healthcare for everyone. We are seeking a Senior Backend Engineer to help design, build, and scale the core systems powering our conversational AI platform. In this role, you will work across backend services, APIs, and orchestration layers, collaborating closely with AI/ML engineers, product managers, and other engineers to deliver secure, reliable, and scalable solutions for the healthcare industry.Ellipsis Health is located in the San Francisco Bay Area, but we are open to remote candidates within the United States.Key Responsibilities:Architect, develop, and maintain robust, scalable APIs and microservices using TypeScript (Node.js) to support conversational AI workflowsDesign, build, and manage orchestration services that coordinate workflows across AI systems, APIs, and external integrationsOptimize back-end systems for high performance, reliability, and scalabilityEnsure secure and compliant integration with healthcare systems (e.g., EHRs, scheduling systems) while adhering to standards like HIPAA and FHIRCollaborate with the AI team to deploy and manage conversational AI and NLP workflows in production environmentsDesign and implement database schemas and data pipelines for structured and unstructured healthcare dataBuild and maintain CI/CD pipelines to streamline deployments and ensure high availabilityTroubleshoot and resolve complex back-end issues with a focus on reliability and uptimeMentor junior developers and contribute to a high-quality engineering cultureStay ahead of industry trends and introduce technologies that improve platform performance and scalabilityQualifications:5+ years of experience in back-end development with a proven track record of building secure and scalable systemsStrong proficiency in TypeScript and Node.js for API and service developmentExpertise in RESTful API and/or GraphQL developmentExperience building orchestration layers / workflow engines for distributed systemsDeep understanding of microservices architecture and distributed systemsHands-on experience with cloud platforms (e.g., AWS, GCP, or Azure) and container orchestration (e.g., Kubernetes)Strong database design and management experience (SQL and NoSQL), including PostgreSQL, MongoDB, or DynamoDBSolid understanding of security best practices, including authentication, authorization, encryption, and secure data handlingExperience building and managing CI/CD pipelinesOwn services in production end-to-end, including deployment, monitoring, incident response, and continuous improvement of reliability and performance​​Preferred:Experience integrating with Epic EHR, including SMART on FHIR, Epic APIs, or Epic App Orchard.Familiarity with healthcare data standards such as FHIR and HL7.Experience with conversational AI, voice systems, or NLP technologies.Prior experience working in health tech or other regulated industries.Experience building or operating large-scale distributed systems.Exposure to DevOps practices, infrastructure-as-code, or site reliability engineering concepts.Salary and Benefits:We offer competitive salary and benefits, including 401(k) matching, health, vision, and dental insurance, and very flexible paid time off.The typical salary range for this role is $160,000 to $210,000 USD, depending on skills, qualifications, and relevant experience.Background Checks:As a health technology company, we reserve the right to run background checks on candidates to whom we extend offers, in compliance with applicable laws. We evaluate candidates holistically and comply with all “ban the box” regulations.Assistance:If you have a disability or require accommodations during the application or recruitment process, please contact View email address on click.appcast.io.