Backend Software Engineer (Hybrid - Nashville, TN)

Backend Software Engineer (Hybrid – Nashville, TN)

We are seeking an experienced Backend Software Engineer to help architect and build a next-generation healthcare platform. This is a rare opportunity to join an early engineering team and play a defining role in the technical foundation and culture of a fast-growing technology company.

If you thrive in high-ownership environments, enjoy building from the ground up, and care deeply about quality and performance, this role offers a true 0→1 impact opportunity.

What You'll Do

• Design and build core backend systems including APIs, database architecture, infrastructure, and data pipelines.

• Own features end-to-end—from requirement gathering and technical spec creation through deployment and iteration.

• Collaborate closely with product and engineering leadership to shape technical decisions and long-term platform direction.

• Work in a fast-moving environment that values experimentation, rapid release cycles, and constant learning.

• Contribute to a platform designed to improve clinical workflows and enhance the healthcare experience for providers and patients.

Must-Have Qualifications

• 5+ years of experience building and shipping backend production systems.

• Strong background with modern backend technologies, such as:

  • Cloud platforms: AWS or GCP

  • Databases: Postgres, MySQL, DynamoDB, Spanner, etc.

  • APIs: REST/gRPC/GraphQL

  • Data pipelines: Airflow, Dagster, or similar

  • Languages: Python, Golang, Java/Kotlin, or similar

• Experience building something meaningful from scratch—whether at a startup, as a technical lead, or through side projects.

• Ability to thrive in ambiguity, move quickly, and make thoughtful technical trade-offs.

• Strong communication skills and the ability to articulate technical decisions clearly.

Nice-to-Have Experience

• Experience with BaaS platforms like Supabase, Firebase, Railway, or Hasura.

• Familiarity with AI-native coding tools (e.g., Cursor, Claude Code).

• Exposure to healthcare systems (HIPAA, EPCS, PDMP, EHR/EMR workflows).

• Basic front-end skills with React, TypeScript, or Next.js.

Compensation & Benefits

Compensation is competitive and based on experience and location. Total rewards may include base salary, performance incentives, benefits, and equity participation.

Work Environment

• Hybrid role based in Nashville, TN

• High-impact engineering organization building mission-critical technology

• Opportunity to shape architecture, engineering processes, and team culture from the earliest stages