The Back-End Engineer designs, develops, and maintains the server side of conversational AI and automation applications, including the APIs and services consumed by front-end engineers, conversational interfaces, and integrated systems such as scheduling platforms and the electronic health record (EHR). Owns server-side data structures, service and system architecture, security implementation, and back-end performance and stability.To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion. Education 3 Required - Bachelor's Computer Science, Software Engineering, or a related field; equivalent practical experience may be considered in lieu of a degree. Work Experience 3 Required - 5 years Professional back-end/server side software development experience, including building and consuming RESTful APIs, with Python/FastAPI and async frameworks. 3 Preferred - AWS experience; modern deployment practices (containers, CI/CD). Hands-on experience of Agentic or LLM-integrated services; experience with relational and/or NoSQL databases; experience in a healthcare or other regulated, HIPAA-relevant environment. Certifications 3 Preferred - AWS Certified Developer, Microsoft Azure Developer Associate, or Google Cloud Professional Cloud Developer Knowledge Skills and Abilities (KSAs) 3 Ability to translate business and product requirements into technical solutions. 3 Independently manage system reliability, uptime, and production stability. 3 Anticipates and mitigates security and data privacy risks. 3 Adapts to evolving AI/LLM-enabled architectures. 3 Ability to balance speed, scalability, and compliance in development decisions. 3 Ability to design scalable, high-performance backend systems. 3 Collaborates with cross-functional technical and product teams. Job Duties 3 Designs, builds, and maintains server-side services, APIs, and system architecture for AI-enabled applications. 3 Develops and documents REST APIs and integration endpoints consumed by front-end engineers, conversational flows, and connected enterprise systems. 3 Designs and manages data storage solutions and server-side data structures, and produce reusable, well-tested code libraries. 3 Implements authentication, authorization, and security controls appropriate to a HIPAA-regulated environment, including secure handling of protected health information (PHI) and personally identifiable information (PII). 3 Inspects and optimizes services for speed, scalability, latency, and stability, and troubleshoot defects and performance bottlenecks. 3 Collaborates with product managers, quality assurance, integration engineers, and front-end and design teams to translate requirements into technical solutions. 3 Follows change-management and backup practices before making significant changes to production services. 3 Performs other duties as assigned 3 Complies with all policies and standards The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards. Physical and Environmental Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Sedentary Work- Exerting up to 10 pounds of force occasionally (occasionally means activity or conditions exist up to 1/3 of the work day), and/or, a negligible amount of force frequently (frequently means activity or condition exists from 1/3 to 2/3 of the work day) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid. The incumbent has no occupational risk for exposure to communicable diseases . Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role. Are you ready to make a difference? Apply Today! Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website. Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C.