Backend Engineer

Clera

$70K — $100K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 3+ years of experience in backend systems development, preferably using Python or TypeScript/Node
  • Familiarity with distributed systems and event-driven architectures
  • Proficiency in cloud platforms (AWS or GCP) and relational databases
  • Experience with observability tools and maintaining system performance
  • Strong ability to work independently with a product-focused mindset

Responsibilities

  • Design and develop core backend services and APIs for AI agents
  • Implement integrations with electronic health records (EHRs) and related systems
  • Ensure reliability and performance of agent workflows in live production
  • Collaborate with leadership on system architecture and product strategy
  • Contribute to the development of engineering culture and hiring practices

Benefits

  • Equity sharing as part of a founding team
  • Fully remote work arrangement within LATAM with required overlap in US Pacific time zone
  • Direct collaboration with founders and customer engagement from the start
Full Job Description
About the Role

As one of the first backend engineers, you will own core services powering AI voice and browser agents deployed in live production environments. You will build reliable, low-latency systems that orchestrate agent workflows, integrate with healthcare systems and third-party portals, and maintain data security standards. You will work directly with founders and ship into customer environments regularly.
What You'll Do
  • Design and build core backend services and APIs that orchestrate AI voice and browser agents
  • Build integrations with EHRs, scheduling systems, and insurance/payer portals
  • Own reliability, observability, and performance of agent workflows in production
  • Partner directly with leadership on architecture, technical tradeoffs, and product direction
  • Help shape engineering culture, hiring, and operational practices as the team scales
What We're Looking For
  • Required: 3+ years building production backend systems, ideally in Python or TypeScript/Node
  • Comfort with distributed systems, queues, and event-driven architectures
  • Experience with cloud infrastructure (AWS or GCP), relational databases, and modern observability tooling
  • Strong product instinct and ownership mindset-you can scope, ship, and iterate independently
  • Nice to have: Experience with LLM agents, voice systems (telephony, ASR/TTS), browser automation, or regulated healthcare environments
Compensation & Details
  • Salary: $70,000-$100,000 USD, depending on experience
  • Equity: Founding-team equity included
  • Work Arrangement: Remote, LATAM-based (with US Pacific timezone overlap required)
  • Type: Full-time
  • Access: Direct collaboration with founders and real customers from day one

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