Backend Engineer (Integrations)

Bioscope.AI | Carmel, IN (Hybrid) | Full-Time

The Opportunity

This is a role for a builder who wants to own the connective tissue of our platform. As part of the integrations team, you will be responsible for wiring Bioscope into the sprawling ecosystem of systems that concierge and functional medicine practices rely on: electronic health records, diagnostic labs, and third-party clinical data sources. This is the plumbing that makes precision medicine actually work at the point of care.

Integrations are hard. The systems are messy, the standards are inconsistently implemented, and the documentation is often wrong. You will spend your days reverse-engineering APIs, untangling authentication flows, and building resilient pipelines that move sensitive clinical data reliably and securely. When a partner changes their API without warning and something breaks, you're the kind of person who wants to understand exactly why and fix it properly.

This work sits close to the foundation of everything we build. Every integration you ship directly expands what our platform can do and how many practices we can serve.

What You'll Do

• Own Integrations End-to-End: You will design, build, and maintain integrations with EHR systems, lab partners, and other third-party clinical data sources. From first API call to production monitoring, these are yours.
• Wrangle Messy Systems: You will reverse-engineer poorly documented APIs, navigate inconsistent standards, and build robust pipelines that handle real-world edge cases gracefully. You treat other people's broken systems as a puzzle to solve, not a reason to give up.
• Build for Reliability and Security: You will move sensitive clinical data, so you will build with security, auditability, and resilience as first-class concerns. You sweat the details because patients and practitioners depend on them.
• Be Accountable: You will own your work from commit to production. When something breaks, you dig in and fix it. You follow through, you communicate clearly, and you do what you say you'll do.
• Collaborate Across the Stack: You will work closely with the integrations lead and the broader engineering team to make sure your work fits cleanly into the larger platform.

What We Look For

• The Right Attitude: This is the most important thing. You are willing to take on hard, detailed work and see it through. You are relentlessly accountable, you take ownership of problems, and you don't need to be chased. You have a "get it done" mentality and the grit to push through the frustrating parts.
• Self-Directed Execution: You thrive in ambiguity and a fast-paced environment where priorities can shift. Give you a hard problem and a direction, and you will figure out the rest.
• Strong Engineering Fundamentals: You write clean, maintainable backend code and you understand how to build systems that are reliable, secure, and debuggable.
• Clear Communication: You can explain technical tradeoffs clearly and keep collaborators informed, especially when things get complicated.

Nice to Haves

• Backend-oriented experience with Python, FastAPI, and AWS.
• Experience working with LLM APIs and modern AI development tooling.
• Direct experience integrating with EHRs (e.g., Elation, Athenahealth, Cerbo, Practice Better) or diagnostic labs.
• Familiarity with healthcare data standards like FHIR and HL7.
• Understanding of medical coding and clinical terminology (e.g., LOINC, ICD, SNOMED) is a big plus.
• A background or strong interest in healthtech, genomics, or precision medicine.

What We Offer

• Competitive base salary commensurate with experience.
• Meaningful early-stage equity; you are a true owner.
• Direct, unfiltered access to leadership and a front-row seat to company building.
• Health, dental, and vision benefits.
• A highly flexible, non-traditional work environment with incredible autonomy.