About the RoleWe're looking for a
Senior Backend Engineer, Care Platform & EMR to help build and scale the backend systems powering Bask Health's clinical workflows and electronic medical record (EMR) capabilities.
You'll work on the services, APIs, databases, and workflows that support patient records, clinical encounters, provider review queues, prescribing, and the movement of information throughout the care process.
This is a hands-on engineering role for someone who can independently design complex backend systems, make sound architectural decisions, and take ownership of features from initial requirements through production.
Our platform uses a multi-tenant architecture with TypeScript, Node.js, SST, AWS, and SQL databases. We also use technologies including tRPC, Prisma, and Drizzle across our published engineering stack.
You'll work closely with product managers, engineers, and clinical operations teams to build systems that are reliable, secure, and practical for real healthcare workflows.
We're looking for an experienced engineer who enjoys solving difficult technical problems, works comfortably across the stack when needed, and takes responsibility for the quality of what they ship.
What You'll Do- Design, develop, and maintain backend services supporting Bask's care platform and EMR workflows.
- Build and improve systems for patient records, clinical encounters, provider review queues, and prescribing workflows.
- Develop reliable APIs and backend services that connect patient-facing applications with internal clinical tools.
- Design database schemas, data models, and application logic for complex healthcare workflows.
- Build scalable services using TypeScript, Node.js, SST, AWS, and SQL databases.
- Work with serverless AWS services, including Lambda, SQS, and EventBridge, to support asynchronous processing and event-driven workflows.
- Improve the performance, reliability, and maintainability of existing backend systems.
- Design workflows that handle changes in patient and clinical records accurately and consistently.
- Help ensure sensitive patient information is handled with appropriate security, access controls, and auditability.
- Build and maintain integrations between clinical workflows and other parts of Bask's platform.
- Collaborate with product managers and clinical operations teams to understand requirements and translate them into technical solutions.
- Take ownership of complex backend projects from architecture and implementation through testing, deployment, and production monitoring.
- Write clean, maintainable, well-tested code and contribute to engineering standards.
- Investigate production issues, identify root causes, and implement durable fixes.
- Review code, provide technical guidance, and help improve engineering practices across the team.
- Use AI-assisted development tools such as Cursor and Claude Code to investigate problems, prototype solutions, and accelerate development while applying independent technical judgment.
- Work across the stack when necessary to understand how backend changes affect frontend experiences and operational workflows.
- Help design reusable services and architectural patterns that support future product development.
- Participate in technical planning, architecture discussions, and product development decisions.
- Continuously improve system performance, observability, testing, and deployment practices.
Requirements- 5+ years of professional software engineering experience, with substantial hands-on backend development experience.
- Strong proficiency in TypeScript, JavaScript, and Node.js.
- Experience designing, building, and maintaining production backend applications and APIs.
- Experience working with AWS services and serverless architectures.
- Familiarity with AWS Lambda, SQS, EventBridge, or comparable event-driven infrastructure.
- Strong experience with SQL databases, relational data modeling, and database schema design.
- Experience using modern ORM or database access tools such as Prisma or Drizzle.
- Understanding of API design, asynchronous processing, distributed systems, and backend application architecture.
- Experience designing reliable systems that handle complex business logic and multi-step workflows.
- Strong understanding of application security, authentication, authorization, and secure data handling.
- Experience writing automated tests, debugging production issues, and maintaining high software quality.
- Ability to independently own complex projects or substantial areas of a production codebase.
- Experience making architectural decisions and evaluating technical tradeoffs.
- Familiarity with modern development workflows, Git, code reviews, and production deployments.
- Ability to use AI-assisted development tools effectively while independently evaluating generated code for correctness, security, and maintainability.
- Strong analytical thinking, problem-solving skills, and attention to detail.
- Excellent written and verbal communication skills, including the ability to explain technical decisions, constraints, and timelines.
- Comfortable working in a fast-moving environment with significant individual ownership.
- Willingness to collaborate closely with product managers, engineers, and operational teams.
Nice to Have- Experience with SST and serverless application development on AWS.
- Experience working with tRPC, Next.js, React, or full-stack TypeScript applications.
- Experience with multi-tenant SaaS platforms or monorepo architectures.
- Experience building electronic medical records, healthcare applications, or clinical workflow systems.
- Familiarity with patient records, clinical encounters, prescribing workflows, or provider-facing applications.
- Understanding of HIPAA, healthcare data privacy, or regulated software environments.
- Experience designing audit logs, role-based access controls, and sensitive-data workflows.
- Experience with event-driven architectures, queues, background jobs, or distributed processing.
- Experience building and scaling paid SaaS products or taking products from concept to launch.
- Experience improving database performance, API reliability, and system observability.
- Familiarity with integrations involving clinical systems, pharmacies, or healthcare service providers.
- Experience mentoring engineers, reviewing complex implementations, or establishing backend engineering standards.
- Experience using Cursor, Claude Code, or other AI-assisted development tools in production software workflows.
- Experience building automation or AI-powered functionality into existing software products.
