5-7 years of experience building backend systems, specifically with TypeScript.
Experience with distributed systems and data infrastructure like PostgreSQL, Redis, and Kafka.
Proven track record of designing systems and managing complexity in production environments.
Experience integrating and operationalizing healthcare technologies and APIs.
Familiarity with Kubernetes and infrastructure tooling is a plus.
Responsibilities
Design and build high-performance, reliable backend systems handling large-scale clinical data.
Construct and operate data pipelines and distributed systems for high-volume workloads.
Maintain integrations with Electronic Health Records and related external systems.
Implement complex workflows for elements like Prior Authorizations and Patient Interactions.
Integrate clinical AI models into production systems seamlessly.
Collaborate across APIs and frontend layers to deliver complete user-facing features.
Benefits
High-ownership team culture focused on impactful work in healthcare.
In-person work environment fostering collaboration in the San Francisco office.
Full Job Description
Software Engineer
Location: San Francisco, CA
You'll be working on the core systems that make this possible.
What We Look for in a Great Engineer
You're a builder who holds yourself and others to high standards. You speak command line fluently, live and die by keyboard shortcuts, and are constantly looking for ways to increase your leverage through automation.
This is a high-energy environment for people who want to build real systems that matter.
Ownership: You don't hand off problems. You own them end to end, from understanding the problem to shipping production systems.
Bias for Action: You won't wait for someone else to solve a problem you're in a position to solve.
Automation Mindset: You're always looking for ways to move faster by automating repetitive or manual work.
Complexity Management: You're good at building simple, durable abstractions over messy, real-world systems.
Product Focus: You're comfortable working close to the product, talking to users, shaping requirements, and iterating quickly.
What You'll Work On
You'll primarily focus on backend systems, while contributing across the stack when needed to ship complete features.
Backend Systems & Infrastructure Design and build high-performance, reliable systems that process and serve large-scale clinical data.
Data Pipelines & Distributed Systems Build and operate systems that handle high-volume, asynchronous workloads using tools like Kafka and Temporal.
Healthcare Integrations Build and maintain robust integrations with Electronic Health Records and other external systems.
Core Product Logic Implement complex workflows across areas like Prior Authorizations and Patient Interactions.
AI Integration Integrate and operationalize both in-house clinical AI models and external models in production systems.
End-to-End Delivery When needed, work across APIs and frontend layers to ship complete, user-facing features.
Technical Qualifications
You've built and shipped real systems and can make an immediate impact.
Strong experience building backend systems in TypeScript
Experience working with distributed systems and data infrastructure such as PostgreSQL, Redis, Kafka, Temporal, or similar technologies
Proven ability to design systems and manage complexity in production environments
Bonus
Experience with Kubernetes and infrastructure tooling such as Helm
Environment
High-ownership team building a category-defining company in healthcare
In-person, five days per week in our San Francisco office
