Senior Backend Software Engineer

Build the part of Regard that reads a patient's medical chart—labs, medications, vitals, procedures, prior notes, history—and determines which conditions are present, along with the evidence supporting each one.

About Regard

Our mission is to bring world-class healthcare to everyone. Regard is an AI-powered Proactive Documentation platform that advances how care is delivered by reviewing all patient data in the EHR to recommend diagnoses and surface clinical evidence. Regard drafts a note even before the physician sees the patient, enabling an approach that gets documentation right at the point of care—we call it Proactive Documentation. This improves quality of care, reduces physician burden, and improves hospital finances. We work closely with some of the top health systems in the country and are leading the change that healthcare needs.

Tech Stack

• Backend: Python, Go, PostgreSQL, Redis, Celery
• Frontend: TypeScript, React
• Infrastructure & DevOps: AWS, Docker, Kubernetes, GitLab CI/CD, Datadog
• AI: OpenAI, Anthropic
• Clinical standards: FHIR, ICD-10, SNOMED, LOINC, RxNorm

Responsibilities

• Collaborate with product, design, and clinicians to design medium-to-large projects, often starting from an ambiguous problem statement and balancing speed to market, user experience, business goals, and technical architecture quality
• Own backend services and drive improvements across system design, observability, testing, performance, and support
• Model clinical data and design the schemas and service contracts that new product surfaces are built on
• Work directly with clinicians to understand what a diagnosis requires, and turn that intent into logic and tooling they can extend themselves
• Mentor and review code from other developers across backend services
• Maintain and improve the quality of the codebase and tooling in your area of responsibility through proactive fixes and by proposing projects that improve the overall backend codebase
• Participate in operational activities including on-call, monitoring, and production support

Requirements

• BS in Computer Science or equivalent experience
• 6+ years of professional experience with software development
• Proficient in Python or Go with demonstrated ability to write and maintain production-quality code
• Proven experience building data-intensive applications, backed by strong data fluency in designing and evolving schemas consumed across cross-functional teams
• Able to participate in on-call operational support for your areas of responsibility
• Able to travel up to 4 weeks a year for company co-working and/or retreat weeks
• Practical experience leveraging AI coding tools in day-to-day software development (e.g., Cursor, Claude Code, Codex)

Preferred Qualifications

• Exposure to clinical or healthcare data (e.g., FHIR, EMR integrations, clinical terminologies, or revenue cycle)
• Comfortable with systems that produce ranked, scored, or probabilistic output and evaluating that output against imperfect ground truth
• Experience in a startup and/or high-growth environments
• Experience building tools for non-engineer domain experts
• Experience managing cloud infrastructure and LLM integrations
• Experience working on a mature enterprise SaaS product

Schedule

• Hybrid role: 2 days per week in the office (New York City metro area, San Francisco Bay Area, or Los Angeles)
• More frequent in-office work during onboarding and team onsite weeks (up to once per month)
• Flexibility to work from locations outside of your home office for up to 6 weeks per year

Benefits

• 99% employer-paid health benefits (Medical, Dental, and Vision) + One Medical subscription
• 18 PTO days/year + 1 week holiday break
• Monthly health & wellness budget
• Company-sponsored team retreat + social events
• Sabbatical program
• Relocation assistance for those moving to the NYC metro area
• Catered lunches and other office perks for those who prefer working in-office regularly

Pay

Compensation range: $165,000 – $220,000

For this role, Regard is currently only considering candidates who are authorized to work in the US without visa sponsorship.