Senior Software Engineer Backend (NYC)

Key Responsibilities

• Design, build, and maintain backend services and web applications
• Work on real-time web applications for audio and SMS communications with users (patients)
• Implement and operate fault-tolerant, long-running workflows for asynchronous and background processing
• Collaborate with frontend, product, and infrastructure teams to deliver reliable, compliant systems

Required Qualifications

• Proven experience building highly available backend applications in a regulated environment (e.g., healthcare, finance, compliance-driven SaaS)
• Proficiency in TypeScript and/or Python for backend service development
• Experience interacting with backend APIs built using Node.js, Express, Mongoose, Twilio or similar frameworks
• Experience with Temporal or similar distributed workflow orchestration systems (e.g., Cadence, AWS Step Functions, Conductor)
• Solid understanding of distributed systems fundamentals, including retries, idempotency, and failure handling

Preferred Qualifications

• Experience in healthcare technology or SaaS platforms at a medium-sized startup
• Familiarity with HL7, FHIR, or EHR integrations
• Experience with cloud platforms such as AWS, Azure, or GCP
• Hands-on experience with CI/CD pipelines, infrastructure automation, and version control systems (e.g., Git)
• Experience working in a monorepo setup (e.g., Turborepo, Nx)

Nice to Have

• Experience with distributed data or batch processing frameworks (e.g., Apache Spark, Databricks, or similar)
• Exposure to DevOps practices, including containerization, observability, and deployment automation