Founding Backend & Infrastructure Engineer

About the Role

Join an early-stage healthtech team building clinical AI systems for healthcare payments. As a founding backend engineer, you will own core infrastructure and help bring clinical intelligence capabilities into reliable production workflows.

What You'll Do

• Build and scale distributed backend systems for chart processing, claims, authorizations, denials, and healthcare integrations.

• Develop browser and computer-use automation to navigate medical record software and payer portals.

• Design reliable infrastructure for large volumes of scanned charts, PDFs, claims, clinical notes, and operational data.

• Build orchestration, queuing, retry, and observability systems for long-running workflows across healthcare platforms.

• Partner with research and product engineers to productionize new clinical intelligence capabilities and establish reusable engineering patterns.

What We're Looking For

• At least 3 years of backend software engineering experience, with a focus on complex systems and infrastructure.

• Strong Python, microservices, and distributed systems experience.

• Experience owning and scaling backend infrastructure at a technically demanding company, such as in data infrastructure, fintech, or a related field.

• Ability to design and deliver backend systems end to end, with minimal direction, while remaining hands-on in day-to-day coding.

• Experience with production machine learning or LLM systems, plus data pipelines, workflow orchestration, or large and messy datasets.

• Background in browser automation or complex integrations is useful.

• Strong computer science, mathematics, or related technical fundamentals, and interest in working at an early-stage startup.

• Must be authorized to work in the United States without visa sponsorship.

Compensation & Benefits

Base salary: $160,000 to $200,000 annually. Visa sponsorship is not available.

Location

On-site in San Francisco, United States.