Founding Engineer, Backend
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About the Role
Join an early-stage healthtech team as a Founding Backend Engineer, building the distributed systems behind clinical and healthcare payment workflows. You will own core infrastructure end to end and help bring clinical intelligence capabilities into production.
What You'll Do
• Build and scale backend systems for chart processing, claims, authorizations, denials, and payer and provider integrations.
• Develop browser and computer-use automation for navigating electronic health record software and payer portals.
• Design reliable systems for processing scanned charts, PDFs, structured claims, unstructured notes, and operational data at scale.
• Build orchestration, queuing, retry, and observability systems for long-running workflows across healthcare platforms.
• Partner with research and product engineers to productionize clinical intelligence capabilities and establish engineering patterns. What We're Looking For
• At least 3 years of backend software engineering experience focused on complex systems and infrastructure.
• Experience designing and owning backend systems end to end, including Python, microservices, and distributed systems.
• Experience building data pipelines, workflow orchestration, or systems for large and messy datasets.
• Experience with LLMs or machine learning models in production; browser automation or complex integrations are also relevant.
• Background in a technically demanding company or startup, with the ability to work in a fast-paced, early-stage environment.
• A degree in computer science, mathematics, or a related field, or equivalent strong technical fundamentals.
• Authorized to work in the United States. Visa sponsorship is not available. Compensation & Benefits Base salary is $160,000 to $200,000 annually. Equity details were not provided. Location On-site in San Francisco, United States.
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