Company
Healthcare
BackendEngineer
Neural analysis suggests this role is
optimal for Mid candidates.
“Backend Engineer. Skills: Backend services, AI voice agents, Browser agents, Low-latency systems. Design backend services. Build backend services”
Industry & Context.
What They're Looking For.
Must Have
3+ years building backend systems, Python or TypeScript/Node experience, Comfort with distributed systems, Comfort with queues, Comfort with event-driven architectures, Experience with cloud infrastructure, Experience with relational databases, Experience with modern observability tooling, Product instinct, Ownership mindset
Nice to Have
Experience with LLM agents, Experience with voice systems, Experience with telephony, Experience with ASR/TTS, Experience with browser automation, Experience with regulated healthcare environments
What You'll Do.
Design backend services
Build backend services
Orchestrate AI voice agents
Orchestrate browser agents
Build integrations with EHRs
Build integrations with scheduling systems
Build integrations with insurance portals
Build integrations with payer portals
Own reliability of agent workflows
Own observability of agent workflows
Own performance of agent workflows
Partner with leadership on architecture
Partner with leadership on technical tradeoffs
Partner with leadership on product direction
Shape engineering culture
Shape hiring practices
Shape operational practices
How You'll Work.
Team & Collaboration
Direct collaboration with founders; Collaboration with customers
Full Job Description
ABOUT THE ROLE As one of the first backend engineers, you will own core services powering AI voice and browser agents deployed in live production environments. You will build reliable, low-latency systems that orchestrate agent workflows, integrate with healthcare systems and third-party portals, and maintain data security standards. You will work directly with founders and ship into customer environments regularly. WHAT YOU'LL DO - Design and build core backend services and APIs that orchestrate AI voice and browser agents - Build integrations with EHRs, scheduling systems, and insurance/payer portals - Own reliability, observability, and performance of agent workflows in production - Partner directly with leadership on architecture, technical tradeoffs, and product direction - Help shape engineering culture, hiring, and operational practices as the team scales WHAT WE'RE LOOKING FOR - Required: 3+ years building production backend systems, ideally in Python or TypeScript/Node - Comfort with distributed systems, queues, and event-driven architectures - Experience with cloud infrastructure (AWS or GCP), relational databases, and modern observability tooling - Strong product instinct and ownership mindset—you can scope, ship, and iterate independently - Nice to have: Experience with LLM agents, voice systems (telephony, ASR/TTS), browser automation, or regulated healthcare environments COMPENSATION & DETAILS - Salary: $70,000–$100,000 USD, depending on experience - Equity: Founding-team equity included - Work Arrangement: Remote, LATAM-based (with US Pacific timezone overlap required) - Type: Full-time - Access: Direct collaboration with founders and real customers from day one
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