Company

Healthcare

BackendEngineer

$70–100k United States FULL TIME Remote Friendly
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Mid candidates.

The Brief

“Backend Engineer. Skills: Backend services, AI voice agents, Browser agents, Low-latency systems. Design backend services. Build backend services”

Industry & Context.

Healthcare

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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