Kinstead
Healthcare
SeniorBackendEngineer,WorkflowSystems
Neural analysis suggests this role is
optimal for Senior candidates.
“Senior Backend Engineer, Workflow Systems at Kinstead. Skills: Backend systems, Application logic, APIs, Background processing, System behavior, Reliability, Correctness, Predictable execution, Python, Asynchronous programming, API design and maintenance, Backend systems beyond request/response, Debugging and problem-solving, System design for predictability under failure. Build and own core backend systems and application logic. Design and build the services that power reliable clinical and ope”
What You'll Achieve.
Build and own core backend systems and application logic; Design and build the services that power reliable clinical and operational workflows; Ensure system behavior remains predictable under failure conditions; Accelerate implementation while maintaining reliability; Help clinicians spend their time on care, not paperwork; Deliver better care; Enable nurse practitioners to launch and run their own clinics; Spend time on care, not paperwork; Clinicians practice on their terms; Patients get consistent, community-rooted care; Reduce manual work so clinicians can focus on care
Industry & Context.
Debugging and problem-solving skills; Ability to design systems that behave predictably when things go wrong; Debug and resolve production issues across the stack; Ensure system behavior remains predictable under failure conditions
What They're Looking For.
Must Have
5+ years building production software systems, Python experience, Familiarity with asynchronous programming in any language, Experience designing and maintaining APIs for production applications, Experience building backend systems beyond request/response — background jobs, event-driven patterns, or async processing, Debugging and problem-solving skills, Ability to design systems that behave predictably when things go wrong, Comfort working in an AI-assisted development workflow
Nice to Have
Experience with React or NextJS, Experience building workflow or state-machine-driven systems, Experience reasoning about stateful systems, Experience with FHIR or healthcare data systems, Experience with Kubernetes or distributed systems, Experience working in early-stage startups
What You'll Do.
Build and own core backend systems and application logic
Design and build the services that power reliable clinical and operational workflows
background processing
and system behavior under real-world conditions
and predictable execution as the product grows
Work closely with the CTO on system design while maintaining ownership of implementation and operational correctness
Design and implement backend workflows and application logic
Build and maintain APIs that power product functionality
and operational workflows
Build AI-powered tools that help clinicians with documentation
clinical decision support
and voice-driven workflows
Integrate with clinical systems using FHIR
Debug and resolve production issues across the stack
Ensure system behavior remains predictable under failure conditions
Use AI development tools to accelerate implementation while maintaining reliability
Participate in system design and technical planning
How You'll Work.
Team & Collaboration
Collaborate with frontend engineers to maintain clear API contracts; Work closely with the CTO on system design; Support each other; Give honest feedback; Focus on getting to the right answer
Communication Scope
Direct
Process & Methodology
Technical planning
Full Job Description
## Description hatch I.T. is partnering with Kinstead to find a Senior Backend Engineer. See details below: About the Role Kinstead is hiring a Senior Backend Engineer to build and own core backend systems and application logic. You’ll design and build the services that power reliable clinical and operational workflows, including APIs, background processing, and system behavior under real-world conditions. This role focuses on reliability, correctness, and predictable execution as the product grows. You do not need prior healthcare or FHIR experience. They care more about strong backend fundamentals, sound engineering judgment, and the ability to ramp quickly on a complex domain. You’ll work closely with the CTO on system design while maintaining ownership of implementation and operational correctness. About the Company Kinstead is building the AI-native operating system for independent healthcare, enabling nurse practitioners to launch and run their own clinics. They replace the fragmented, manual infrastructure behind healthcare with a single, intelligent system so clinicians can spend their time on care, not paperwork. This creates a new model of care, one where clinicians practice on their terms and patients get consistent, community-rooted care. They’re backed by Wisdom Ventures and founders and executives from Pomelo Care, Flatiron Health, Roivant, and PathAI on their mission to deliver better care. ## Responsibilities Design and implement backend workflows and application logic Build and maintain APIs that power product functionality Implement scheduling, encounter, and operational workflows Build AI-powered tools that help clinicians with documentation, clinical decision support, and voice-driven workflows Integrate with clinical systems using FHIR Debug and resolve production issues across the stack Ensure system behavior remains predictable under failure conditions Collaborate with frontend engineers to maintain clear API contracts Use AI development tool
Applying for this Senior Backend Engineer, Workflow Systems role?
Most applicants get filtered before a human reads their resume. See if yours makes the cut.
How to Apply on Lever
- Lever uses a streamlined one-page form — apply in under 5 minutes.
- LinkedIn import works well; review parsed data before submitting.
- The cover letter field is optional but visible to reviewers — use it to differentiate.
- Referral codes from employees can significantly boost visibility of your application.
ANONYMOUS · UNFILTERED
What do employees actually say about Kinstead?
Real rants from real employees. Read before you apply.