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.