Senior Software Engineer - Backend/Infra [NYC or SF]

Job Description

Design, build, and operate high-throughput backend services for a clinical agent platform handling millions of conversations, owning a core service from initial design through production. Improve reliability, performance, observability, and operational health while protecting sensitive healthcare data and contributing to platform architecture.

Requirements: Candidates should have experience building and operating production backend systems at scale, with ownership of outcomes and strong skills in concurrency, distributed systems, and service design. They should favor maintainable solutions, debug across services, queues, and databases, and be able to work on site in New York City or San Francisco.

Key Skills: Backend Engineering, Infrastructure Engineering, Concurrency, Distributed Systems, High-Throughput System Design, Service Design, Production System Operations, Reliability Engineering, Graceful Degradation, Healthcare Data Handling, Performance Optimization, Observability, Debugging, Queue Systems, Database Systems, AI And Machine Learning Systems

Benefits: Health Insurance, Dental Insurance, Vision Insurance, Catered Lunch And Dinner, Mental Health Support, Wellness Coaching, Flexible Wellness Stipend, Annual Learning Budget, Conference Attendance Budget, Annual Team Offsite, Academic Collaboration Opportunities, Unlimited Paid Time Off