About the Role
This is a core engineering position on a small, lean team of ten engineers building an AI-powered documentation platform for the home health industry. You will take on significant ownership across backend services and infrastructure, helping scale existing products and drive new Generative AI and LLM-driven workflows. The work directly reduces documentation burden for clinicians, giving them more time for patient care.
What You'll Do
- Build and ship complex backend services and infrastructure that interface with LLMs and Generative AI models.
- Own zero-to-one projects from early prototyping and MVPs through to scalable, secure, and reliable production systems.
- Help scale widely adopted products as the platform expands to more healthcare organizations.
- Improve backend architecture, observability, and code quality standards across the codebase.
- Collaborate within a flat engineering structure, working directly with fellow engineers and senior technical leadership.
What We're Looking For
- 5+ years of software engineering experience, with a strong backend focus.
- Background at an early-stage startup (pre-seed through Series A/B), or demonstrated zero-to-one building experience at a larger company.
- Track record of independently owning and shipping projects with minimal oversight.
- Strong proficiency in Python for backend development.
- Experience building distributed systems, APIs, or data-heavy backend architectures.
- Hands-on experience with one or more of: MongoDB, PostgreSQL, FastAPI, or AWS.
- Demonstrated signal of technical excellence, such as strong academic CS fundamentals, meaningful leadership roles, or standout project work.
- Experience with production LLM or Generative AI systems is a plus.
- Experience or demonstrated interest in healthcare or HealthTech AI is a plus.
Compensation & Benefits
Base salary range: $190,000 to $230,000 USD annually. Visa sponsorship is not available for this role.
Location
Hybrid, based in San Francisco, California.
