Backend Team Lead

About Opmed.ai

Opmed.ai is a rapidly growing healthcare AI startup helping leading health systems optimize their operations. Our platform is already in use at major health systems and large networks such as Mayo Clinic and Geisinger, and we are backed by world-class funds including NFX and Grove.

We are looking for a Backend Team Leader who will own key parts of our platform, guide a strong engineering team, and help us scale a modern SaaS product that sits at the heart of healthcare operations.

What you will do

• Lead a backend engineering team, including ownership of delivery, quality, and technical direction.
• Design and evolve the system architecture for a multi tenant SaaS platform that must meet high reliability, performance, and security standards.
• Work closely with data, algo, and product teams to integrate models and optimization engines into robust backend services.
• Take an active hands on role in development, up to 50 percent of your time, including coding, code reviews, design reviews, and complex problem solving.
• Build and maintain scalable, observable, and secure backend infrastructure, including APIs, services, and data flows.
• Drive best practices in software engineering, such as testing, CI/CD, monitoring, and incident response.

What you bring

• 3+ years of experience as a team leader or tech lead managing and guiding development teams.
• Strong experience in SaaS startups, building and scaling backend services in production.
• Background in working with LLMs or AI models and integrating them into backend systems.
• Proven ability to take models from prototype to production, including performance and cost considerations.
• Experience working at large scale, including distributed systems, high throughput APIs, and data intensive workloads.
• Advantage: experience in digital health or other regulated domains.
• Willingness and passion to remain hands on up to 50 percent of the time, not just manage.
• Strong system architecture skills and the ability to design solutions for complex problems that must perform at scale.
• Proven track record building scalable backend infrastructure and leading teams in environments with constraints, uncertainty, and fast changing requirements.
• Entrepreneurial mindset, comfortable working with ambiguity, building processes from scratch, and adjusting course quickly.

Why join us

At Opmed.ai you will build systems that directly power real world hospital operations, together with a talented, mission driven team. You will have significant ownership, the chance to influence architecture and culture, and the opportunity to work with leading health systems. If you enjoy solving hard backend challenges at scale and want your work to matter, this is the place for you.