Senior Backend Engineer

we are seeking a skilled and innovative Backend Engineer to join our Core Integration Framework team. Youll be at the forefront of building and evolving the infrastructure that powers real-time integration with healthcare systems, reflecting their behavior with accuracy, performance, and scale.

As part of our growing infrastructure group, youll take on challenging system architecture and performance problems as we scale \to support even more health systems. Youll work closely with system reversers, product managers, QA engineers, and \platform developers to deliver high-impact features while ensuring the safety and reliability of our core infrastructure.

This is a high-leverage engineering role with the opportunity to explore cutting-edge approaches, like AI agents, to improve time-to-market and increase the resilience of our integration pipelines.

What Youll Do

Design and implement robust, scalable systems for healthcare integration.
Reverse-engineer third-party EHR systems to craft integration strategies for data extraction and real-time state modification.
Lead the development of real-time systems using JavaScript/TypeScript, applying best practices in performance optimization and system architecture.
Write clean, efficient, and well-tested code, with a strong focus on automation and coverage (unit, integration, and E2E testing).
Take ownership of the full development lifecycle, from architecture and development to deployment and monitoring in production.
Mentor peers, contribute to team-wide technical growth, and help drive AI-powered innovation within our infrastructure domain.