Founding Backend / Infrastructure Engineer

Backend EngineerSoftware EngineerFull TimeRemote

Location

United States

Posted

2 days ago

Salary

$150K - $200K / year

PythonAWSAPI DevelopmentData PipelinesDatabase DesignSystem ScalabilityInfrastructure AS CodeTerraformCloud Infrastructure

Job Description

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

As a Founding Backend / Infrastructure Engineer, you will play a key role in designing and building the core systems that power the platform. You will work closely with the founding team to develop scalable infrastructure and data pipelines capable of ingesting and processing complex health data.

  • Design and build the core backend systems and health-data pipelines that power the platform.
  • Integrate and process data from sources such as wearable APIs, medical records, lab data, and other structured or semi-structured inputs.
  • Develop and maintain robust APIs used by mobile apps, web clients, and AI-powered features.
  • Own backend architecture decisions, including database design, data models, and system scalability.
  • Help define and implement infrastructure best practices across deployment, monitoring, and security.
  • Work within a regulated environment handling sensitive health data, ensuring strong security and compliance practices.
  • Collaborate with product, clinical, and engineering stakeholders to translate complex requirements into reliable systems.
  • Take ownership of projects end-to-end—from initial design through production deployment.

This role offers significant autonomy and impact, with the opportunity to shape the core infrastructure of a product designed to improve health outcomes for millions of people.

Qualifications

  • 5+ years of professional experience in backend software engineering.
  • Strong experience building and maintaining APIs, backend services, and data pipelines.
  • Experience designing scalable systems and database schemas.
  • Proficiency with backend technologies such as Python and modern API frameworks.
  • Experience working with cloud infrastructure (AWS or similar).
  • Comfortable operating in a fast-paced startup environment with evolving requirements.
  • Demonstrated ability to take ownership of complex technical problems and deliver solutions end-to-end.
  • Strong written and verbal communication skills for effective remote collaboration.

Requirements

  • Experience working at early-stage startups or as an early engineering hire.
  • Experience building products from 0-to-1 or early production scale.
  • Familiarity with health technology, digital health platforms, or regulated data environments.
  • Experience integrating with health data standards or APIs (e.g., EHR systems, FHIR, wearable devices).
  • Experience with infrastructure tooling such as Terraform or other infrastructure-as-code platforms.
  • Exposure to AI-enabled products or systems interacting with machine learning models.

Benefits

  • Base Salary: $150,000 – $200,000 (flexible for the right candidate).
  • Equity: Founding-level equity package.
  • Work Environment: Fully remote with a globally distributed team.
  • Team Culture: Small, high-trust engineering team with strong ownership and autonomy.
  • Impact: Opportunity to build core infrastructure for a product designed to improve long-term health outcomes.
  • Growth: Early-stage role with significant opportunity to shape technical direction and company trajectory.

Job Requirements

  • 5+ years of professional experience in backend software engineering.
  • Strong experience building and maintaining APIs, backend services, and data pipelines.
  • Experience designing scalable systems and database schemas.
  • Proficiency with backend technologies such as Python and modern API frameworks.
  • Experience working with cloud infrastructure (AWS or similar).
  • Comfortable operating in a fast-paced startup environment with evolving requirements.
  • Demonstrated ability to take ownership of complex technical problems and deliver solutions end-to-end.
  • Strong written and verbal communication skills for effective remote collaboration.
  • Experience working at early-stage startups or as an early engineering hire.
  • Experience building products from 0-to-1 or early production scale.
  • Familiarity with health technology, digital health platforms, or regulated data environments.
  • Experience integrating with health data standards or APIs (e.g., EHR systems, FHIR, wearable devices).
  • Experience with infrastructure tooling such as Terraform or other infrastructure-as-code platforms.
  • Exposure to AI-enabled products or systems interacting with machine learning models.

Benefits

  • Base Salary: $150,000 – $200,000 (flexible for the right candidate).
  • Equity: Founding-level equity package.
  • Work Environment: Fully remote with a globally distributed team.
  • Team Culture: Small, high-trust engineering team with strong ownership and autonomy.
  • Impact: Opportunity to build core infrastructure for a product designed to improve long-term health outcomes.
  • Growth: Early-stage role with significant opportunity to shape technical direction and company trajectory.

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