• Own and lead architectural decisions for new systems, partnering closely with product, security, and engineering leadership. • Write clear RFCs and design docs, and guide execution across teams. • Build and evolve backend services and web apps using TypeScript. • Support and evolve data pipelines used for analytics and product features. • Work on AI-powered systems (e.g., voice AI agents, AI workflows). • Design, build, and maintain SMART on FHIR and HL7v2 integrations. • Periodically join customer implementation calls to unblock complex integration work. • Own and improve deployment pipelines, including CDK infrastructure, application deployments and database migrations. • Support multi-region uptime, disaster recovery planning, and backup/restore practices. • Be hands-on in production support and incident response when needed. • Lead the migration to capturing 100% of our cloud infrastructure in AWS CDK. • Maintain and harden AWS infrastructure with a strong security mindset. • Partner with Security on vulnerability remediation, SLA timelines, and SOC 2 / HIPAA. • Do deep, thoughtful code reviews & mentor engineers as the team grows. • Set standards for how we ship, deploy, and operate software at scale.