Job description

Senior Backend / Infrastructure Engineer — Healthcare Tech (Hybrid NYC) We're a mission-driven healthcare technology company backed by leading healthcare-focused VCs, partnering with health plans and state governments to help Medicaid and Medicare members stay connected to their care and benefits. The Role We're looking for a Senior Backend/Infrastructure Engineer (5–8+ years) to own backend architecture across our member engagement platform, web onboarding flows, and the integration layer connecting health plan partners and internal systems. Our stack: JavaScript/TypeScript on AWS, Next.js, Supabase, Snowflake, and Postgres. You'll also help deploy pragmatic AI agents across the member experience. As one of our first in-house senior engineers, you'll shape architecture, engineering practices, and hiring standards as we grow — with real autonomy and scope. What You'll Do • Own core backend services (AWS Lambda/ECS/Fargate/API Gateway, Supabase, Postgres, Snowflake) • Harden workflows currently on low-code tools into production-grade services with proper observability and testing • Drive architecture for personalization, AI enablement, and a unified member hub • Lead vendor integrations and migrations; write ADRs and runbooks • Partner cross-functionally with product, design, ops, and compliance • Set the bar for API design, testing, observability, and on-call practices About You • 5–8+ years owning production backend systems end-to-end • Strong API design fundamentals (REST/event-driven), regardless of framework • Proficient in JS/TS, Python, or Kotlin; AWS infrastructure; Postgres/Supabase; Snowflake or similar • Experience integrating with underdocumented vendor APIs and handling production edge cases • Observability-first mindset; solid data modeling instincts • Nice to have: NestJS, Terraform, Auth0, HIPAA/SOC 2 experience, LLM-powered workflow deployment Compensation & Benefits $185,000–$200,000 base + up to 10% bonus + meaningful equity Hybrid (NYC) • Unlimited PTO • $2,000 L&D budget • 12-week paid parental leave • 401(k) match • Health/dental/vision • 5-week sabbatical at 5 years • And more

Requirements

Must-haves

Senior Backend / Infrastructure Engineer — Healthcare Tech (Hybrid NYC)
As one of our first in-house senior engineers, you'll shape architecture, engineering practices, and hiring standards as we grow — with real autonomy and scope.
Own core backend services (AWS Lambda/ECS/Fargate/API Gateway, Supabase, Postgres, Snowflake)
Harden workflows currently on low-code tools into production-grade services with proper observability and testing
Drive architecture for personalization, AI enablement, and a unified member hub
Lead vendor integrations and migrations; write ADRs and runbooks
Partner cross-functionally with product, design, ops, and compliance
Set the bar for API design, testing, observability, and on-call practices
5–8+ years owning production backend systems end-to-end
Strong API design fundamentals (REST/event-driven), regardless of framework
Proficient in JS/TS, Python, or Kotlin; AWS infrastructure; Postgres/Supabase; Snowflake or similar
Experience integrating with underdocumented vendor APIs and handling production edge cases
Observability-first mindset; solid data modeling instincts

Nice-to-haves

Nice to have: NestJS, Terraform, Auth0, HIPAA/SOC 2 experience, LLM-powered workflow deployment

Application prep

Use the role’s language and application details while tailoring your materials.

Keywords to mirror

javascripttypescriptawsnext.jspostgresaiapirestpythonkotlinllm

Platform: gem
Effort: medium

Benefits

Benefits detected in the listing.

Dental

Vision

401(K)

Pto

Parental Leave