Founding Engineer, Backend & Infra
BackboneJob Description
📋 Description Build and scale distributed backend systems for chart/claims data and workflows Create orchestration for long-running workflows across EHRs, PMs, clearinghouses, and payers Develop browser-use systems to navigate medical software and payer portals Design reliable systems for messy healthcare data (charts, PDFs, notes, attachments) Build observability, retries, audits, and human-in-the-loop for critical workflows Collaborate with product and research engineers to productionize clinical intelligence patterns 🎯 Requirements 3+ years of professional software engineering experience shipping production systems end-to-end Generalist across backend, data, and ML with real LLM experience in production Comfort with distributed systems, microservices, queues, workflow engines, data pipelines Healthcare experience helpful but not required; curiosity and rigor matter 🎁 Benefits Early join opportunity to help define product and engineering culture Solve hard healthcare workflow problems with real impact Impact product decisions, system architecture, UX, and core automation Competitive compensation and meaningful ownership