Backend and infrastructure focused engineer that can own complex health-data pipelines and core infrastructure in a HIPAA-regulated environment.


Universal Qualities



- Software engineer and generalist first. You'll be an internal domain expert, but can still pitch in across the stack when needed. No silos. No precious boundaries.
- Responsible approach to AI. We don't purely "vibe". We use AI to gain productivity everywhere we can, and own the outcomes as if they were our own.
- Strong bias for ownership and end-to-end delivery. Take a seed of an idea and make it reality.
- Able to work in a fast-moving early-stage environment where requirements evolve and ambiguity is normal.
- Prior health-tech, digital health, or regulated-data experience is a major advantage (HIPAA, FHIR, wearable data, EHR integrations, etc.).

Core Responsibilities



- Own the core health-data ingestion and processing layer — integrating wearable APIs, EHR/FHIR data, PDF extraction outputs, and other structured/semistructured inputs into clean, queryable domain objects.
- Design and maintain data APIs consumed by web and mobile clients, as well as AI agents and subsystems.
- Continue development of the existing Python app or guide a deliberate reboot if a different stack proves more strategic.
- Lead infrastructure strategy across IaC, build+release, observability, HIPAA-aligned security posture, and scaling strategy.

**Preferred Experience**

- Expertise in at least one server-side language, and willingness to work across others as needed. The current base stack is Python (FastAPI), Postgres in AWS via Terraform.
- Prior work with FHIR resources, wearable integrations (Apple Health, Oura, Withings, etc.), or data-modeling in healthcare.
- Comfortable navigating early-stage infra balancing product development efficiency while establishing the right long-term patterns and hardened security.

**Compensation:**
$150,000-$200,000 based on experience, with flexibility for more advanced individuals.


**International Candidates:**
Employment possible via EOR. Not currently supporting Visa Sponsorships.


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