Counsel Health - Senior Software Engineer (Backend)
Upload My Resume
Drop here or click to browse · PDF, DOCX, DOC, RTF, TXT
Requirements
• 5+ years building production backend systems, ideally in high-growth environments. • Experience designing and maintaining external-facing APIs used by customers or partners. • Strong data modeling instincts, particularly around time-series or high-frequency data. • Experience working with distributed systems and multi-tenant architectures. • Comfort contributing to greenfield architectural design while shipping pragmatically. • You care deeply about API craftsmanship and long-term system design. • You’ve built complex systems that external customers rely on. • You enjoy modeling messy real-world data — especially high-frequency signals — into clean, durable abstractions. • You’ve built comprehensive search or RAG production systems at scale. • You’ve helped scale early systems from 1 → 10 in a fast-paced environment. • You thrive in small, high-leverage teams where ownership is real. • You have a track record of maintaining and up-leveling operational excellence across software organizations • Our backend platform is built to support large-scale AI-driven clinical systems and enterprise integrations. • Languages: TypeScript, Node.js • Infrastructure: SQS, Temporal, AWS, GCP, Docker, Kubernetes • Data: PostgreSQL, Redis, time-series and vector storage with GCP • We value strong engineering fundamentals over familiarity with any specific tool. If you’ve built robust distributed systems and high-quality APIs before, you’ll ramp quickly in our stack. • Role Location: Remote, Hybrid if in NYC/Boston • ----------------------------------------------------
Responsibilities
• Design and evolve our external API and embedded product layer, ensuring long-term stability, disciplined versioning, and enterprise-grade API craftsmanship. • Evolve our agentic retrieval harness to support both patient and clinical search workflows across structured and unstructured data, with strict permission and audit guarantees • Build reusable platform primitives that allow external partners to embed and extend our AI capabilities — ensuring every integration produces lasting platform leverage. • Contribute to our core data models that unify structured health records, unstructured inputs, and high-frequency time-series signals. • EXAMPLES OF PROJECTS YOU MAY WORK ON • Develop a pluggable ingestion framework that normalizes data from third-party sources into canonical internal models, with extensible adapters for new partner onboarding. • Build a stateful, multi-turn, agentic API that allows external clients to customize AI agent behavior and capabilities within their own cloud, deployment environments.
Benefits
• Impact: Be at the forefront and contribute to groundbreaking, AI-driven healthcare experiences, directly interface with execs at the world's leading tech & healthcare orgs • Growth: Significant opportunities for broad ownership and professional development within our rapidly scaling startup • Exposure: Gain hands-on experience in scaling a fast-growing healthcare technology company and directly interface with executives at the world’s leading healthcare organizations. • Compensation: Competitive salary + equity • Benefits: Comprehensive healthcare, vision + dental, 401K, Unlimited PTO, Parental Leave • ---------------------------------------------------- • Patients come first. • We are clinicians 1st, technologists 2nd. We act with patient trust/safety at the center of every decision. • Innovate with optimism. • We are optimistic as we build the future of care delivery from first principles. Challenge the status quo when needed, no sacred cows. • Right answer wins. • Debate openly and pick the strongest path. We optimize for the company, not functions. We win and lose as a team. • Simplicity over complexity. • We choose clear, elegant solutions and avoid adding complexity that does not serve patients or the team. • Do fewer things, well. • We focus, and hold ourselves to the highest bar and pursue excellence in those areas.
Similar Jobs
No credit card. Takes 10 seconds.