Senior Backend Engineer - Munich/Boston/Remote US

ETH get hired; Deutschland; Hybrid; Vertraulich; Vollzeit

Zusammenfassung

A leading company focused on AI-powered health solutions is hiring a Senior Backend Engineer. You will scale backend infrastructure and design health data pipelines while working alongside experts in AI and health tech. Enjoy a competitive salary and equity as you contribute to improving patient outcomes.

Leistungen

Competitive salary and equity

Direct mentorship and collaboration with industry experts

Qualifikationen

• Experience designing and optimizing backend systems.
• Hands-on experience with cloud infrastructure (GCP, Terraform).
• Experience working with health data and EHR systems.

Aufgaben

• Own the evolution and scaling of HIPAA-compliant backend infrastructure.
• Design and deploy health data pipelines that integrate with EHR systems.
• Continuously improve system reliability and performance.

Kenntnisse

Strong proficiency in Python

Experience with cloud infrastructure

Robust API design

Deep knowledge of relational databases

Solid understanding of security best practices

Tools

GCP

Terraform

Flask/FastAPI

PostgreSQL

Jobbeschreibung

Senior Backend Engineer - Munich/Boston/Remote US

Scale backend for AI-powered workflows, with a focus on API and EHR integrations, infrastructure, and PHI security.

Full-Time

About Neru Health

Neru Health uses AI to tackle one of chronic care’s toughest challenges: helping patients start and stick with treatment, beginning with sleep care. Our conversational AI platform is already live with 3,000+ patients, improving patient outcomes and reducing clinic workload by 45%.

We recently closed our oversubscribed seed round, backed by senior tech leaders from Netflix and Google, leading sleep experts, and digital health VCs. Clinics are onboarding quickly, and we’re hiring founding engineers to help scale from 3,000 to 30,000 patients in the months ahead.

About the Role

Own the evolution and scaling of our HIPAA-compliant backend infrastructure

Design and deploy health data pipelines and services that integrate with electronic health record (EHR) systems using FHIR and HL7 communication standards

Optimize database performance and query efficiency

Continuously improve reliability and observability through enhanced monitoring and alerting

Collaborate with experts in biomedical AI, machine learning, and infrastructure to build robust healthcare solutions

What You Bring

Your background looks something like:

Background in engineering at product-driven, early-stage tech companies

Strong proficiency in Python (incl. async programming)

Experience designing and optimizing backend systems, not just implementing others’ specs

Hands-on experience with cloud infrastructure and infrastructure as code (we build on GCP using Terraform)

Strong background in robust API design (Flask/FastAPI) and CI/CD pipelines

Deep knowledge of relational databases (we use PostgreSQL)

Familiarity with serverless architectures

Solid understanding of security best practices

As a person, you’re:

A tinkerer/hacker - you explore, test, and iterate rapidly

Automate everything - from dev environments to personal workflows

Communicate clearly and thrive in a fast-paced, hybrid/remote startup team

Value working with people who are kind, ambitious, and pragmatic

Excited about AI/ML, even if your experience is still growing

Love working in a startup environment - you either have experience working in a startup or are really drawn to the zero-to-one phase

Experience working with health data, EHR systems (e.g., HL7, FHIR), and health IT standards

Built LLM-powered applications end-to-end and understand concepts like RAG, open-source models, and agent architectures

Passion for sleep science, digital health, or behavioral change

We believe amazing talent comes from all backgrounds and experiences. Whether or not you check every box, if this role excites you, we want to hear from you!

What We Offer

Competitive salary (€90K - €110K) and generous equity. We believe in rewarding great talent fairly. Our approach is slightly above market on salary, and above market on equity - because we want you to grow with us.

A fast-moving team shipping to real patients every week

Direct mentorship and collaboration with senior advisors from Netflix Games, Google AI, Harvard Medical School

Maria , Co-founder and CTO, published ML/bioinformatics researcher

Morgan , Co-founder and CEO, scaled two bio/health startups to 7-figure revenue

Catherine , Co-founder and CPO, ex-Amazon and Boeing product lead

Maria , Founding Engineer, built and scaled ML-driven data pipelines, genomic analytics platforms, and EHR integrations at a biotech company

Liana , Software Engineer, builtat YC-startups and IBM