Senior Backend Engineer, AI-Powered Healthcare Platform

Counsel Health, Inc.; Boston; Hybrid; PHP 7,643,000 - 12,102,000; Full time

Job summary

This role sits on the Platform & Integrations team and emphasizes greenfield work, durable architecture, and collaboration with cross-functional teams in a fast-paced startup setting. Hybrid NYC/Boston/East Coast remote options available.

Qualifications

• 5+ years building production backend systems.
• Experience designing external-facing APIs.
• Strong data modeling instincts, especially time-series data.
• Experience with distributed systems and multi-tenant architectures.

Responsibilities

• Design and evolve external APIs and embedded product layer for long-term stability and enterprise-grade quality.
• Evolve retrieval harness to support patient and clinical search across data with strict permissions and audit guarantees.
• Build reusable platform primitives for external partners to extend AI capabilities.
• Contribute to core data models unifying structured health records, unstructured inputs, and high-frequency signals.

Job description

This role sits on the Platform & Integrations team and emphasizes greenfield work, durable architecture, and collaboration with cross-functional teams in a fast-paced startup setting. Hybrid NYC/Boston/East Coast remote options available.