Backend Engineer

SupportFinity™

San Francisco (CA)

On-site

USD 200,000 - 275,000

Full time

4 days ago

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Benefits offered by this job

Equity ownership

Healthcare premiums covered

Unlimited PTO

Equipment: Laptop + home office budget

Job summary

HealthLeap AI seeks a seasoned backend engineer to scale systems processing billions of data points from hospital EHRs daily, delivering real-time risk scores clinicians rely on each morning.

You will own data pipelines, ensure high concurrency and reliability on AWS and Kubernetes, and collaborate across teams to deploy robust ML feature pipelines.

Qualifications

5+ years backend engineering experience.
Experience with distributed systems and highly concurrent workloads.
Strong databases, data pipelines, and ETL processing knowledge.
Experience with AWS, Kubernetes, and infrastructure-as-code.

Responsibilities

Build data pipelines that process millions of patient records daily.
Parse 50,000+ clinical notes per patient using LLMs - without hallucinating.
Own infrastructure on AWS and Kubernetes - deploy it, monitor it, fix it when it breaks.
Design systems for high concurrency and reliability - clinicians depend on this every morning.
Build feature engineering pipelines for ML models.

Skills

Backend engineering

Distributed systems

Databases

Data pipelines

ETL processing

AWS

Kubernetes

Infrastructure as code

Problem solving

Job description

About Healthleap

HealthLeap builds AI that helps clinicians prioritize patients, surfaces the right data, and gets patients the care they need earlier, so they can leave the hospital sooner.

We integrate with hospital electronic health record systems, screen 100% of patients daily, and risk-rank them in real time. Clinicians at Cedars-Sinai and Penn Medicine start every morning with HealthLeap — with Houston Methodist, Emory, and Intermountain Health deploying now. Real results: 39% more diagnoses. 4 days earlier detection. $11M/year ROI for our first site at Cedars Sinai. 7× revenue growth in 7 months. We started with malnutrition. We're expanding to every major condition to ensure no patient falls through the cracks. Sequoia and First Round are backing us to build the platform that screens every patient for everything and drives tangible outcomes. We're ~15 people. >$7M raised. SF-based, hybrid-friendly. Early enough to shape the product. Late enough to know it works. Results that are changing lives.

About The Role

Build the systems that screen every hospital patient, every day. HealthLeap processes billions of data points from hospital EHRs - labs, vitals, clinical notes, structured records - and turns them into real-time risk scores that clinicians rely on every morning. You'll build the backend systems and infrastructure that make this possible.

Why you

You've built systems that handle real scale - not toy projects, real data, real users, real uptime requirements. You've debugged distributed systems at 2am. You've dealt with messy third-party APIs that had no documentation. You're the person who figures things out when the docs don't help.

What you'll do

Build data pipelines that process millions of patient records daily
Parse 50,000+ clinical notes per patient using LLMs - without hallucinating
Own infrastructure on AWS and Kubernetes - deploy it, monitor it, fix it when it breaks
Design systems for high concurrency and reliability - clinicians depend on this every morning
Build feature engineering pipelines for ML models

What we're looking for

5+ years backend engineering experience
Deep experience with distributed systems and highly concurrent workloads
Solid with databases, data pipelines, ETL processing
Comfortable with AWS, Kubernetes, and infrastructure-as-code
You figure things out - even when documentation doesn't exist

Nice to have

Experience with healthcare data standards (FHIR, HL7v2)
Background in LLM infrastructure or applied AI systems

This role is NOT for you if

Startup unpredictability feels like chaos to you. We find it exciting.
You need detailed specs before you start. We figure it out as we go.
You've never owned something end-to-end. Here, you own outcomes, not tasks.
You wait to be told what to do next. We need people who see what's needed and do it.
You're looking for a 9-5 with predictable hours. We care about deep work and deep rest (we have a minimum leave policy), but when a hospital go-live is on the line, we show up - even if that means a 60+ hour week.
You see collaboration as interruption. We see it as leverage. The best engineers here are constantly pulling each other in - quick Slacks, 5-minute calls, shared context. If you prefer to work in isolation, this isn't the right fit.

Interview process