Founding Backend Engineer — AI Healthcare Infra with Equity

Rivvi AI, Inc; Cambridge (MA); On-site; USD 120,000 - 150,000; Full time

Benefits offered by this job

Founding equity (0.5–2%+)

Comprehensive health, dental, and vision

Equipment budget and professional development stipend

Job summary

A healthcare AI company in Cambridge, MA seeks a Founding Backend Engineer to architect and build the backend for its patient engagement platform. Responsibilities include developing the API layer and designing AI orchestration systems. Candidates should have over 5 years of backend experience, strong TypeScript skills, and a background in serverless architectures. This full-time role offers a competitive salary range and equity ownership, emphasizing direct collaboration with company founders.

Qualifications

• 5+ years backend engineering or 3+ years with MS in CS.
• TypeScript expertise thinking in types.
• Experience with serverless architecture or equivalent systems.

Responsibilities

• Own the backend and architecture for Rivvi's platform.
• Design AI orchestration that coordinates voice agents.
• Build event-driven systems converting conversations into outcomes.

Skills

TypeScript expertise with strict mode

Serverless architecture experience

Strong database fundamentals

API design experience

Comfort with AI tooling

Education

5+ years backend engineering or 3+ years with MS in CS

Tools

Lambda

Twilio

Cursor

Job description

A healthcare AI company in Cambridge, MA seeks a Founding Backend Engineer to architect and build the backend for its patient engagement platform. Responsibilities include developing the API layer and designing AI orchestration systems. Candidates should have over 5 years of backend experience, strong TypeScript skills, and a background in serverless architectures. This full-time role offers a competitive salary range and equity ownership, emphasizing direct collaboration with company founders.