Lead Software Engineer, Backend

FuturHealth; San Francisco (CA); Remote; USD 185,000 - 230,000; Full time

Job summary

An innovative company is seeking a Lead Software Engineer to drive the development of robust backend systems that empower individuals on their health journey. In this pivotal role, you'll lead the design of scalable APIs, ensuring security and performance while mentoring a talented team. This position offers a unique opportunity to make a significant impact in the health tech industry, working at the intersection of technology and wellbeing. Join a dynamic team that values creativity and collaboration, and help shape the future of healthcare through cutting-edge solutions.

Benefits

Unlimited Paid Time Off (PTO)

Health, Dental, Vision Insurance

401k Retirement Plan

Employee Assistance Program (EAP)

Health Savings Account (HSA)

Flexible Spending Account (FSA)

SmartSpend discounts

Pet Insurance

Commuter Benefits

New hire swag and company equipment

Qualifications

• 6+ years of backend engineering experience with 2+ in a leadership role.
• Proven experience building scalable production-grade backend systems.
• Hands-on problem solver with strong debugging skills.

Responsibilities

• Lead the design and development of scalable APIs and backend systems.
• Ensure security, reliability, and performance across core infrastructure.
• Mentor engineers and influence technical direction across projects.

Skills

Node.js

Python

TypeScript

RESTful API design

AWS

PostgreSQL

Redis

CI/CD

Docker

Debugging skills

Tools

AWS

PostgreSQL

Redis

Docker

CI/CD tools

Job description

Join to apply for the Lead Software Engineer, Backend role at FuturHealth

Join to apply for the Lead Software Engineer, Backend role at FuturHealth

At FuturHealth, we're on a mission to create a product where every individual feels inspired and empowered to confidently take charge of their wellbeing. We believe in and are dedicated to offering personalized and holistic approaches to combat health concerns.

Operating at the intersection of health and technology, we provide a comprehensive range of services, including telemedicine, personalized nutrition plans, medication delivery, and insurance solutions. We believe that wellbeing is deeply personal, and the path to becoming the best version of yourself is paved with progress, not perfection. Our central focus is on utilizing scientifically-proven prescriptions and telehealth initiatives to tackle obesity head-on.

Role Overview

We're looking for a Lead Software Engineer, Backend to design, build, and scale the foundational systems that power FuturHealth's digital platform. As a hands-on technical leader, you'll architect secure, performant, and reliable backend services, mentor engineers, and drive engineering excellence across a growing team.

This is a high-impact role for a backend engineer who thrives in startup environments, cares deeply about system quality and maintainability, and is motivated by the opportunity to improve health outcomes through technology.

What You'll Do

• Lead the design and development of scalable APIs, services, and backend systems.
• Ensure security, reliability, and performance across core infrastructure.
• Collaborate with Product, Data, and Frontend teams to deliver end-to-end solutions.
• Champion engineering best practices, CI/CD, observability, and testing standards.
• Mentor engineers, lead code reviews, and influence technical direction across projects.
• Ensure compliance with HIPAA, HiTrust, and other security/privacy standards in backend systems.
  
  

About You

• Experience:
  
  
  
  

• 6+ years of backend engineering experience, with 2+ in a technical leadership or staff-level role.
• Proven experience building and operating scalable, production-grade backend systems.
• Technical Skills:
  
  
  
  

• Strong proficiency in Node.js and/or Python; TypeScript experience a plus.
• Deep knowledge of RESTful API design, authentication, and system integrations.
• Experience with cloud infrastructure (AWS preferred), databases (PostgreSQL), caching (Redis), and CI/CD tooling.
• Familiarity with infrastructure as code, containerization (Docker), and modern DevOps practices.
• Mindset & Communication:
  
  
  
  

• Hands-on problem solver with strong debugging and performance tuning skills.
• Clear communicator who collaborates well across disciplines.
• Comfortable in ambiguity and able to balance short-term shipping with long-term quality.
  
  

Nice to Have

• Experience in healthtech or with HIPAA/HiTrust environments.
• Background in microservices architecture or event-driven systems.
• Familiarity with observability tools (Datadog, Sentry) and serverless patterns.
  
  

The pay range for this role is $185,000 - 230,000. We offer a competitive salary package and may include variable compensation. Actual compensation is based on factors such as the candidate's location, skills, qualifications, and experience.

Additional Company Info

Founded by a team with a proven track record of delivering exceptional experiences to over 25 million consumers, they began by revolutionizing personalized nutrition through an intuitive mobile app that adapts meal plans to individual metabolisms and preferences. With seamless integrations with food services and a thriving community of like-minded individuals, the formation of FuturHealth began to further empower people on their health journey.

Securing Series Seed Funding in December 2023, FuturHealth is backed by Corazon Capital, Oversubscribed Ventures, and InterAlpen Partners. We achieved remarkable 40X growth in 2024 and are proud to be maintaining this impressive momentum. We are currently seeking visionary people to join us in our journey to revolutionize healthcare and empower individuals to lead healthier lives. If you are passionate about making a meaningful impact and driving innovation in the health and wellness and technology space, we invite you to explore opportunities and be a part of the future of healthcare.

What we can offer:

• Flexibility and Balance:
• Fully remote work policy, Unlimited Paid Time Off (PTO), 13 Company Holidays plus Floating Holiday flexibility for added personal convenience! Paid Parental Leave (US Only)
• Comprehensive Total Rewards (US Only): Health, Dental, Vision Insurance, and Retirement (401k).
• Wellness Support (US Only): Employee Assistance Program (EAP), Health Savings Account (HSA), and Flexible Spending Account (FSA).
• Exclusive Perks (US Only):
• Partnerships: SmartSpend discounts, SoFi financial tools, One Medical care, and Rightway healthcare navigation.
• Pet Insurance: Affordable plans for your furry friends.
• Commuter Benefits (State Specific): Simplify daily travel.
• Tools to Thrive:
• New hire swag and company equipment (laptop, software) for a seamless start.
• Authentic startup exposure with opportunities to make a tangible impact.
• A culture built on autonomy, accountability, and results-driven success.
  

Note: Benefits and compensation listed may vary based on the country of your employment and the nature of your employment with Futurhealth.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Engineering and Information Technology

• Industries

  Wellness and Fitness Services

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