Remote-First Staff Backend Engineer — Equity & Impact

Rythm; United States; Remote; USD 150,000 - 230,000; Full time

Benefits offered by this job

Equity

Rythm membership

Remote-first environment

Paid time off

401(k)

Health plans

Collaborative team

Job summary

Rythm Health is seeking a Staff Backend Engineer to own backend systems, design scalable APIs, and drive architecture in a fast-growing health-tech environment. You’ll work directly with cross-functional teams across product, lab, logistics, and billing, writing code, shaping platform decisions, and improving reliability.

This remote-first role offers equity, meaningful impact from day one, and the chance to help redefine at-home health testing.

Qualifications

• Extensive experience designing, building and owning backend systems at scale.
• Proven track record of owning complex, cross-functional initiatives.
• Experience integrating internal systems and third-party platforms across complex business workflows.
• Strong understanding of testing, observability, performance, security, and production operations.
• Ability to move between long-term architecture and immediate delivery needs.
• Strong communication skills and the ability to work effectively with both technical and nontechnical partners.
• A hands-on mindset; you enjoy building and want to remain close to the technical work.
• High ownership, low ego, in a fast-moving environment with evolving priorities.
• Previous time spent within healthcare, consumer health, or direct to consumer businesses is preferred.
• A strong understanding of regulated products and navigating sensitive data is preferred.

Responsibilities

• Design, build, and own reliable backend services and APIs that support Rythm's products and internal operations.
• Own complex projects from technical discovery and architecture through implementation, launch and iteration.
• Build systems that connect member experiences with laboratory, logistics, billing, analytics, and other operational workflows.
• Make architectural decisions that balance delivery speed, maintainability, performance, security, and scale.
• Improve service reliability through thoughtful testing, observability, incident response, and operational practices.
• Partner with mobile and product engineers to define clear contracts, scalable data flows, and dependable integrations.
• Identify technical risks and reduce unnecessary complexity across the platform.
• Help establish and evolve development standards and tools as the engineering team continues to grow.
• Use modern development tools, including AI-assisted workflows, to increase engineering quality and speed.

Skills

Backend systems design

Cross-functional collaboration

Scalability

Testing & observability

Security & production ops

Communication

Hands-on coding

Ownership

Healthcare domain knowledge

Tools

APIs

Architecture decisions

Job description

Rythm Health is seeking a Staff Backend Engineer to own backend systems, design scalable APIs, and drive architecture in a fast-growing health-tech environment. You’ll work directly with cross-functional teams across product, lab, logistics, and billing, writing code, shaping platform decisions, and improving reliability.

This remote-first role offers equity, meaningful impact from day one, and the chance to help redefine at-home health testing.