Senior Backend Engineer

Doctronic; New York (NY); Hybrid; USD 140,000 - 230,000; Full time

Benefits offered by this job

Competitive salary

Equity options

Benefits reimbursement

Healthcare experts

Benefits reimbursement

Job summary

A healthcare tech company in New York City seeks a Senior Backend Engineer to build scalable API infrastructure that enhances healthcare accessibility. The ideal candidate will have extensive backend engineering experience, particularly with Python and FastAPI. You'll work on HIPAA-compliant systems, ensuring secure data processes while fostering an engineering-first culture. This role offers competitive salary and equity, with direct reporting to the CEO in a hybrid work environment.

Qualifications

• 6+ years backend engineering experience with Python and API development.
• Experience with frameworks like FastAPI or Flask.
• Strong understanding of RESTful APIs and cloud services.
• Preference for founders, founding engineers, or extensive startup experience.

Responsibilities

• Develop scalable healthcare API infrastructure using Python.
• Implement secure health record exchange with EHR systems.
• Optimize database for high-volume healthcare data.

Skills

Backend engineering

API development

Python

FastAPI

Cloud services

Relational databases

Microservices architecture

Distributed systems

Education

CS degree or equivalent

Engineering/Math background

Top programs preference

Startup experience

Tools

PostgreSQL

Redis

Docker

Job description

Senior Backend Engineer

Doctronic | New York City ONSITE (Hybrid) | Reports to CEO

The Mission

Let's make healthcare free and accessible to everyone through AI. We need backend infrastructure that can scale our AI doctor platform to billions of consultations while maintaining medical safety and HIPAA compliance.

What You'll Build

Healthcare API Infrastructure

• Scalable APIs using Python, FastAPI, AWS handling millions of monthly requests
• RESTful API development supporting our AI healthcare tools
• Real-time data processing for sensitive patient information (HIPAA-compliant)
• Internal API architecture for web platform and AI coordination

Integration & Data Systems

• Secure health record exchange with EHR systems, QHINs, healthcare networks
• Third-party integrations: telehealth providers, analytics platforms, healthcare APIs
• Large‑scale sensitive data processing with encryption and compliance safeguards
• Partner API integrations across dozens of diverse healthcare systems

Scale & Reliability

• Database optimization for high-volume healthcare data with complex queries
• Redis for secure caching and session management in healthcare environments
• Error handling, failover systems, disaster recovery for mission-critical services
• Performance optimization for rapid user growth

AI System Integration

• Backend coordination for AI tools and decision-making workflows
• Python-based deterministic systems working alongside AI agents for clinical accuracy
• APIs supporting model inference, data preprocessing, result processing
• Infrastructure for AI safety: validation layers and human escalation protocols

You’ll also work on healthcare compliance automation, advanced monitoring, multi-region deployment, and backend foundation for next-generation AI healthcare features.

How We Work

• Engineering-first org: no project managers, just senior engineers
• Flat structure with direct CEO reporting and high autonomy
• Own features end-to-end from minimal specs to production
• AI coding tools encouraged
• Ship fast with good judgment; daily standups for alignment, not micromanagement

Required Qualifications

Education & Background

• CS degree OR equivalent demonstrated expertise
• Engineering, Math, or related technical degrees welcomed with strong programming foundation
• Preference for graduates from top programs at top universities
• Preference for founders, founding engineers, or extensive startup experience
• Independent problem solver who collaborates well cross-functionally

Technical Expertise

• 6+ years backend engineering with Python and API development
• FastAPI, Flask, or similar Python web frameworks
• Cloud services experience
• RESTful APIs, high-volume traffic handling
• Relational databases (PostgreSQL, MySQL) and optimization
• Redis, caching strategies, distributed systems design

System Design & Integration

• Third-party API integrations and webhook management
• Microservices architecture and distributed system patterns
• Security best practices for sensitive data and API design
• CI/CD pipelines, containerization (Docker), deployment automation
• Monitoring, logging, observability tools

Preferred Qualifications

• Systems for healthcare, fintech, or regulated industries
• Healthcare data standards (HL7, FHIR) and HIPAA compliance
• High-scale data processing and real-time systems
• AI/ML systems and model serving infrastructure
• Message queues, event-driven architectures, async processing
• Healthcare workflows, EHR systems, telehealth platforms
• Seed/Series A experience in healthcare or technology
• Advanced degree in CS, Engineering, or related field

What We Offer

• Competitive salary plus significant equity
• Build infrastructure transforming healthcare accessibility for millions
• Direct CEO reporting with significant autonomy
• Access to leading technologies and healthcare experts
• Benefits reimbursement

Funding & Momentum

• Union Square Ventures led our seed (Feb 2025)
• Lightspeed Venture Partners preempted our Series A six months later (Aug 2025)
• Significant equity stake in fast-moving, well-backed company

About Doctronic

doctronic.ai provides free, anonymous, HIPAA‑compliant AI consultations. Optional human physician video visits with our doctors cost just $39 and are available 24/7 across all 50 states. We are processing millions of monthly consults with 99%+ treatment plan accuracy validated by board‑certified clinicians.