Senior Backend Engineer — AI Care Platform (Scale & Impact)

Sword; United States; Remote; USD 61,000 - 96,000; Full time

Job summary

Sword Health is seeking a backend engineer to design and build scalable AI-enabled systems for healthcare, focusing on reliability and performance of live agents and data pipelines.

You should have 5+ years in backend engineering, strong Python and SQL, experience with cloud platforms (GCP), and fluent Greek and English. This is a full-time, on-site role with opportunity to impact care at scale. Contribute to architecture decisions and mentoring others.

Qualifications

• 5+ years in backend engineering, building and running systems in production.
• Strong Python in production, building and maintaining high-performance APIs.
• Solid SQL, schema design and migrations.
• Experience with event-driven systems and message queues.
• Strong grasp of design patterns and clean architecture boundaries.
• Experience with cloud platforms, ideally GCP.
• Ability to communicate fluently and confidently in Greek and English, at a proficient level.

Responsibilities

• Design and build our AI agents and workflows, and the platform underneath them.
• Design the APIs, schemas and data pipelines the agents depend on.
• Build for reliability and latency live agents demand.
• Extend our multi-deployment architecture so a new client ships without forking the core.
• Find the bottlenecks and scale the system as call volume and data complexity grow.
• Drive technical decisions on infrastructure and practices, and mentor the engineers around you.

Skills

Backend engineering

Python

SQL

Event-driven systems

Design patterns

Cloud platforms

Greek & English communication

Tools

CI/CD

Containers

Automated testing

Job description

Sword Health is seeking a backend engineer to design and build scalable AI-enabled systems for healthcare, focusing on reliability and performance of live agents and data pipelines.

You should have 5+ years in backend engineering, strong Python and SQL, experience with cloud platforms (GCP), and fluent Greek and English. This is a full-time, on-site role with opportunity to impact care at scale. Contribute to architecture decisions and mentoring others.