Senior Backend Engineer, AI Health Platform (Remote)

Sarah Smith Fund; Northern (KY); Hybrid; USD 140,000 - 180,000; Full time

Benefits offered by this job

Competitive salary

Health, dental, and vision insurance

Remote-first culture

Direct access to founders

Professional development budget

Autonomy over technical decisions

Meaningful impact on mental health

Job summary

Soulside AI is seeking a Backend Engineer to join the core team and shape the architectural direction of a healthcare AI platform. You will design scalable backend systems that process sensitive clinical data, work with distributed architectures for real-time patient interactions, and contribute to AI-driven tools that improve patient outcomes.

As an early engineering hire, you will own major features end-to-end from architecture to deployment, collaborate with founders and clinical teams, and

Qualifications

• 5+ years of software engineering experience.
• Deep expertise in Spring Boot and Java ecosystem.
• Proficiency with Prometheus and Grafana for dashboards.
• Strong AWS experience including EC2, ECS/EKS and auto-scaling.
• Experience with distributed systems, messaging queues and streaming (SQS, Kafka, Kinesis).
• Experience implementing data reliability patterns including redundancy, circuit breakers, retry mechanisms, and graceful failure handling.
• Hands-on experience with LLM technologies including prompt engineering, usage monitoring, and quality metrics.
• Security engineering background with Spring Security, RBAC, and HIPAA compliance.
• Experience translating complex domain workflows into backend logic.

Responsibilities

• Architect and develop core backend services using Spring Boot that power our AI-driven platform.
• Design and implement comprehensive monitoring, alerting, and observability infrastructure using Prometheus and Grafana
• Configure and manage AWS scaling policies to ensure system reliability and cost optimization
• Build distributed systems leveraging message queues and streaming platforms (SQS, Kafka, Kinesis) for high-volume asynchronous workloads
• Implement robust data reliability strategies including redundancy, failure handling, and disaster recovery
• Design and optimize LLM integration pipelines, including prompt engineering, usage monitoring, and quality assurance
• Establish security best practices using Spring Security, implement RBAC, and ensure HIPAA compliance
• Model and optimize complex clinical and operational workflows, translating domain requirements into well-structured, maintainable backend processes
• Make foundational technical decisions that will scale as we grow from startup to industry leader
• Collaborate directly with founders and clinical teams to translate healthcare needs into scalable technical solutions
• Own major product features end-to-end, from architecture to deployment

Skills

Spring Boot

Java ecosystem

Distributed systems

Observability

AWS

Security engineering

Tools

Prometheus

Grafana

AWS (EC2, ECS/EKS)

Kafka

SQS

Kinesis

Spring Security

Job description

Soulside AI is seeking a Backend Engineer to join the core team and shape the architectural direction of a healthcare AI platform. You will design scalable backend systems that process sensitive clinical data, work with distributed architectures for real-time patient interactions, and contribute to AI-driven tools that improve patient outcomes.

As an early engineering hire, you will own major features end-to-end from architecture to deployment, collaborate with founders and clinical teams, and