Senior Backend Engineer, Care Platform & EMR

Bask Health; New York (NY); On-site; USD 150,000 - 190,000; Full time

Job summary

Bask Health is seeking a Senior Backend Engineer to design, scale, and own backend systems powering clinical workflows and EMR capabilities. You will build resilient services, APIs, and data models in a multi-tenant environment, collaborating with product, clinical operations, and engineering leadership.

You will work across the stack, ensure security and data integrity, and drive architectural decisions for large-scale healthcare software deployments.

Qualifications

• 5+ years of professional software engineering experience in backend development.
• Strong proficiency in TypeScript, JavaScript, and Node.js.
• Experience building production backend applications and APIs.
• Experience with AWS services and serverless architectures.
• Familiarity with Prisma or Drizzle ORM.
• Understanding of API design, asynchronous processing, and distributed systems.

Responsibilities

• Design, develop, and maintain backend services supporting Bask's care platform and EMR workflows.
• Build and improve systems for patient records, clinical encounters, provider review queues, and prescribing workflows.
• Develop reliable APIs and backend services that connect patient-facing applications with internal clinical tools.
• Design database schemas, data models, and application logic for complex healthcare workflows.
• Build scalable services using TypeScript, Node.js, SST, AWS, and SQL databases.
• Work with serverless AWS services, including Lambda, SQS, and EventBridge, to support asynchronous processing and event-driven workflows.
• Improve the performance, reliability, and maintainability of existing backend systems.
• Design workflows that handle changes in patient and clinical records accurately and consistently.
• Help ensure sensitive patient information is handled with appropriate security, access controls, and auditability.
• Build and maintain integrations between clinical workflows and other parts of Bask's platform.
• Collaborate with product managers and clinical operations teams to understand requirements and translate them into technical solutions.
• Take ownership of complex backend projects from architecture and implementation through testing, deployment, and production monitoring.
• Write clean, maintainable, well-tested code and contribute to engineering standards.
• Investigate production issues, identify root causes, and implement durable fixes.
• Review code, provide technical guidance, and help improve engineering practices across the team.
• Use AI-assisted development tools such as Cursor and Claude Code to investigate problems, prototype solutions, and accelerate development while applying independent technical judgment.
• Work across the stack when necessary to understand how backend changes affect frontend experiences and operational workflows.
• Help design reusable services and architectural patterns that support future product development.
• Participate in technical planning, architecture discussions, and product development decisions.
• Continuously improve system performance, observability, testing, and deployment practices.

Skills

Years of experience

TypeScript/JavaScript/Node.js

Production backend APIs

AWS/serverless

Event-driven infra (Lambda, SQS, Event

SQL/relational modeling

ORM/DB tools (Prisma, Drizzle)

API design & distributed systems

Automated tests & debugging

Ownership of complex projects

Git, reviews, deployments

AI-assisted development tools

Analytical thinking & problem-solving

Communication skills

Fast-moving environment adaptability

Collaboration with PMs & ops

Tools

Prisma

Drizzle

tRPC

SST

Next.js

Cursor

Claude Code

AWS

Job description

Bask Health is seeking a Senior Backend Engineer to design, scale, and own backend systems powering clinical workflows and EMR capabilities. You will build resilient services, APIs, and data models in a multi-tenant environment, collaborating with product, clinical operations, and engineering leadership.

You will work across the stack, ensure security and data integrity, and drive architectural decisions for large-scale healthcare software deployments.