Senior Backend Engineer, Core Services - Remote

Ellipsis Health; San Francisco (CA); Remoto; USD 160.000 - 210.000; Tempo pieno

Vantaggi offerti da questo lavoro

401(k) matching

Health, vision, and dental insurance

Very flexible paid time off

Descrizione del lavoro

Ellipsis Health in the San Francisco Bay Area is seeking a Senior Backend Engineer to design, build, and scale the core systems powering our conversational AI platform.

You will focus on TypeScript-based backend services and APIs, own production reliability, data pipelines for healthcare data, and secure integrations, collaborating with AI/ML engineers, product managers, and other engineers to deliver secure, reliable, and performant solutions.

Competenze

• Bachelor's or Master's degree in Computer Science or equivalent practical experience.
• 5+ years of professional backend experience with TypeScript/JavaScript.
• Strong proficiency in TypeScript/JavaScript and Node.js for backend and API development.
• Experience designing/consuming RESTful APIs and GraphQL.
• Knowledge of microservices, distributed systems, and system design.
• Experience with cloud platforms (AWS/GCP/Azure) and containers (Docker/Kubernetes).

Mansioni

• Design, develop, and maintain end-to-end features across TypeScript-based backend services.
• Architect scalable APIs and microservices to support conversational AI workflows and healthcare integrations.
• Own services in production, including deployment, monitoring, incident response, and reliability improvements.
• Lead database schemas and data pipelines for structured and unstructured healthcare data.
• Ensure secure integrations with healthcare systems and implement authentication/authorization.
• Build and maintain CI/CD pipelines and observability for production services.
• Mentor junior engineers and promote engineering best practices.

Conoscenze

TS/JavaScript

Node.js

REST/GraphQL

Microservices

Cloud platforms

SQL/NoSQL

Security practices

CI/CD

On-call / incident response

Formazione

Bachelor's or Master's in CS or equivalent

Strumenti

AWS

Docker

Kubernetes

PostgreSQL

MongoDB

DynamoDB

Zitadel

FHIR

Descrizione del lavoro

Ellipsis Health is creating cutting-edge AI/ML products that solve healthcare staffing challenges and administrative burdens using conversational AI and our patented voice biomarker technology - helping deliver better healthcare for everyone.

We are seeking a Senior Backend Engineer to help design, build, and scale the core systems powering our conversational AI platform. In this role, you will work primarily on backend services and APIs, collaborating closely with AI/ML engineers, product managers, and other engineers to deliver secure, reliable, and performant solutions for the healthcare industry.

Ellipsis Health is located in the San Francisco Bay Area, but we are open to remote candidates within the United States.

Responsibilities:

• Design, develop, and maintain end-to-end features across TypeScript-based backend services
• Architect and implement scalable APIs and microservices using TypeScript/Node to support conversational AI workflows and healthcare integrations
• Own services in production end-to-end, including deployment, monitoring, incident response, and continuous improvement of reliability and performance
• Lead the design and implementation of database schemas and data pipelines for structured and unstructured healthcare data
• Design and maintain secure integrations with healthcare systems, scheduling systems, and external platforms
• Implement and manage authentication and authorization across systems
• Integrate and manage identity and access management solutions such as Zitadel
• Ensure security, privacy, and compliance (HIPAA, FHIR, and related standards) across backend systems
• Optimize systems for performance, reliability, and scalability, supporting high-volume, real-time workloads
• Build and maintain CI/CD pipelines, infrastructure automation, and observability for production services
• Troubleshoot and resolve complex production issues; participate in on-call or production support rotations as needed
• Mentor junior engineers and contribute to engineering best practices, code quality, and architectural standards
• Stay current with emerging technologies and frameworks, applying them thoughtfully to improve product velocity and quality

Qualifications:

• Bachelor's or Master's degree in Computer Science or equivalent practical experience
• 5+ years of professional experience building backend applications with strong TypeScript/JavaScript expertise
• Strong proficiency in TypeScript/JavaScript and Node.js for backend and API development
• Expertise in designing and consuming RESTful APIs and/or GraphQL
• Solid understanding of microservices architectures, distributed systems, and system design
• Hands-on experience with cloud platforms (AWS, GCP, or Azure) and containerized deployments (Docker, Kubernetes)
• Strong database skills with SQL and NoSQL systems (e.g., PostgreSQL, MongoDB, DynamoDB)
• Deep understanding of security best practices, authentication/authorization, and secure data handling
• Experience building and maintaining CI/CD pipelines and production monitoring/alerting systems
• Excellent collaboration and communication skills in cross-functional teams

Nice to Have:

• Experience implementing role-based access control (RBAC) and fine-grained permission systems
• Familiarity with identity providers and access management platforms such as Zitadel, Auth0, or similar
• Familiarity with healthcare data standards such as FHIR and HL7
• Experience with conversational AI, voice systems, or real-time systems
• Prior experience working in health tech or other regulated industries
• Experience building or operating large-scale distributed systems
• Exposure to DevOps practices, infrastructure-as-code, or site reliability engineering concepts

Salary and Benefits

We offer competitive salary and benefits, including 401(k) matching, health, vision, and dental insurance, and very flexible paid time off.

The typical salary range for this role is $160,000 to $210,000 USD, depending on skills, qualifications, and relevant experience.

Background Checks

As a health technology company, we reserve the right to run background checks on candidates to whom we extend offers, in compliance with applicable laws. We evaluate candidates holistically and comply with all “ban the box” regulations.

Assistance

If you have a disability or require accommodations during the application or recruitment process, please contact [e-mail].