Senior Backend Engineer, EMR & Care Platform | Bask

Bask Health; United States; Remote; USD 160,000 - 230,000; Full time

Job summary

Bask Health is seeking a Senior Backend Engineer to power Bask Health’s EMR and care platform. You’ll craft scalable backend systems, APIs, and data models in a multi-tenant TypeScript/Node.js stack on AWS.

Join an AI-first, builder-led team that values ownership and architectural influence, with opportunities to shape patient workflows, HIPAA-compliant infrastructure, and the platform’s future direction.

Qualifications

• 5+ years of professional software engineering experience.

Responsibilities

• Design, develop, and maintain backend services for Bask’s care platform and EMR workflows.
• Build and improve patient records, clinical encounters, provider review queues, and prescribing workflows.
• Develop reliable APIs connecting 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.
• Ensure security, access controls, and auditability of patient data.
• Collaborate with product managers and clinical operations to translate requirements into technical solutions.

Skills

Healthcare-specific backend архитект

Serverless AWS at scale

TypeScript/Node.js ecosystem depth

tRPC

Prisma

Drizzle

AWS

SST

Tools

tRPC

Prisma

Drizzle

AWS

SST

Job description

Senior Backend Engineer, EMR & Care Platform | Bask — Remote

Career Trajectory: This Senior Backend Engineer role at a healthtech startup sits at an intersection of two high-demand domains — healthcare technology and AI-first engineering. Building EMR systems, clinical workflows, and HIPAA-compliant infrastructure are niche, premium skills that command significant market value and are increasingly hard to find.

Compensation Context: No salary is listed. Market benchmarks for Senior Backend Engineers in US healthtech with 5+ years experience typically range from $160,000–$230,000 USD annually (base), with equity at a growth-stage startup. Candidates should negotiate accordingly and ask about equity structure early.

Skills You’ll Build:

• Healthcare-specific backend architecture (EMR, clinical workflows, HIPAA compliance)
• Serverless AWS at scale (Lambda, SQS, EventBridge)
• TypeScript/Node.js ecosystem depth (tRPC, Prisma, Drizzle)

Green Flags: Engineers work directly with company leadership and have genuine ownership over architecture decisions — a strong signal for fast career growth. The AI-first culture positions you at the leading edge of modern engineering practice.

Potential Red Flags: No salary transparency and no mention of benefits, PTO, or equity could indicate early-stage compensation ambiguity. The breadth of responsibilities (20 bullet points) suggests a lean team where you’ll wear multiple hats — rewarding for some, exhausting for others.

Best Fit For: Engineers who want to move from pure execution to architectural influence, especially those eyeing Staff Engineer or Engineering Lead roles within 2–3 years.

About Bask Health

Bask Health is a software platform that enables entrepreneurs, doctors, and healthcare businesses to launch, manage, and grow direct-to-consumer telehealth businesses.

Our platform brings together patient experiences, clinical workflows, pharmacy operations, and commerce tools in one place.

We’re an entrepreneurial, product-focused engineering team that values ownership, technical excellence, and building software that solves real problems. Engineers work closely with product teams and company leadership, take features from idea to production, and have a direct role in shaping the platform.

Engineering at Bask is AI-first and builder-led. We use tools like Cursor and Claude Code throughout development while maintaining high standards for reliability, testing, and software quality.

About the Role

We’re looking for a Senior Backend Engineer, Care Platform & EMR to help build and scale the backend systems powering Bask Health’s clinical workflows and electronic medical record (EMR) capabilities.

You’ll work on the services, APIs, databases, and workflows that support patient records, clinical encounters, provider review queues, prescribing, and the movement of information throughout the care process.

This is a hands‑on engineering role for someone who can independently design complex backend systems, make sound architectural decisions, and take ownership of features from initial requirements through production.

Our platform uses a multi‑tenant architecture with TypeScript, Node.js, SST, AWS, and SQL databases. We also use technologies including tRPC, Prisma, and Drizzle across our published engineering stack.

You’ll work closely with product managers, engineers, and clinical operations teams to build systems that are reliable, secure, and practical for real healthcare workflows.

We’re looking for an experienced engineer who enjoys solving difficult technical problems, works comfortably across the stack when needed, and takes responsibility for the quality of what they ship.

What You’ll Do

• 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.

Requirements

• 5+ years of professional software engineering experience, with substantial hands‑on backend development experience.
• Experience designing, building, and maintaining production backend applications and APIs.
• Experience working with AWS services and serverless architectures.
• Familiarity with AWS Lambda, SQS, EventBridge, or comparable event‑driven infrastructure.
• Strong experience with SQL databases, relational data modeling, and database schema design.
• Experience using modern ORM or database access tools such as Prisma or Drizzle.
• Understanding of API design, asynchronous processing, distributed systems, and backend application architecture.
• Experience designing reliable systems that handle complex business logic and multi‑step workflows.
• Strong understanding of application security, authentication, authorization, and secure data handling.
• Experience writing automated tests, debugging production issues, and maintaining high software quality.
• Ability to independently own complex projects or substantial areas of a production codebase.
• Experience making architectural decisions and evaluating technical tradeoffs.
• Familiarity with modern development workflows, Git, code reviews, and production deployments.
• Ability to use AI‑assisted development tools effectively while independently evaluating generated code for correctness, security, and maintainability.
• Strong analytical thinking, problem‑solving skills, and attention to detail.
• Excellent written and verbal communication skills, including the ability to explain technical decisions, constraints, and timelines.
• Comfortable working in a fast‑moving environment with significant individual ownership.
• Willingness to collaborate closely with product managers, engineers, and operational teams.

Nice to Have

• Experience with SST and serverless application development on AWS.
• Experience working with tRPC, Next.js, React, or full‑stack TypeScript applications.
• Experience with multi‑tenant SaaS platforms or monorepo architectures.
• Experience building electronic medical records, healthcare applications, or clinical workflow systems.
• Familiarity with patient records, clinical encounters, prescribing workflows, or provider‑facing applications.
• Understanding of HIPAA, healthcare data privacy, or regulated software environments.
• Experience designing audit logs, role‑based access controls, and sensitive‑data workflows.
• Experience with event‑driven architectures, queues, background jobs, or distributed processing.
• Experience building and scaling paid SaaS products or taking products from concept to launch.
• Experience improving database performance, API reliability, and system observability.
• Familiarity with integrations involving clinical systems, pharmacies, or healthcare service providers.
• Experience mentoring engineers, reviewing complex implementations, or establishing backend engineering standards.
• Experience using Cursor, Claude Code, or other AI‑assisted development tools in production software workflows.
• Experience building automation or AI‑powered functionality into existing software products.

Is this Senior Backend Engineer role fully remote? The job posting does not mention an office requirement, and the role appears to be fully remote. However, it is restricted to candidates in the United States based on the location hint provided. What tech stack does Bask Health use for this role? The platform is built with TypeScript, Node.js, SST, AWS (Lambda, SQS, EventBridge), SQL databases, tRPC, Prisma, and Drizzle in a multi‑tenant architecture. Is healthcare or EMR experience required for this position? Healthcare or EMR experience is listed as a "Nice to Have" rather than a strict requirement. Strong backend engineering fundamentals with AWS and TypeScript are the core requirements. What level of experience is expected for this role? The role requires 5+ years of professional software engineering experience with substantial hands‑on backend development, including architectural decision‑making and production ownership. Does Bask Health use AI tools in its engineering workflow? Yes — the company describes itself as "AI‑first" and explicitly uses tools like Cursor and Claude Code throughout development. Comfort with AI‑assisted development is both expected and valued.

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