Senior Backend Engineer, Forward Deployed

Ellipsis Health; San Francisco (CA); Hybrid; USD 160,000 - 210,000; Full time

Benefits offered by this job

401(k) matching

Health, vision & dental insurance

Very flexible paid time off

Job summary

Ellipsis Health is seeking a Senior Backend Engineer in the San Francisco Bay Area or remote within the United States to design, build, and scale core systems powering our conversational AI platform. You will own backend APIs, orchestration layers, and data pipelines, collaborating with AI/ML teams to deliver secure, reliable healthcare solutions.

You will work across microservices, cloud environments (AWS/GCP/Azure), and CI/CD pipelines, ensuring compliance with HIPAA and FHIR while optimizing

Qualifications

• 5+ years of backend development with secure, scalable systems.
• Strong proficiency in TypeScript and Node.js for API development.
• Expertise in RESTful API and GraphQL development.
• Experience building orchestration layers/workflow engines for distributed systems.
• Deep understanding of microservices architecture and distributed systems.
• Hands-on experience with cloud platforms (AWS/GCP/Azure) and Kubernetes.
• Strong database design and management experience (SQL and NoSQL).
• Security best practices including authentication, authorization, encryption, and secure data handling.
• Experience building and managing CI/CD pipelines.
• Own services in production end-to-end including deployment and monitoring.

Responsibilities

• Architect, develop, and maintain scalable APIs and microservices for conversational AI workflows.
• Design and manage orchestration services coordinating workflows across AI systems and external integrations.
• Optimize back-end systems for performance, reliability, and scale.
• Ensure secure HIPAA/FHIR compliant integration with healthcare systems.
• Collaborate with AI team to deploy NLP workflows in production.
• Design database schemas and data pipelines for structured and unstructured data.
• Build and maintain CI/CD pipelines for reliable deployments.
• Troubleshoot back-end issues focusing on uptime and reliability.
• Mentor junior developers and foster high-quality engineering culture.
• Stay ahead of industry trends and introduce performance-enhancing technologies.

Skills

TypeScript

Node.js

REST/GraphQL

Orchestration

Microservices

Cloud platforms

Kubernetes

Database design

Security best practices

Tools

AWS

GCP

Azure

PostgreSQL

MongoDB

DynamoDB

GraphQL tooling

Kubernetes

Job description

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 across backend services, APIs, and orchestration layers, collaborating closely with AI/ML engineers, product managers, and other engineers to deliver secure, reliable, and scalable 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.

Key Responsibilities:

• Architect, develop, and maintain robust, scalable APIs and microservices using TypeScript (Node.js) to support conversational AI workflows

• Design, build, and manage orchestration services that coordinate workflows across AI systems, APIs, and external integrations

• Optimize back-end systems for high performance, reliability, and scalability

• Ensure secure and compliant integration with healthcare systems (e.g., EHRs, scheduling systems) while adhering to standards like HIPAA and FHIR

• Collaborate with the AI team to deploy and manage conversational AI and NLP workflows in production environments

• Design and implement database schemas and data pipelines for structured and unstructured healthcare data

• Build and maintain CI/CD pipelines to streamline deployments and ensure high availability

• Troubleshoot and resolve complex back-end issues with a focus on reliability and uptime

• Mentor junior developers and contribute to a high-quality engineering culture

• Stay ahead of industry trends and introduce technologies that improve platform performance and scalability

Qualifications:

• 5+ years of experience in back-end development with a proven track record of building secure and scalable systems

• Strong proficiency in TypeScript and Node.js for API and service development

• Expertise in RESTful API and/or GraphQL development

• Experience building orchestration layers / workflow engines for distributed systems

• Deep understanding of microservices architecture and distributed systems

• Hands-on experience with cloud platforms (e.g., AWS, GCP, or Azure) and container orchestration (e.g., Kubernetes)

• Strong database design and management experience (SQL and NoSQL), including PostgreSQL, MongoDB, or DynamoDB

• Solid understanding of security best practices, including authentication, authorization, encryption, and secure data handling

• Experience building and managing CI/CD pipelines

• Own services in production end-to-end, including deployment, monitoring, incident response, and continuous improvement of reliability and performance

Preferred:

• Experience integrating with Epic EHR, including SMART on FHIR, Epic APIs, or Epic App Orchard.

• Familiarity with healthcare data standards such as FHIR and HL7.

• Experience with conversational AI, voice systems, or NLP technologies.

• 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].