Senior Backend Engineer, Scalable Healthcare APIs (Remote)

Ellipsis Health; United States; Remote; USD 160,000 - 210,000; Full time

Benefits offered by this job

401(k) matching

Health insurance

Vision insurance

Dental insurance

Flexible PTO

Job summary

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

You will own TypeScript-based backend services, architect scalable APIs, ensure HIPAA/FHIR compliance, and collaborate with ML/AI engineers, product managers, and other engineers to deliver secure, reliable systems across cloud environments.

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.

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.

Skills

TypeScript/JavaScript

Node.js

REST/GraphQL APIs

Microservices architecture

Cloud platforms (AWS/GCP/Azure)

Docker & Kubernetes

Security & HIPAA compliance

CI/CD pipelines

Observability/Monitoring

Team collaboration

Education

Bachelor's or Master's degree in Computer Science

Tools

Docker

Kubernetes

Zitadel

Auth0

FHIR/HL7 familiarity

Job description

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

You will own TypeScript-based backend services, architect scalable APIs, ensure HIPAA/FHIR compliance, and collaborate with ML/AI engineers, product managers, and other engineers to deliver secure, reliable systems across cloud environments.