Senior Backend Software Engineer

Regard; California, Northern (MO, KY); Hybrid; USD 175,000 - 230,000; Full time

Benefits offered by this job

Competitive salary

Equity

Medical, dental, and vision insurance

Relocation support

6 annual remote work weeks

Sabbatical program

Team retreats

Free lunches

Wellness budget

One Medical subscription

Job summary

Regard's Senior Backend Software Engineer on our Diagnostics team builds backend services that read a patient's medical chart—labs, medications, vitals, procedures, history—and determine conditions with supporting evidence. You will design and evolve core services end-to-end from ideation to deployment.

You'll drive architecture, mentor teammates, collaborate with product, design, clinicians, and engineers to ship high-quality solutions that improve patient care.

Qualifications

• BS in Computer Science or equivalent experience.
• 6+ years of professional experience with software development.
• Proficient in Python or Go with demonstrated ability to write and maintain production-quality code
• Proven experience building data-intensive applications, backed by strong data fluency in designing and evolving schemas consumed across cross-functional teams
• Able to participate in on-call operational support for your areas of responsibility
• Able to travel up to 4 weeks a year for company co-working and/or retreat weeks
• Practical experience leveraging AI coding tools in day-to-day software development (e.g., Cursor, Claude Code, Codex)

Responsibilities

• Collaborate with product, design, and clinicians to design medium-to-large projects, often starting from an ambiguous problem statement and balancing speed to market, user experience, business goals, and technical architecture quality
• Own backend services and drive improvements across system design, observability, testing, performance, and support
• Model clinical data and design the schemas and service contracts that new product surfaces are built on
• Work directly with clinicians to understand what a diagnosis requires, and turn that intent into logic and tooling they can extend themselves
• Mentor and review code from other developers across backend services
• Maintain and improve the quality of the codebase and tooling in your area of responsibility through proactive fixes and by proposing projects that improve the overall backend codebase
• Participate in operational activities including on-call, monitoring, and production support

Skills

Python

Go

Data-intensive architectures

On-call

Education

BS in Computer Science or equivalent experience

Tools

CI/CD pipelines

Cloud infrastructure

LLM integrations

Job description

Join us on our mission to bring world-class healthcare to everyone. Join us on our mission to bring world-class healthcare to everyone.

We believe healthcare can be better. As a team, we hold a high bar, act with urgency, and grow together. We believe healthcare can be better. As a team, we hold a high bar, act with urgency, and grow together.

Culture

Our values

We ask hard questions, obsess over the details, practice constructive feedback, and never forget to say thank you. We ask hard questions, obsess over the details, practice constructive feedback, and never forget to say thank you.

Quality

We have high expectations for our product and for each other. We're building a platform that helps doctors diagnose and treat patients — ensuring the highest standard of quality is our top priority.

Action

We lean toward action over deliberation. We take action when we can learn from mistakes, prioritizing thoughtful analysis for more consequential decisions.

Improvement

We always strive to improve both the product and ourselves. We believe in a culture of radical transparency and consistent feedback.

Community

We believe our best work happens through inspiration from each other. We invest in meaningful time together to build relationships both internally and externally.

How we work

We're curious

We show attention to detail

We're resourceful

We give and receive constructive feedback

We proactively express gratitude

Total rewards

Perks and benefits

Competitive salary
and equity

Medical, dental, and vision
insurance

18 PTO days + 10 holidays +
holiday break

Monthly health &
wellness budget

Team retreats, social events,
and celebrations

Free lunches, beverages, and snacks in office

Relocation support

Semi-annual travel budget for team co-working weeks

6 annual remote work weeks

Sabbatical program at 5 years

Open roles

Find your place on the team

Senior Backend Software Engineer

Location Type

Hybrid

Compensation

• $175K – $230K

At Regard, we carefully consider a wide range of factors when determining compensation, including your skills, qualifications, location, and experience. We expect the base salary range for this position to be $175,000 to $230,000. This is subject to change and may be modified in the future.

As a Senior Backend Software Engineer on our Diagnostics team, you'll build the part of Regard that reads a patient's medical chart — labs, medications, vitals, procedures, prior notes, history — and determines which conditions are present, along with the evidence supporting each one. You'll design and develop critical backend services and drive them end-to-end through the full product lifecycle: ideation, planning, design, execution, deployment, and iteration.

Our senior engineers are true technical leaders by driving architectural decisions, mentoring teammates, and leading major projects that help set the bar for engineering excellence. You'll collaborate closely with product, design, clinicians, and fellow engineers to ship high-quality solutions that empower physicians and improve patient care.

About Regard

Regard's mission is to bring world-class healthcare to everyone. Our technology reasons through a patient's entire medical record to recommend diagnoses that would otherwise be missed, in real time at the point of care, during chart review, and in population-wide screening to identify patients who qualify for lifesaving treatment.

We work alongside some of the top health systems in the country to lead the change this industry needs. We're excited by challenges, mission-oriented work, and meaningful relationships. We want you to join us.

Frontend: TypeScript, React

Clinical standards: FHIR, ICD-10, SNOMED, LOINC, RxNorm

Responsibilities:

Collaborate with product, design, and clinicians to design medium-to-large projects, often starting from an ambiguous problem statement and balancing speed to market, user experience, business goals, and technical architecture quality

Own backend services and drive improvements across system design, observability, testing, performance, and support

Model clinical data and design the schemas and service contracts that new product surfaces are built on

Work directly with clinicians to understand what a diagnosis requires, and turn that intent into logic and tooling they can extend themselves

Mentor and review code from other developers across backend services

Maintain and improve the quality of the codebase and tooling in your area of responsibility through proactive fixes and by proposing projects that improve the overall backend codebase

Participate in operational activities including on-call, monitoring, and production support

Minimum Qualifications:

BS in Computer Science or equivalent experience

6+ years of professional experience with software development

Proficient in Python or Go with demonstrated ability to write and maintain production-quality code

Proven experience building data-intensive applications, backed by strong data fluency in designing and evolving schemas consumed across cross-functional teams

Able to participate in on-call operational support for your areas of responsibility

Able to travel up to 4 weeks a year for company co-working and/or retreat weeks

Practical experience leveraging AI coding tools in day-to-day software development (e.g., Cursor, Claude Code, Codex)

Preferred Qualifications:

Exposure to clinical or healthcare data (e.g., FHIR, EMR integrations, clinical terminologies, or revenue cycle)

Comfortable with systems that produce ranked, scored, or probabilistic output and evaluating that output against imperfect ground truth

Experience in a startup and/or high-growth environments

Experience building tools for non-engineer domain experts

Experience managing cloud infrastructure and LLM integrations

Experience working on a mature enterprise SaaS product

Hybrid Work | Location | Work Authorization

For this role, Regard is currently only considering candidates who are authorized to work in the US without visa sponsorship, and are within the New York City metro area, San Francisco Bay Area, or Los Angeles

Our expectation for this role is to be in the office 2 days per week. We also require more frequent in-office work during the onboarding period and team onsite weeks up to once per month.

We will provide relocation assistance to anyone who does not already reside in the NYC metro area

For those who enjoy working from the office on a more regular basis, we offer catered lunches and other fun perks

Additionally, hybrid employees have the flexibility to work from locations outside of their home office from up to 6 weeks per year

99% employer paid health benefits (Medical, Dental, and Vision) + One Medical subscription

18 PTO days/yr + 1 week holiday break

Monthly health & wellness budget

Company-sponsored team retreat + social events

A sabbatical program

Regard is proud to be an equal opportunity employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, national origin, ancestry, alienage or citizenship status, age, disability or handicap, sex, gender identity, marital status, familial status, veteran status, sexual orientation or any other characteristic protected by applicable federal, state or local laws. We celebrate diversity and are proud of our supportive, inclusive workplace.

All candidates must successfully complete a background check as part of the hiring process.