Senior Platform Engineer

exacare ai; New York (NY); Hybrid; USD 140,000 - 190,000; Full time

Benefits offered by this job

Salary + equity

Flexible PTO

Medical/Dental/Vision

Company offsites

Ex‑Amazon engineers and industry peers

Job summary

ExaCare AI is seeking a Senior Platform Engineer to architect and scale the infrastructure, backend systems, and internal platform capabilities powering our healthcare products. You will own production systems end-to-end, drive reliability, and improve developer velocity across teams.

You will design scalable APIs and event-driven workflows using TypeScript, PostgreSQL, AWS, Docker, Kubernetes, and modern infrastructure tooling. Emphasis on security, observability, and continuous reliability.

Qualifications

• Bachelor's degree in Computer Science or a related technical field.
• 5+ years of software engineering experience focusing on backend systems, infrastructure, or DevOps.
• Experience building and operating scalable distributed systems in production.
• Strong proficiency with TypeScript, PostgreSQL, and REST APIs.
• Hands-on experience with serverless technologies like AWS Lambda, Azure Functions, or Google Cloud Functions.
• Deep experience with AWS cloud infrastructure and modern DevOps tooling.
• Experience with containers and orchestration (Docker, Kubernetes).
• Strong CI/CD, infrastructure-as-code, observability, and reliability practices.
• Ability to learn new technologies rapidly and execute ambiguous, high-impact projects.
• Strong communication skills across teams.
• Bonus: experience with LLM infrastructure or AI tooling.

Responsibilities

• Build and scale core platform infrastructure and internal tooling.
• Own production systems end-to-end with reliable, scalable backend services.
• Improve developer velocity with deployment automation and platform abstractions.
• Lead reliability, monitoring, incident response, and secure deployments.
• Architect scalable backend systems, APIs, and event-driven workflows.
• Drive platform innovation with modern infrastructure patterns and AI-enabled workflows.
• Collaborate with product, engineering, and operations to translate business needs into technical solutions.

Skills

Backend systems

DevOps

Communication

Learning fast

Education

Bachelor’s degree in CS or related field

Tools

TypeScript

PostgreSQL

REST APIs

AWS

Docker

Kubernetes

Azure Functions

Google Cloud Functions

Job description

About the role

Organizations switch to ExaCare because their admission processes are broken. They rely on multiple outdated platforms and error-prone manual work to admit residents. This fragmentation wastes time and leads to suboptimal care and business outcomes. We’re looking for a high-ownership Senior Platform Engineer to build and scale the infrastructure, backend systems, and internal platform capabilities that power ExaCare’s products and engineering velocity.

What you’ll do

• Build and scale core platform infrastructure. Design and maintain reliable backend services, cloud infrastructure, CI/CD pipelines, and internal platform systems that support rapid product development and scalable operations.
• Own production systems end-to-end. Develop and operate highly available distributed systems using TypeScript, PostgreSQL, AWS, and modern infrastructure tooling. Ensure systems are secure, observable, fault-tolerant, and performant.
• Improve developer velocity. Create internal tooling, deployment automation, developer workflows, feature flag systems, and platform abstractions that help the engineering team ship faster and more confidently.
• Lead reliability and operational excellence. Establish best practices around monitoring, incident response, infrastructure-as-code, testing, deployment safety, and system resiliency. Participate in production incident triage and continuous reliability improvements.
• Architect scalable backend systems. Design APIs, background processing systems, event-driven workflows, queues, and integrations that support complex healthcare operations at scale.
• Drive platform innovation. Evaluate and implement modern infrastructure patterns, AI-powered developer workflows, and scalable cloud-native technologies that improve engineering productivity and product capabilities
• Collaborate cross-functionally. Work closely with product, engineering, and operations teams to translate business needs into robust technical systems and platform capabilities.

What you’ll bring

• Bachelor’s degree in Computer Science or a related technical field
• 5+ years of software engineering experience with a strong focus on backend systems, infrastructure, platform engineering, or DevOps
• Experience building and operating scalable distributed systems in production environments
• Strong proficiency with TypeScript, PostgreSQL, and REST APIs
• Hands-on experience with serverless technologies such as AWS Lambda, Azure Functions, and Google Cloud Functions.
• Deep experience with AWS cloud infrastructure and modern DevOps tooling
• Experience with containerization and orchestration technologies such as Docker and Kubernetes
• Strong understanding of CI/CD pipelines, infrastructure-as-code, observability, and system reliability practices
• Experience designing secure, resilient, and maintainable backend architectures
• Ability to rapidly learn new technologies and independently execute ambiguous, high-impact projects
• Strong communication skills with the ability to explain technical concepts clearly across teams
• Bonus: experience working with LLM infrastructure, AI tooling, or event-driven architectures

Benefits + Perks

Competitive salary and equity in a high-growth startup

Flexible PTO, take what you need

Medical, dental, and vision coverage

Great startup culture, including company off‑sites

High‑achieving team, including ex‑Amazon engineers and alumni of Bain, BCG, Goldman Sachs, and more

An insight into our Core Values

Only the Best Belong Here

We are unapologetic about talent. This should be the best team you have ever been on. Protecting that standard is how we honor each other’s time, ambition, and craft.

We work even harder to keep our partners than we did to earn them initially

The work does not stop when a customer first onboards to our platform. It deepens over time. We partner with operators, listening and learning about real problems, and translate that into solutions that help them succeed in practice. We earn trust through consistent delivery.

The Patient is Downstream of Every Decision

At the end of the day, this is about the patient. We get there by deeply respecting post-acute operators and partners, because their work is the path our software travels to create better care.

Raise the Bar on Ownership

We grow because people here go beyond the minimum. We invest extra effort, care, and ownership into what we build.

The World is Moving Fast. We move Faster.

This is a race. We work hard, we move early, and we stay ahead of problems and competitors. If we slow down, someone else will pass us.

Radical Candor, Zero Politics.

We say what’s true, early, and we keep communication direct and clean so the team can move.

Bring Good Vibes and Win Together

We win as a team. We bring energy, support each other, and make the workplace somewhere people are excited to show up to.

#LI-Hybrid