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Refactor. is seeking a Senior Backend Engineer in New York to help build production-grade backend systems and large-scale APIs. You will own architecture, data modelling, deployment, and observability for data-intensive applications using a mix of Python/TypeScript, and related tools.
The role emphasizes ownership, design decisions, and working in a fast-growing healthtech startup environment. Ideal candidates bring 8+ years of software experience, strong backend depth, and proven track records
I’m working with a fast-growing Series B healthtech startup in New York that is making a major investment into its backend engineering team.
They’re building an AI-powered platform tackling some genuinely difficult problems across healthcare claims, data processing and automation, and they’re looking for a Senior Backend Engineer who wants real ownership rather than another role picking up tickets.
You’ll be designing and building production backend systems, large-scale APIs and data-intensive applications, with responsibility from architecture and data modelling through to deployment, observability and production.
The environment is primarily Python and TypeScript, but they are not looking for someone based on a particular language. If you’ve built strong backend systems in Java, Go, Ruby, C#, Python, Node or similar, they care far more about the engineering decisions you’ve made and the systems you’ve owned.
I’m particularly interested in engineers with:
There is also a lot of interesting work happening around GenAI, RAG and AI-assisted workflows, so experience shipping AI products is a big plus, but not essential.
Salary is $180k to $220k base + equity.
You’ll need to be able to work from their Soho office around 3 to 4 days per week, and unfortunately they cannot offer visa sponsorship.