Senior Software Engineer

FirstMile Ventures; Pittsburgh (Allegheny County); On-site; USD 150,000 - 175,000; Full time

Benefits offered by this job

Competitive salary and equity

Health benefits

Learning stipends

Professional development support

Job summary

A healthcare technology startup is seeking a skilled software engineer to join their Engineering team. The ideal candidate will have at least 5 years of backend or full stack engineering experience, a strong grasp of cloud platforms (AWS preferred), and proficiency in APIs and database management. This position offers a competitive salary ranging from $150K to $175K annually, along with a possibility of remote work and various benefits to enhance employee growth and wellbeing.

Qualifications

• Minimum 5 years of professional experience in backend or full stack engineering.
• Hands-on experience with authentication and security best practices.
• Ability to work independently and make high-impact technical decisions.

Responsibilities

• Craft clean, testable, and maintainable code.
• Own the software from requirements through deployment and maintenance.
• Architect and optimize cloud infrastructure.

Skills

Backend or full stack engineering

Cloud platforms (AWS preferred)

Designing RESTful and GraphQL APIs

Test automation

CI/CD best practices

System architecture

Performance optimization

Education

Bachelor's degree in Computer Science, Software Engineering, or related field

Tools

PostgreSQL

MySQL

MongoDB

DynamoDB

Job description

Karoo is a venture-backed startup, prior to Series A, on a mission to transform cardiovascular care. Our platform is designed to empower large provider groups and health systems to succeed in value-based care contracts with payers by improving patient outcomes and reducing cost of care through better coordination, analytics, and disease management. While our initial focus is cardiology, we are building a scalable operating system for managing complex conditions across the healthcare spectrum.

This is a rare opportunity to join a mission-driven founding team at a pivotal stage and help define the future of healthcare technology, with the power to improve the lives of patients with cardiovascular disease, the number one cause of death in America today.

The Role

Karoo Health is seeking a skilled and dedicated developer to join our Engineering team. As a software engineer at Karoo Health, you show a clear passion for quality and love to bring software to life. You are energized by the idea of building something new and want to work on problems that matter.

In order to do this job well, you must be a curious and eager problem solver with a hunger for building well-designed, high-quality solutions. You have a passion for great work and strive to produce simple solutions to complex problems. Knowing there are always multiple answers to a problem, you know how to engage in a constructive dialogue to find the best path forward.

When applying, please include a description of why you’re interested in this role.

What You'll Do

• Execute : Craft clean, testable, and maintainable code.
• Deliver : Own the software from requirements development through deployment and maintenance.
• Operationalize Data : Architect, optimize, and maintain databases to ensure reliability and performance
• Architect : Design and deploy scalable, secure, cloud infrastructure leveraging infrastructure-as-code best practices
• Safeguard Data : Ensure compliance with healthcare data regulations (e.g., HIPAA, HITRUST)

What We're Looking For

• Bachelor's degree in Computer Science, Software Engineering, or related field, or equivalent work experience
• Minimum 5 years of dedicated professional experience in backend or full stack engineering, ideally in a startup or fast-paced environment.
• Deep understanding of cloud platforms (AWS preferred) and cloud-native development
• Experience with relational and NoSQL databases (e.g., PostgreSQL, MySQL, MongoDB, DynamoDB)
• Proficiency in designing RESTful and GraphQL APIs
• Hands-on experience with test automation, CI/CD, and DevOps best practices
• Strong knowledge of system architecture, scalability, and performance optimization
• Experience with authentication, security best practices, and API design patterns
• Ability to work independently and make high-impact technical decisions
• Must be legally authorized to work in the United States and not require employer sponsorship now or in the future.

Why Join Us

• Competitive salary and equity in an early-stage startup. The starting salary for this role is between $150K - $175K annually dependent upon factors such as: cost of living, experience, etc.
• Opportunity to define the technical solution from the ground up
• Possibly fully remote work environment with flexible hours
• Health benefits, learning stipends, and professional development support
• A collaborative and transparent company culture that values creativity and ownership

Equal Opportunity Statement

At Karoo Health Inc (“Karoo”), we believe that improving healthcare starts with creating a more equitable and inclusive world, both inside and outside our organization. We are committed to fostering a diverse workforce that reflects the communities we serve, and to building a culture where every team member feels valued, supported, and empowered. Our commitment to inclusion is reflected in initiatives such as equitable compensation practices, employee resource groups, inclusive benefits, and more.

Karoo Health is proud to be an equal opportunity employer. We maintain a strict policy of non-discrimination for all applicants and employees. What does that mean for you? It means that we are dedicated to providing a workplace that is inclusive, respectful, and free from discrimination or harassment of any kind.

Employment decisions at Karoo Health are made based on merit, qualifications, and business need, without regard to race, religion, color, national origin, sex, sexual orientation, gender identity or expression, age, disability, marital status, veteran status, political affiliation, or any other characteristic protected under applicable law. This policy applies to every aspect of the employment journey, from recruitment and hiring to compensation, benefits, training, promotion, performance evaluation, and beyond.

We’re committed to doing the right thing, always, and that includes creating a fair and inclusive hiring process and workplace for all.

Karoo Health welcomes all.

In the United States, compensation is determined by factors including location, role level, job-related skills, experience, and market conditions. Some positions may also be eligible for bonuses, equity, or other benefits. To learn more about Karoo Health’s benefits, please contact our People Team.