Senior Software Engineer, Full-Stack

Roger Healthcare; San Francisco (CA); On-site; USD 150,000 - 200,000; Full time

Benefits offered by this job

Platinum health, dental, and vision insurance

Flexible PTO

Opportunity to work on LLM innovation

Job summary

A leading healthcare AI startup is seeking a Senior Backend Engineer to develop backend services and build innovative Generative AI workflows that enhance patient care. You'll work with advanced technologies like FastAPI and MongoDB, improving the architecture while mentoring junior developers. The company offers exceptional health benefits, flexible PTO, and the chance to make a meaningful impact in healthcare. Both in-person and remote opportunities are available.

Qualifications

• 7+ years of professional software engineering experience.
• Experience in high-growth startup environments.
• Ability to work with Generative AI and LLM systems.

Responsibilities

• Ship complex backend services using FastAPI and databases.
• Build APIs that interface with LLMs and Generative AI.
• Prototype MVPs into scalable production systems.
• Improve backend architecture and code quality.

Skills

Backend expertise

Distributed systems design

Generative AI / LLM knowledge

Collaboration with cross-functional teams

High reliability standards

Tools

FastAPI

MongoDB/Postgres

Docker

AWS

Job description

About the Role

Roger Healthcare has built the leading AI-powered clinical documentation platform for home health, used daily by thousands of clinicians and reducing documentation time by more than 80%. By giving clinicians their time back, we enable home health organizations to deliver better care to older adults who want to remain at home.

We are growing rapidly, backed by world-class investors, and shipping new capabilities into real clinical workflows every week. We are now looking for a Senior Backend Engineer to scale the core services that power our platform and build entirely new Generative AI and LLM-driven workflows that clinicians will depend on every day.

If you want to solve meaningful engineering challenges, work with production LLMs, and build software that directly improves patient care, we would love to talk.

What You'll Do

• Ship complex backend services using FastAPI, MongoDB/Postgres
• Build APIs and infrastructure that interface with LLMs and Generative AI models
• Leverage AI-assisted development tools to accelerate high-quality engineering output
• Prototype MVPs and harden them into scalable, secure, and reliable production systems
• Improve backend architecture, observability, and code quality standards
• Work with Docker and AWS to deploy services into production environments
• Collaborate with senior engineers and mentor junior developers as we scale

You Might Be a Good Fit If You Have

• 7+ years of professional software engineering experience, with deep backend expertise
• Startup experience shipping real features in high-growth environments
• Experience designing distributed systems or data-heavy backend architectures
• Experience working with Generative AI / LLM-powered systems in production or strong desire to
• A product mindset and comfort partnering with cross-functional teams
• Ability to operate in ambiguity and move quickly without sacrificing quality
• High standards for reliability, clarity, and maintainability when real users depend on your code

Why Join Us?

🏥 Platinum health, dental, and vision insurance

🏖️ Flexible PTO

🤖 Be at the forefront of LLM innovation in healthcare

🚀 Founded by AI Researchers from Cornell and Amazon Alexa

👩⚕️ Make a tangible difference in the lives of clinicians and patients

🧠 Work on a mission that matters, backed by AI innovation and top-tier investors

Make a Real Difference: Hear from our Users

👨⚕️ “If I had to give Roger a rating out of 10, I’d give it an 11! You guys changed my life!!” — G.M. from San Francisco, Registered Nurse

👩⚕️ “Roger AI saves me hours per day. I can easily focus on my patients now too.”

👩⚕️ “Being a single mom is tough, but with Roger I can take the time to go to my daughter’s soccer game and also pursue further education.”

If you're interested in joining a fast-growing healthcare AI startup, we'd love to hear from you TODAY! In person and remote opportunities available.