Staff Backend Engineer - Remote, Equity & Impact

Rythm Health, Inc.; United States; Remote; USD 140,000 - 210,000; Full time

Benefits offered by this job

Competitive base salary

Meaningful equity

Remote-first work environment

401(k)

Healthcare plan options

Generous paid time off

Rythm membership for testing insights

Job summary

Rythm Health is seeking a Staff Backend Engineer to design, own, and scale core backend services that power our at-home testing platform. You’ll work across product, laboratory, logistics, and operations to deliver reliable systems with real business impact.

You’ll lead architectural decisions, write code, and mentor teammates in a fast-moving, remote-first environment where ownership and execution speed matter. Regulatory health data handling is a key context.

Qualifications

• Extensive experience designing, building and owning backend systems at scale.
• Proven track record of owning complex, cross-functional initiatives.
• Experience integrating internal systems and third-party platforms across complex business workflows.
• Strong understanding of testing, observability, performance, security, and production operations.
• Ability to balance long-term architecture with immediate delivery needs.
• Hands-on mindset; enjoys building and staying close to the technical work.
• High ownership, low ego, and comfort in a fast-moving environment with evolving priorities.
• Healthcare/consumer health or direct-to-consumer experience preferred.
• Understanding of regulated products and navigating sensitive data preferred.

Responsibilities

• Design, build, and own reliable backend services and APIs that support Rythm's products and internal operations.
• Own complex projects from technical discovery and architecture through implementation, launch and iteration.
• Build systems connecting member experiences with laboratory, logistics, billing, analytics, and other workflows.
• Make architectural decisions balancing delivery speed, maintainability, performance, security, and scale.
• Improve service reliability through testing, observability, incident response, and operational practices.
• Partner with mobile and product engineers to define contracts, data flows, and integrations.
• Identify technical risks and reduce unnecessary complexity across the platform.
• Help establish and evolve development standards and tools as the team grows.
• Use modern development tools, including AI-assisted workflows, to increase engineering quality and speed.

Skills

Backend systems design

Cross-functional ownership

Observability

Security

Production operations

API design

System architecture

Job description

Rythm Health is seeking a Staff Backend Engineer to design, own, and scale core backend services that power our at-home testing platform. You’ll work across product, laboratory, logistics, and operations to deliver reliable systems with real business impact.

You’ll lead architectural decisions, write code, and mentor teammates in a fast-moving, remote-first environment where ownership and execution speed matter. Regulatory health data handling is a key context.