Remote Staff Backend Engineer

Senior Backend EngineerAbout Attuned IntelligenceAttuned Intelligence is building the future of healthcare communication through AI Agent workforce technology. Our platform enables healthcare organizations to deploy, manage, and optimize their own multilingual AI agents that handle complex patient service workflows including appointment management, prescription services, and clinical support tasks. Healthcare teams can customize and control these AI agents without technical expertise, with real-time oversight and the ability to update workflows as needs evolve. The platform maintains natural conversation, intelligent triaging, and seamless integration into existing healthcare workflows.This isn't a phone tree or chatbot—we're building a trainable, operational platform that functions as a true AI workforce, with EHR integration capabilities. Backed by Radical Ventures and Threshold Ventures, we're live with multiple health systems handling thousands of calls daily. And we're growing fast, actively onboarding dozens of additional hospitals and health systems.The OpportunityWe're seeking a Senior Backend Engineer to build and scale the distributed systems that power our real-time AI voice agent platform. You'll architect and implement the core backend infrastructure—microservices, APIs, databases, and message queues—that enables healthcare organizations to deploy AI agents at scale.This role focuses on creating scalable, reliable backend systems that support complex healthcare workflows while maintaining HIPAA compliance and integration with electronic health record (EHR) systems. Given our work with sensitive patient data and critical healthcare workflows, we're looking for engineers who are passionate about quality, reliability, and making a meaningful impact on healthcare accessibility.Key ResponsibilitiesDesign and implement high-performance, scalable Python microservices and APIs that support our real-time AI agent frameworkBuild resilient distributed systems that maintain high availability and low latency at scale, supporting tens of thousands of concurrent connectionsArchitect robust data storage solutions across SQL, NoSQL, in-memory stores (Redis), and blob storage, understanding when to use each and how to orchestrate themImplement message queuing systems and event-driven architectures for reliable inter-service communicationBuild and maintain integrations with Epic EHR and other healthcare systemsEnsure HIPAA compliance and security in all system designsCreate monitoring and observability systems to ensure platform reliabilityTake end-to-end ownership of backend features from design through deploymentCollaborate effectively with cross-functional teams through technical discussions and code reviewsQualifications7+ years of backend engineering experience building scalable, distributed systemsStrong system design skills with demonstrated ability to architect solutions from scratchExperience integrating with external systems and third-party APIsTrack record of independently owning and delivering complex technical projectsComfort with AI-assisted coding tools (e.g., Claude, Cursor) for enhanced productivityPreferred QualificationsExperience with real-time, low-latency distributed systems at scaleBackground in healthcare technology or regulated environments (HIPAA, SOC 2)EHR integrations (Epic, Athenahealth, eClinicalWorks) and healthcare system APIsTelephony systems or voice infrastructureWhy Join Us?At Attuned Intelligence, you'll be at the forefront of transforming healthcare through AI workforce technology. Our platform is helping healthcare organizations reimagine patient service delivery, reduce provider burnout, and provide better care to their patients. We're tackling one of healthcare's hardest challenges—hospital main lines—where the technical difficulty and social impact are both significant. By owning the front door to healthcare systems, we're building a platform that can expand from routing and scheduling today to fundamentally transforming how patients access care.You'll join a collaborative team of experts from leading healthcare institutions and world-class technology companies like DeepMind, Google, Amazon, InstaDeep, and AssemblyAI.As a venture-backed startup with live deployments across multiple healthcare systems, we offer both stability and rapid growth. Your contributions will directly shape our products and future.Ready to make a difference? Join us in building the future of healthcare communication.