Senior Software Engineer

We’re looking for a Senior Software Engineer who wants to build systems that operate at real-world scale — and materially improve healthcare quality across the United States.This isn’t a feature factory role. You’ll own architecture, solve ambiguous distributed systems problems, and build AI-powered infrastructure that processes high-volume clinical data with strict performance, reliability, and compliance requirements.If you’ve built production systems at scale and want more ownership, faster iteration cycles, and direct product impact — this is that opportunity.What You’ll Work OnArchitect and scale distributed, fault-tolerant systems on AWS designed for high throughput and low latencyDesign backend services that process and analyze complex clinical datasets across thousands of providersBuild AI-driven workflows that automate decision-heavy medical review processesMake critical decisions around system design, performance optimization, and long-term architecturePartner directly with Product and leadership to shape technical strategy — not just execute ticketsRaise the engineering bar through code quality, thoughtful design reviews, and mentorshipWhat We’re Looking For6+ years building production-grade backend systemsStrong experience in Python and/or TypeScriptDeep familiarity with AWS infrastructure and cloud-native architecturesProven experience designing scalable distributed systemsExperience in high-growth, high-ownership environmentsStrong product sense and ability to navigate ambiguityA track record of shipping high-quality systems that scaleWhy This Role Is Compelling for Top EngineersHard technical problems at the intersection of AI, distributed systems, and healthcareReal ownership over architecture and long-term technical directionHigh leverage work — small team, outsized impactMission-driven impact — your systems directly affect patient safety and care qualityOpportunity to build foundational infrastructure in a rapidly scaling platformIf you’re looking for a role where technical excellence matters, ownership is real, and your work has tangible national impact — we should talk.