Senior Distributed Systems SWE

Senior Distributed Systems Engineer (7+ years)📍 Hybrid (3 days onsite) – San FranciscoThis company is building AI-powered clinical documentation and decision support systems, transforming how healthcare is delivered.Their platform operates in real-time during doctor-patient interactions, using AI to automate workflows, reduce administrative burden, and improve patient outcomes at scale.Strong traction:🚀 ~$45M ARR with rapid growth toward $100M+🚀 Deployed across 50+ major U.S. health systemsRecognized as a LinkedIn Top Startup (2024 & 2025) and one of the top AI companies in healthcare.The RoleThis is a staff-level infrastructure role focused on building the systems that enable real-time, reliable AI in clinical environments.You’ll own core platform components including database architecture, caching, and performance optimization - directly impacting latency and reliability in live healthcare workflows.Key Responsibilities ⚙️Design and scale database architecture (Postgres, query optimization, indexing, capacity planning)Build caching systems to remove latency from critical user pathsOptimize system performance across high-traffic, real-time applicationsDesign rate limiting and load management systemsImprove reliability and observability across core infrastructureRequired Qualifications7+ years of software engineering experienceStrong backend experience (Python, Go, TypeScript, or similar)Deep experience with relational databases (Postgres preferred)Proven experience scaling systems and solving performance/reliability issuesExperience owning infrastructure or platform systems end-to-endPreferred QualificationsExperience with high-scale, low-latency systemsBackground in infrastructure, platform, or reliability engineeringExperience in healthcare or regulated environmentsStartup experience with high ownershipTech Stack 🛠️Python, Go, TypeScriptPostgreSQLDistributed systems + caching layersCloud infrastructure (AWS/GCP)Why This RoleReal-world impact - systems directly affect patient careHigh-scale, real-time infrastructure challengesFrontier AI deployed in productionStrong growth trajectory with clear path to IPO or acquisitionHigh-caliber engineering team with strong ownership culture.💡 Interested? Let’s chat.