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Senior Software Engineer, Backend
Millbrae, CAMarch 20th, 2026
About the RoleRoger 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 aSenior Backend Engineerto scale the core services that power our platform and build entirely newGenerative AI and LLM-driven workflowsthat clinicians will depend on every day.
If you want to solve meaningful engineering challenges, work withproduction LLMs , and build software that directly improves patient care, we would love to talk.
What You'll DoShip 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 Have7+ 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.#J-18808-Ljbffr
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