About the Role Join a fast-growing, early-stage healthtech AI company as one of its first backend engineers. The company builds AI voice and browser agents that automate the most time-consuming administrative workflows for independent specialty clinics—such as referral processing, scheduling, and insurance prior authorizations—and is already deployed in live production environments across Northern California. In this high-ownership, high-impact role, you will own the core services powering these agents, collaborate directly with the founding team, and deliver to real customer environments on a weekly basis.

What You'll Do - Design and build core backend services and APIs that orchestrate AI voice and browser agents - Build integrations with EHRs, scheduling systems, and insurance/payer portals - Own reliability, observability, and performance of agent workflows in production - Partner with the founders on architecture, tradeoffs, and product direction - Help shape engineering culture, hiring, and on-call practices as the team scales

What We're Looking For Required: - 3+ years building production backend systems in Python and/or TypeScript/Node.js - Strong fundamentals in system design, databases (PostgreSQL), and distributed systems - Comfort with queues and event-driven architectures - Experience with cloud infrastructure (AWS or GCP) and modern observability tooling - Strong product instinct and ownership mindset — able to scope, ship, and iterate independently - Current work authorization to work remotely from a LATAM-based country or the United States (no visa sponsor

About the Role Join a fast-growing, early-stage healthtech AI company as one of its first backend engineers. The company builds AI voice and browser agents that automate the most time-consuming administrative workflows for independent specialty clinics—such as referral processing, scheduling, and insurance prior authorizations—and is already deployed in live production environments across Northern California. In this high-ownership, high-impact role, you will own the core services powering these agents, collaborate directly with the founding team, and deliver to real customer environments on a weekly basis.

What You'll Do - Design and build core backend services and APIs that orchestrate AI voice and browser agents - Build integrations with EHRs, scheduling systems, and insurance/payer portals - Own reliability, observability, and performance of agent workflows in production - Partner with the founders on architecture, tradeoffs, and product direction - Help shape engineering culture, hiring, and on-call practices as the team scales

What We're Looking For Required: - 3+ years building production backend systems in Python and/or TypeScript/Node.js - Strong fundamentals in system design, databases (PostgreSQL), and distributed systems - Comfort with queues and event-driven architectures - Experience with cloud infrastructure (AWS or GCP) and modern observability tooling - Strong product instinct and ownership mindset — able to scope, ship, and iterate independently - Current work authorization to work remotely from a LATAM-based country or the United States (no visa sponsor