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Senior Backend Engineer / Infrastructure Specialist

TechShack โ€ข United State
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AI Summary

Build and scale backend services, APIs, and data pipelines for an AI healthcare platform that automates medical case review for US insurers. Design and maintain AWS infrastructure to handle high-volume insurer-level workloads. Diagnose system issues, improve reliability, and develop tooling to streamline clinical process implementation.

Key Highlights
Senior backend/infrastructure role for AI healthcare platform serving US insurers
Build services, APIs, and data pipelines with no consumer-facing components
Scale and toughen AWS estate to handle insurer-level load and reliability demands
Key Responsibilities
Build the services, APIs and data pipelines the platform runs on
Scale and toughen their AWS estate to handle insurer-level load
Diagnose issues across request logs and message queues, and make the system more reliable under pressure
Pinpoint where the AI components fall short and build tests that raise their quality
Work with customers to translate real clinical processes into technical requirements
Write tooling that takes manual, repetitive work off the team's plate
Technical Skills Required
Python TypeScript AWS
Benefits & Perks
Full-time employment
Visa sponsorship available
Salary: $250,000โ€“$300,000 + equity

Job Description


Member of Technical Staff (Backend / Infrastructure)

New York City (on-site, 5 days) Type: Full-time Salary: $250,000โ€“$300,000 + equity


An AI healthcare firm is automating how large US insurers review medical cases and approve treatment. They're around 40 people, funded by top-tier VCs, and signing insurer contracts faster than they can build against them. They need senior backend engineers to close that gap.


This is a backend and infrastructure role. Their product installs inside each customer's own environment rather than being sold as a website, so there's nothing consumer-facing to build. Services, integrations and data movement, end to end.


What you'll be doing

  • Building the services, APIs and data pipelines the platform runs on
  • Scaling and toughening their AWS estate to handle insurer-level load
  • Diagnosing issues across request logs and message queues, and making the system more reliable under pressure
  • Pinpointing where the AI components fall short and building the tests that raise their quality
  • Working with customers to translate real clinical processes into technical requirements
  • Writing tooling that takes manual, repetitive work off the team's plate


What we're looking for

  • Six or more years building software, with your strength in backend systems or the infrastructure beneath them
  • A track record of making architecture decisions, shipping them and running them in production
  • Strong Python and TypeScript, ideally some Go, on AWS
  • The person teammates come to when something is on fire or a design needs a second set of eyes
  • Someone who has genuinely woven AI tooling into how they work, and can bring the rest of a team along. Neither a skeptic nor someone who outsources their thinking to a model.


Visa sponsorship is available for US-based candidates.


Member of Technical Staff (Backend / Infrastructure)

New York City (on-site, 5 days) Type: Full-time Salary: $250,000โ€“$300,000 + equity


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