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Senior Backend (Node.js) Engineer – AI Automation & Integration

medvidi • United State
Remote
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Lead the development of AI-driven backend systems for MEDvidi’s telemedicine platform, integrating LLMs and multi-agent workflows to automate clinical and operational workflows. Design scalable, resilient architectures while collaborating with AI and product teams to enhance patient-provider interactions. Requires 8+ years of Node.js backend expertise, hands-on LLM integration, and deep experience in RAG pipelines, observability, and production-grade AI systems.

Key Highlights
Lead AI-powered backend automation for a telemedicine platform, improving scalability and clinical workflows
Collaborate with AI engineers and product teams to integrate LLMs, multi-agent systems, and RAG pipelines
Design production-grade, observable, and resilient backend architectures with Node.js and AWS
Key Responsibilities
Design and build scalable backend architectures for AI-driven automation systems with a focus on performance, resilience, and clinical workflow efficiency
Integrate and scale LLM-based features, including multi-agent systems (e.g., ReAct, supervisor-agent models) and RAG pipelines for context enrichment
Develop robust APIs for internal services and external integrations while ensuring observability, monitoring, and alerting using tools like Grafana and OpenSearch
Technical Skills Required
Node.js Large Language Model (LLM) Integration Retrieval-Augmented Generation (RAG)
Benefits & Perks
Fully remote work (long-term, B2B model)
Health insurance after probation period
19 paid vacation days + 4 wellness days annually
Nice to Have
Experience with medical/healthcare AI or regulated environments
Familiarity with MCP (Model Context Protocol) in Node.js
Experience working with PostgreSQL, AWS (CDK, Lambda, API Gateway, ElastiCache)

Job Description

is an AI-powered mental healthcare clinic setting a new standard for safe, effective, and scalable psychiatric care in the United States.We combine licensed providers with proprietary AI tools to deliver consistent, outcomes-driven treatment for conditions like ADHD, anxiety, depression, and more. MEDvidi's technology automates charting, follow-ups, and treatment planning, freeing providers to focus on patient care while improving efficiency and clinical quality.We're looking for a
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