{"id":71124,"url":"https://alion.io/job/counselhealth-senior-software-engineer-backend","title":"Senior Software Engineer (Backend)","company":{"id":8781,"name":"Counsel Health","domain":"counselhealth.com","url":"https://alion.io/company/counselhealth","size_band":"51-200","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Ashby","truth_index":{"grade":"A","score":90,"open_postings":11,"ghost_share":0.091,"stale_share":0,"repost_share":0,"time_to_fill_p50_days":65,"computed_at":"2026-10-24T06:02:35Z"}},"role":"Backend","role_family":"Backend","seniority":"senior","employment_type":"full_time","work_mode":"hybrid","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["New York, United States","Boston, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":185000,"max":225000,"currency":"USD","period":"year","gross":null,"usd_annual":225000},"salary_estimate":null,"experience_years_min":5,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"RAG","optional":false},{"name":"Time Series","optional":false}],"status":"live","first_seen_at":"2026-07-02T17:01:59Z","employer_posted_date":"2026-07-02","last_verified_at":"2026-10-24T09:28:59Z","board_verified":true,"closed_at":null,"days_open":113,"trust":{"level":"ok","repost_count":0,"flags":["company_stale"],"days_open":113},"description":"AboutCounsel\nCounsel’s mission is to multiply the world's healthcare capacity. We believe in a future in which every person has a personalized, AI-enabled doctor always in their pocket. To accomplish this, we’re building the first fully-vertical, AI-native medical group from the ground up. We’ve redesigned the entire clinical stack with custom AI tools that make our in-house physicians 10x faster and smarter. [learn more on our blog]\nSince our founding in 2023, we have formed partnerships with leading healthcare organizations and are on track to serve hundreds of thousands of patients on our platform within the next year. We have raised over $35M from a16z, Google Ventures, Pear VC and other top-tier VC firms.\nOur team combines deep expertise in medicine (Harvard, Mt. Sinai, Mass General, UCSF) and technology (MIT, Google, DeepMind, NVIDIA, Stripe, Meta) - and we’re looking for exceptional people to join us as we scale.\nJoin us as we build the future of AI in healthcare!\n-----------------------------------------------------\nAbout The Role\nWe're looking for a Senior Backend Engineer to help define the future of AI-powered, human-led healthcare. You'll sit on our Platform & Integrations team, owning the core product primitives the rest of the company builds on: external APIs, health data models, retrieval infrastructure, and enterprise integrations.\nThis role is central to scaling our platform: supporting enterprise healthcare clients, powering AI-driven clinical workflows, and keeping distributed systems correct and reliable. Much of this is greenfield, especially how we model and operationalize longitudinal health data from wearables and external systems.\nWhat You'll Do\nDesign and evolve our external API and embedded product layer with long-term stability, disciplined versioning, and enterprise-grade craftsmanship\n\nEvolve our agentic retrieval harness to support patient and clinical search across structured and unstructured data, with strict permission and audit guarantees\n\nBuild reusable platform primitives that let external partners embed and extend our AI capabilities, so every integration adds lasting platform leverage\n\nContribute to core data models that unify structured health records, unstructured inputs, and high-frequency time-series signals\n\nWho You Are\nCares deeply about API craftsmanship and long-term system design\n\nHas built complex systems that external customers rely on\n\nEnjoys modeling messy real-world data, especially high-frequency signals, into clean, durable abstractions\n\nHas built comprehensive search or RAG systems at production scale\n\nHas helped scale early systems from 1 to 10 in a fast-paced environment\n\nThrives in small, high-leverage teams where ownership is real\n\nHas a track record of maintaining and leveling up operational excellence across engineering organizations\n\nWhat You Bring\n5+ years building production backend systems, ideally in high-growth environments\n\nExperience designing and maintaining external-facing APIs used by customers or partners\n\nStrong data modeling instincts, particularly around time-series or high-frequency data\n\nExperience working with distributed systems and multi-tenant architectures\n\nComfort contributing to greenfield architectural design while shipping pragmatically\n\nRole location:\nNYC - hybrid, Boston - hybrid, or East Coast - remote\nWhat We Offer\nImpact: Be at the forefront and contribute to groundbreaking, AI-driven healthcare experiences, directly interface with execs at the world's leading tech & healthcare orgs\n\nGrowth: Significant opportunities for broad ownership and professional development within our rapidly scaling startup\n\nCompensation: Competitive salary + equity\n\nBenefits: Comprehensive healthcare, vision + dental, 401K, Unlimited PTO, Parental Leave\n\n-----------------------------------------------------\nOur Values\nPatients come first. We are clinicians 1st, technologists 2nd. We act with patient trust/safety at the center of every decision.\n\nInnovate with optimism. We are optimistic as we build the future of care delivery from first principles. Challenge the status quo when needed, no sacred cows.\n\nRight answer wins. Debate openly and pick the strongest path. We optimize for the company, not functions. We win and lose as a team.\n\nSimplicity over complexity. We choose clear, elegant solutions and avoid adding complexity that does not serve patients or the team.\n\nDo fewer things, well. We focus, and hold ourselves to the highest bar and pursue excellence in those areas.\n\nRecruitment Fraud Notice\nCounsel Health only communicates with candidates using official @counselhealth.com email addresses. We will never ask for payment or financial information during the interview process. If you receive suspicious outreach claiming to be from Counsel Health, please contact us at .\n#LI-PINJOB\nRecruitment Fraud Notice. Counsel Health only communicates with candidates using official @counselhealth.com email addresses. We will never ask for payment or financial information during the interview process. If you receive suspicious outreach claiming to be from Counsel Health, please contact us at .\nCounsel Health participates in E-Verify. 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