{"id":3394075,"url":"https://alion.io/job/kake-technical-lead-founding-engineering-lead","title":"Technical Lead / Founding Engineering Lead","company":{"id":4454565,"name":"Kake","domain":"kake.co","url":"https://alion.io/company/kake-2","size_band":"1001-5000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Schema","truth_index":{"grade":"B","score":75,"open_postings":32,"ghost_share":0,"stale_share":1,"repost_share":0,"time_to_fill_p50_days":null,"computed_at":"2026-10-30T05:48:23Z"}},"role":"Backend","role_family":"Backend","seniority":"lead","employment_type":null,"work_mode":"remote","remote_scope":"unspecified","remote_scope_basis":null,"remote_working_hours":{"label":"US time zones","utc_offset_min":-8,"utc_offset_max":-5},"hiring_geo_confidence":"inferred","locations":[],"countries":[],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":{"min_usd":96000,"max_usd":243000,"period":"year","method":"global_role_seniority_cell","sample_n":2257},"experience_years_min":10,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"AWS","optional":false},{"name":"CI/CD","optional":false},{"name":"FHIR","optional":false},{"name":"GCP","optional":false},{"name":"Go","optional":false},{"name":"HIPAA","optional":false},{"name":"MySQL","optional":false},{"name":"Nest.JS","optional":false},{"name":"Node JS","optional":false},{"name":"PostgreSQL","optional":false},{"name":"Python","optional":false},{"name":"Redis","optional":false},{"name":"Ruby on Rails","optional":false},{"name":"TypeScript","optional":false},{"name":"Zapier","optional":false},{"name":"JavaScript","optional":true},{"name":"Ruby","optional":true},{"name":"Terraform","optional":true},{"name":"Turborepo","optional":true}],"status":"live","first_seen_at":"2026-06-26T19:24:13Z","employer_posted_date":"2026-10-28","last_verified_at":"2026-10-30T09:37:22Z","board_verified":true,"closed_at":null,"days_open":125,"trust":{"level":"stale","repost_count":0,"flags":["stale"],"days_open":124},"description":"We are seeking a highly experiencedTechnical Lead/Principal Backend Engineer to help build the technical foundation for a next-generation healthcare platform. This is a hands-on leadership role with significant ownership, where you will define the platform architecture, establish engineering best practices, and build scalable, secure integration layers connecting critical healthcare and business systems. The ideal candidate has deep backend engineering expertise, experience designing API-first distributed systems, and a strong background in regulated healthcare or HIPAA-compliant environments. This role is best suited for someone who thrives in fast-paced startup environments and enjoys building platforms that will support future product growth, AI-enabled capabilities, analytics, and digital patient experiences.\nKey Responsibilities\nDefine and own the overall platform architecture for a modern healthcare platform.\nLead the design and implementation of the integration and service layer connecting systems such as Healthie (EHR), Evexia (labs), Shopify, Thinkific, and GoHighLevel.\nEstablish engineering best practices, including CI/CD pipelines, release management, and scalable development processes.\nDesign secure, scalable, API-first backend systems and distributed architectures.\nBuild the technical foundation for future patient portals, internal workflows, AI-enabled features, analytics, and product expansion.\nCollaborate across teams to ensure the platform can support additional healthcare systems and integrations over time.\nProvide technical leadership while remaining deeply involved in hands-on development.\nCore Requirements\n10+ years of professional software engineering experience, including extensive backend development.\nProven technical leadership building modern web platforms.\nExperience building secure, scalable systems withinhealthcare or other HIPAA-regulated environments.\nDeep expertise in API-first architecture, distributed systems, and third-party integrations.\n GoHighLevel (or similar CRM/automation platforms)Workflow automation (Make, Zapier)\nHealthcare integrations (HIPAA, FHIR, Health Gorilla, Keragon) \n\nExperience with EHRs, patient portals, healthcare workflows, or other regulated healthcare technologies.\nStrong experience establishing engineering best practices, CI/CD pipelines, and release management processes.\nStrong backend development experience with two or more modern technologies such as Python, TypeScript/Node.js (NestJS), Go, Ruby on Rails, or similar.\nExperiencewith relational and/or NoSQL databases, including PostgreSQL, MySQL, Redis, or MongoDB.\nExperience designing and deploying secure cloud infrastructure using AWS and/or GCP.\nComfortable working in fast-moving, ambiguous startup environments.\nExperience leveraging AI tools to improve engineering productivity and effectiveness.\nExcellent written and verbal communication skills in English.\nAbility to work independently in a remote, fast-paced environment.\nNice-to-Have\nExperience with the Shopify ecosystem.\nExperience building healthcare integrations or middleware platforms.\nExperience designing internal service layers or integration platforms connecting multiple SaaS products.\nExperience building scalable platforms that support multiple products and engineering teams.\nExperience with authentication, SSO, and identity architecture in regulated environments.\nExperience with event-driven architectures, messaging systems, or workflow orchestration.\nExperience working in modern monorepo environments (e.g., Nx or 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