{"id":3370230,"url":"https://alion.io/job/nolla-health-backend-engineer","title":"Backend Engineer","company":{"id":684271,"name":"Nolla Health","domain":"nollahealth.com","url":"https://alion.io/company/nollahealth","size_band":"51-200","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Ashby","truth_index":null},"role":"Backend","role_family":"Backend","seniority":"senior","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["New York, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":180000,"max":220000,"currency":"USD","period":"year","gross":null,"usd_annual":220000},"salary_estimate":null,"experience_years_min":6,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"AI Agents","optional":false},{"name":"HIPAA","optional":true}],"status":"live","first_seen_at":"2026-10-28T00:31:46Z","employer_posted_date":"2026-10-28","last_verified_at":"2026-10-31T03:04:06Z","board_verified":true,"closed_at":null,"days_open":3,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":3},"description":"New York City · Full-time\nHelp build the backend that makes better healthcare possible.\nAt Nolla Health, we’re building AI-powered healthcare that connects understanding a patient’s needs with actually delivering care. That takes more than a capable model: it takes software that brings together patient information, clinical decisions, and the systems needed to act on them.\nWe’re looking for an experienced engineer to build and own that foundation. You’ll develop the services behind our patient apps and clinical workflows, connect healthcare systems, and build the infrastructure that lets AI agents work securely and reliably alongside clinicians.\nThis is a hands-on role with room to shape the architecture, engineering practices, and team as we grow. We welcome senior and staff engineers, early startup engineers, and former founders who want broad ownership and close involvement in the product.\nWhat you'll do\nBuild the APIs and backend services powering our patient apps and clinical workflows.\n\nDevelop the systems that connect AI agents to patient information, clinical tools, and actions involved in delivering care.\n\nBuild tools that help clinicians review cases and care for patients.\n\nIntegrate with electronic medical records and other healthcare systems.\n\nOwn cloud infrastructure, deployments, monitoring, and production reliability.\n\nDesign secure systems for sensitive patient data, including access controls and audit trails.\n\nWork with product, clinical, and AI teammates to take features from an idea through launch and ongoing operation.\n\nImprove how we build software through automation, thoughtful tooling, and effective use of AI coding tools.\n\nHelp hire and mentor engineers as the team grows.\n\nWhat you bring\nSubstantial experience building and operating production backend systems, typically six or more years.\n\nExperience building at an early-stage startup, shipping with a small team and owning multiple parts of the stack.\n\nStrong judgment about APIs, data models, databases, background jobs, and integrations.\n\nThe ability to own cloud infrastructure and operate the services you build.\n\nA practical understanding of security, reliability, and handling sensitive data.\n\nProduct judgment: you can work through an ambiguous problem, understand what users need, and choose an approach that gets useful software into their hands.\n\nEffective use of AI coding tools, with the judgment to review, test, and maintain what they produce.\n\nA desire to stay hands-on while taking responsibility for technical decisions and outcomes.\n\nWe care about what you’ve built, how you think, and the responsibility you’ve taken on. You should bring strong engineering practices and know how to apply them in a small team.\nBonus points\nBackend systems for consumer or mobile products.\n\nAI agents, tool integrations, or AI-powered features in production.\n\nHealthcare software, clinical workflows, EMR integrations, or HIPAA requirements.\n\nHiring or mentoring engineers.\n\nHealthcare experience is welcome, but it isn’t required. An interest in making healthcare better is.\nYour work will support both patients seeking care and the clinicians providing it. You’ll help decide how AI becomes part of a working healthcare service, from the information an agent can access to how a clinical workflow moves forward.\nYou’ll have a direct say in how Nolla’s backend is built and how the engineering team works. As we grow, there’s room to take on technical leadership and help build the team while staying close to the code.\nThis role is based in New York City. We’re open to candidates willing to relocate.\nCompensation\nSalary: $180,000-$220,000+, based on experience.","description_format":"text","description_chars":3674,"description_truncated":false,"requirements":{"experience_years_min":6,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":[],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":true,"industries":[],"lifecycle":[{"event":"open","at":"2026-10-28T00:40:17Z"}],"visa":[],"liveness":{"score":86,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.86,"p_room":1,"age_days":2,"expected_fill_days":36,"reasons":["conf:0","win:early"],"computed_at":"2026-10-30T05:48:23Z"},"pay":{"stated_usd_annual":220000,"is_top_pay":true},"html_url":"https://alion.io/job/nolla-health-backend-engineer","json_url":"https://alion.io/job/nolla-health-backend-engineer.json","meta":{"generated_at":"2026-10-31T05:13:11Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":7436,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-01T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":684271},"rest":"https://alion.io/mcp/rest/get_company?id=684271"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fnolla-health-backend-engineer"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fnolla-health-backend-engineer"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fnolla-health-backend-engineer"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/nolla-health-backend-engineer\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fnolla-health-backend-engineer"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":3370230}},{"tool":"search_jobs","arguments":{"company":"nollahealth.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":3370230},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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