Founding Engineer, Backend & Infrastructure
Confirmed on the employer's own hiring board on Oct 19, 2026. First seen by Alion on Oct 19, 2026.
About the Role
Join an early-stage healthtech AI company as a founding backend engineer, building the distributed systems behind clinical and financial workflows. You will partner with product and research engineers to bring clinical intelligence capabilities into production and establish engineering patterns for a growing team.
What You'll Do
Build and scale backend systems for chart processing, claims, authorizations, denials, and healthcare integrations.
Own browser and computer-use automation for navigating electronic health record software and payer portals.
Design infrastructure that reliably processes high volumes of scanned charts, PDFs, claims, notes, and changing operational data.
Develop orchestration, queuing, retry, and observability systems for long-running workflows across healthcare platforms.
Work with product and research engineers to productionize new capabilities and shape maintainable engineering practices.
What We're Looking For
At least 3 years of backend software engineering experience, with ownership of complex infrastructure or distributed systems.
Strong Python experience and familiarity with microservices, data pipelines, workflow orchestration, and large or messy datasets.
Experience designing and delivering backend systems end to end, ideally in a technically demanding company or startup environment.
Experience putting LLMs or machine learning models into production.
Browser automation or complex integration experience is helpful, as are strong computer science or related technical fundamentals.
Interest in building at an early-stage startup and ability to work on-site in San Francisco.
Compensation & Benefits
Base salary is $160,000 to $200,000 annually. Visa sponsorship is not available.
Location
This is an on-site role in San Francisco, United States, with five days per week in the office.