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Truveta

Turn real-world healthcare data into intelligence and evidence with real-time data from 130M+ patients across US health systems.

Senior Software Engineer - Backend Services 

Truveta is the world’s first health provider led data platform with a vision of Saving Lives with Data. Our mission is to enable researchers to find cures faster, empower every clinician to be an expert, and help families make the most informed decisions about their care. Achieving Truveta’ s ambitious vision requires an incredible team of talented and inspired people with a special combination of health, software and big data experience who share our company values.

This position is based out of our headquarters in the Greater Seattle area.  #LI-hybrid

Who We Need  

Join Truveta’s Intelligence Platform and Applications team to build the backend services, platform foundations, and production systems that power the next generation of healthcare intelligence. Guided by Truveta’s mission of Saving Lives with Data, you’ll help engineer reliable, scalable, and secure services that transform complex health data into actionable intelligence for clinicians, researchers, and healthcare organizations.

We are seeking a Senior Software Engineer with deep backend service engineering experience, strong production ownership, and cloud-native platform discipline. You’ll design, build, deploy, and operate services that are reliable, observable, maintainable, and secure at scale. Your work will support AI-enabled healthcare workflows, but the emphasis is on building backend systems, service architecture, APIs, infrastructure integrations, and operational foundations that make those workflows dependable in production.

You’ll help shape the core service and platform capabilities that make healthcare intelligence systems scalable, resilient, and trustworthy, driving real-world progress across research, care delivery, operations, and patient outcomes.

This Opportunity  

Patients, doctors, and medical researchers deserve technology that is reliable, secure, and capable of turning health data into meaningful insight. As part of the Intelligence Platform and Applications team, you’ll use your expertise in backend engineering, distributed systems, cloud-native infrastructure, and production operations to build the robust service layer that intelligent healthcare applications depend on.

This is an opportunity to own backend systems end to end: from service design and API development to deployment, debugging, observability, reliability, and security. You’ll work across platform, application, data, and AI-enabled workflows, ensuring that services are well-architected, operationally sound, and built for long-term maintainability.

If you’re motivated by purpose and enjoy building durable backend systems that support learning, decision-making, and discovery in healthcare, you’ll find this an inspiring place to grow. You’ll work in an ambitious, fast-paced, collaborative environment where every contribution helps make healthcare more connected, intelligent, and impactful.

We are seeking backend engineers who:

  • Design and build production-grade backend services: Experienced in service architecture, API design, async-first Python development, testing, packaging, debugging, and operating backend systems in production.
  • Own services end to end: Capable of taking services and features from design through implementation, deployment, monitoring, incident response, and ongoing maintenance.
  • Engineer for scale, resilience, and maintainability: Grounded in modular architecture, separation of concerns, code quality, observability, performance, and pragmatic design trade-offs.
  • Bring strong Python backend craftsmanship: Experienced with async programming, modern Python service patterns, well-tested code, and tools such as uv, ruff, and tyto deliver reliable, maintainable systems.
  • Support AI-enabled workflows through strong backend foundations: Experienced integrating LLM APIs such as OpenAI, Azure OpenAI, or equivalent into backend services, with attention to reliability, security, latency, error handling, and maintainability.
  • Understand modern AI service integration patterns: Practical exposure to agentic AI frameworks or interoperability protocols such as LangGraph, LangChain, MCP, or A2A, and an understanding of how these patterns support tool orchestration, service integration, and AI workflow design.
  • Improve deployment and operational reliability: Able to contribute to CI/CD template maintenance, deployment stage configuration, pipeline hardening, environment debugging, rollback strategy, and production readiness.
  • Build reliable cloud-native systems: Hands-on with Docker, devcontainers, Kubernetes, CI/CD pipelines, infrastructure-as-code patterns, AKS, Terraform/Terragrunt, and deployment automation.
  • Build secure services by default: Experienced with dependency health, Snyk/CVE triage, library upgrades, token hygiene, OWASP-aligned practices, secrets handling, and security patching within SLA.
  • Manage artifacts and dependencies responsibly: Experienced with artifact registry workflows such as JFrog, Docker/PyPI proxying, GPU artifact mirroring, package provenance, or similar dependency management practices.
  • Collaborate across boundaries: Partner effectively with platform, ML, application, data, and product engineers to transform concepts into scalable, reliable backend solutions.
  • Demonstrate senior-level ownership: Mentor peers, raise engineering standards, improve operational practices, and make pragmatic trade-offs that balance speed, quality, security, and reliability.
  • Act with purpose: Apply thoughtful engineering and security-first principles to create backend systems that advance healthcare intelligence responsibly and at scale.

Key Qualifications:  

  • You have 5+ years of software engineering experience, with meaningful ownership of backend services, production systems, or platform infrastructure.
  • You have designed, built, deployed, debugged, and operated backend services in production, and you understand what it takes to keep services reliable after launch.
  • You bring strong Python backend engineering experience, including async programming, testing, packaging, API design, and maintainable service architecture.
  • You are comfortable using modern Python tooling such as uv, ruff, and ty to build clean, reliable, and maintainable services.
  • You think beyond implementation and care about production operations, including observability, reliability, incident-aware development, debugging distributed systems, and deployment troubleshooting
  • You build secure services by default, with experience in secure service design, secrets handling, token hygiene, dependency scanning, CVE triage, OWASP-aligned practices, and security patching within SLA
  • You have built backend service integrations with LLM APIs such as OpenAI, Azure OpenAI, or equivalent, with attention to reliability, security, latency, error handling, and maintainability
  • You have practical Experience in agentic AI frameworks or interoperability protocols such as LangGraph, LangChain, MCP, or A2A, and understand how these patterns support tool orchestration, service integration, and AI workflow design
  • You have hands-on experience with cloud-native platform foundations such as Kubernetes, containers, CI/CD pipelines, and infrastructure-as-code tools such as Terraform; AKS and Azure Pipelines experience is preferred
  • You understand the importance of responsible artifact and dependency management, with experience using systems such as JFrog, Docker/PyPI proxying, GPU artifact mirroring, or similar workflows
  • You have a B.S. or M.S. in Computer Science, Engineering, Artificial Intelligence, or a related technical field, or equivalent practical experience.

Why Truveta?

Be a part of building something special. Now is the perfect time to join Truveta. We have strong, established leadership with decades of success. We are well-funded. We are building a culture that prioritizes people and their passions across personal, professional, and everything in between. Join us as we build an amazing company together.

We Offer:

  • Interesting and meaningful work for every career stage
  • Great benefits package
  • Comprehensive benefits with strong medical, dental and vision insurance plans
  • 401K plan
  • Professional development & training opportunities for continuous learning
  • Work/life autonomy via flexible work hours and flexible paid time off
  • Generous parental leave
  • Regular team activities (virtual and in-person)
  • The base pay for this position is $155,000 to $190,000. The pay range reflects the minimum and maximum target. Pay is based on several factors including location and may vary depending on job-related knowledge, skills, and experience. Certain roles are eligible for additional compensation such as incentive pay and stock options.

If you are based in California, we encourage you to read this important information for California residents linked here.

Truveta is committed to creating a diverse, inclusive, and empowering workplace. We believe that having employees, interns, and contractors with diverse backgrounds enables Truveta to better meet our mission and serve patients and health communities around the world. We recognize that opportunities in technology historically excluded and continue to disproportionately exclude Black and Indigenous people, people of color, people from working class backgrounds, people with disabilities, and LGBTQIA+ people. We strongly encourage individuals with these identities to apply even if you don’t meet all of the requirements.

Please note that all applicants must be authorized to work in the United States for any employer as we are unable to sponsor work visas or permits (e.g. F-1 OPT, H1-B) at this time. We appreciate your interest in the position and encourage you to explore future opportunities with us.

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Work setup

Location
Seattle
Remote work
In office
Employment
Internship

Compensation

Salary
$155k – $190k per year
Benefits
401k plan, Continuous learning, Flexible schedule, Parental leave, Professional development, Stock options, Vision insurance