{"id":2365723,"url":"https://alion.io/job/visilant-lead-backend-engineer","title":"Lead Backend Engineer","company":{"id":4424675,"name":"Visilant","domain":"visilant.org","url":"https://alion.io/company/visilant","size_band":null,"is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":null,"truth_index":null},"role":"Backend","role_family":"Backend","seniority":"lead","employment_type":null,"work_mode":"hybrid","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":[],"countries":[],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":null,"experience_years_min":5,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"CI/CD","optional":false},{"name":"Computer Vision","optional":false},{"name":"HIPAA","optional":false},{"name":"Java","optional":false},{"name":"Node JS","optional":false},{"name":"Offline-First","optional":false},{"name":"Python","optional":false},{"name":"Rest API","optional":false},{"name":"SOC 2","optional":false},{"name":"JavaScript","optional":true}],"status":"live","first_seen_at":"2026-10-12T16:37:12Z","employer_posted_date":null,"last_verified_at":"2026-10-12T16:37:12Z","board_verified":false,"closed_at":null,"days_open":0,"trust":{"level":"not_scored","repost_count":null,"flags":[],"days_open":0},"description":"Visilant is hiring a hands-on Lead Backend Software Engineer to own the architecture, development, and scaling of Visilant's backend platform. This role will be a foundational engineering position responsible for building the systems that connect patients, healthcare workers, AI models, and clinical partners.\nYou will design and implement secure, reliable, and scalable backend infrastructure supporting our AI-powered screening platform, including APIs, data pipelines, cloud infrastructure, healthcare integrations, and clinical workflows. You will work closely with leadership, product, AI, and clinical teams to define technical strategy and build systems that enable deployment across global healthcare environments. This is an opportunity to own critical architecture decisions from day one and build technology that directly improves access to care for millions of patients.\nThe core responsibilities for the job include the following:\nBackend Engineering and Architecture:\nDesign, build, and maintain scalable backend services, APIs, and data infrastructure powering Visilant's healthcare platform.\nOwn architecture decisions across backend systems, including service design, databases, messaging infrastructure, and cloud deployment.\nDevelop reliable systems for patient data management, AI inference workflows, telemedicine operations, and clinical reporting.\nBuild integrations between Visilant's platform and healthcare systems, including EMRs, EHRs, and interoperability standards such as FHIR and HL7.\nDevelop secure APIs and services supporting mobile applications, clinician portals, AI models, and external partners.\nCloud Infrastructure and Reliability:\nDesign and maintain secure, scalable cloud infrastructure supporting production healthcare applications.\nLead engineering efforts to achieve and maintain SOC 2 compliance, including defining security controls, improving infrastructure practices, supporting audits, and driving remediation of identified gaps.\nOwn technical implementation of HIPAA-compliant systems, including security architecture, access controls, encryption, audit logging, data protection, and secure handling of protected health information (PHI).\nImprove system scalability, observability, monitoring, and reliability as deployments expand to support millions of patients.\nBuild secure data pipelines for processing clinical images, AI predictions, and patient information.\nImplement engineering best practices around CI/CD, testing, deployment automation, and infrastructure management.\nTechnical Leadership:\nDefine and execute the technical roadmap to support scale, reliability, and innovation in partnership with organisational leadership/\nEstablish engineering standards, architecture patterns, testing practices, and development workflows.\nMentor engineers and help build a high-performing software engineering team.\nParticipate in technical decision-making across product, AI, and infrastructure initiatives.\nRequirements:\n5+ years of experience in software engineering, with significant backend development, and a strong track record of technical leadership and architectural decision-making.\nProven experience designing and scaling production backend systems and distributed architectures.\nStrong proficiency in backend programming languages such as Python, Node.js, Java, or similar.\nExperience building and maintaining REST APIs, microservices, databases, and asynchronous workflows.\nExperience integrating third-party systems through APIs and data pipelines.\nStrong understanding of security, reliability, observability, and performance optimisation.\nHealthcare fit:\nExperience building healthcare technology platforms, clinical applications, or enterprise software systems preferred.\nFamiliarity with healthcare interoperability standards such as FHIR and HL7 is strongly preferred.\nExperience working with sensitive data environments and regulated software development practices preferred.\nMission Fit:\nPassion for health equity and social impact.\nExcited to improve access to care for underserved populations globally\nBonus Qualifications:\nExperience with digital health platforms in global or resource-constrained settings.\nExperience supporting mobile health applications or offline-first systems.\nExperience with computer vision pipelines or AI model deployment infrastructure.\nFamiliarity with quality management systems and software lifecycle standards (ISO 13485, IEC 62304).","description_format":"text","description_chars":4442,"description_truncated":false,"requirements":{"experience_years_min":5,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":["Equity"],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":[],"lifecycle":[{"event":"open","at":"2026-10-12T16:37:12Z"}],"visa":[],"liveness":{"score":86,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.86,"p_room":1,"age_days":0,"expected_fill_days":23,"reasons":["seen:0","win:early"],"computed_at":"2026-10-13T01:36:50Z"},"pay":null,"html_url":"https://alion.io/job/visilant-lead-backend-engineer","json_url":"https://alion.io/job/visilant-lead-backend-engineer.json","meta":{"generated_at":"2026-10-13T01:36:50Z","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 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