Senior Back End Engineer (Agentic Systems Engineer)

Job Description

THE OPPORTUNITY THAT AWAITS YOU

Were partnering with an innovative health-tech company building advanced agentic AI systems that are transforming healthcare administration in the United States. Their mission is clear: reduce the administrative burden on doctors through safe reliable and clinically accurate AI giving healthcare professionals more time to focus on patient care.

Were looking for a Senior Back End Engineer / Agentic Systems Engineerto help architect and scale the backend intelligence powering these systems. This is a high-impact opportunity for someone who thrives at the intersection of AI engineering backend systems and real-world healthcare outcomes.

If you want to build production AI that solves meaningful problems at scale this deserves your attention.

WHAT YOU WILL BE BUILDING

• Production-grade LLM agent runtimes built for scale resilience and secure execution
• Platform observability including logging tracing latency analysis usage and cost monitoring
• EHR integrations with systems such as OpenEMR Epic and other healthcare platforms
• Speech-to-text pipelines supporting clinical and operational workflows
• Shadow deployments canary releases rollback strategies and production hardening controls
• Secure cloud environments supporting healthcare-grade compliance expectations
• Integration architecture connecting AI systems to real-world product workflows
• Technical standards delivery priorities and engineering direction for platform growth

OUR REQUIRED EXPERTISE

• 35 years software engineering / backend development experience
• Strong Python backend engineering expertise
• Hands-on experience with LLMs prompt engineering and AI system evaluation
• Experience building APIs distributed systems and scalable backend services
• Strong understanding of async runtimes and production reliability
• Exposure to Docker Kubernetes and cloud environments (GCP preferred)
• Ability to design benchmarks testing frameworks and quality controls
• Strong communication skills with the ability to work cross-functionally
• Healthcare medical coding or clinical informatics exposure highly advantageous
• PhD / advanced research background in AI NLP or related field strongly preferred

YOUR REWARD

• Build systems that directly reduce clinician burnout and improve healthcare delivery
• Your work will shape how AI is deployed safely and effectively inside one of the worlds most complex industries
• Join a fast-moving high-calibre team solving hard technical problems with real commercial and social impact
• Hybrid/Flexible working based out of Stellenbosch Western Cape
• Lucrative salary based on experience with additional company perks

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