Senior Software Engineer

This is a core engineering position on a small lean team of ten engineers building an AI-powered documentation platform for the home health industry. You will take on significant ownership across backend services and infrastructure helping scale existing products and drive new Generative AI and LLM-driven workflows. The work directly reduces documentation burden for clinicians giving them more time for patient care.

• Build and ship complex backend services and infrastructure that interface with LLMs and Generative AI models.
• Own zero-to-one projects from early prototyping and MVPs through to scalable secure and reliable production systems.
• Help scale widely adopted products as the platform expands to more healthcare organizations.
• Improve backend architecture observability and code quality standards across the codebase.
• Collaborate within a flat engineering structure working directly with fellow engineers and senior technical leadership.

• 5 years of software engineering experience with a strong backend focus.
• Background at an early-stage startup (pre-seed through Series A/B) or demonstrated zero-to-one building experience at a larger company.
• Track record of independently owning and shipping projects with minimal oversight.
• Strong proficiency in Python for backend development.
• Experience building distributed systems APIs or data-heavy backend architectures.
• Hands-on experience with one or more of: MongoDB PostgreSQL FastAPI or AWS.
• Demonstrated signal of technical excellence such as strong academic CS fundamentals meaningful leadership roles or standout project work.
• Experience with production LLM or Generative AI systems is a plus.
• Experience or demonstrated interest in healthcare or HealthTech AI is a plus.

Base salary range: $190000 to $230000 USD annually. Visa sponsorship is not available for this role.

Hybrid based in San Francisco California.