A New York-based healthcare startup combining clinician expertise with AI to deliver medical guidance at scale.

Senior Software Engineer (Backend)

New YorkHybrid$190K - $220K6+ yearsReferral bonus eligible
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We’re building a platform where patients get fast, trustworthy medical advice from board-certified physicians, amplified by purpose-built AI tools that reduce busywork and sharpen clinical decision-making. Our backend engineers own the services that power those interactions—secure, low-latency systems that handle everything from care routing and clinical data to asynchronous provider workflows. This is a senior role on a lean, high-autonomy team; you’ll shape architecture decisions, mentor other engineers, and push production code that directly affects patient outcomes.

What they're looking for

  • 6+ years of backend engineering experience, with deep fluency in TypeScript and NodeJS
  • Strong relational data modeling skills and significant production experience with PostgreSQL
  • Comfortable operating cloud infrastructure on AWS or GCP, including containerized deployments with Docker and Kubernetes
  • Track record of designing and maintaining high-availability APIs in regulated or safety-critical environments (healthcare, fintech, or similar)
  • Clear communication and a collaborative instinct—you explain tradeoffs well and raise the bar for the engineers around you

Tech stack

TypeScriptNodeJSPostgreSQLRedisAWSGCPDockerKubernetes

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This role is one we're recruiting for on behalf of a client company; the client's identity is kept confidential at this stage. A Fluency recruiter will follow up with details.

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