Senior Backend Engineer

SENIOR BACKEND ENGINEER

Doctronic | New York City ONSITE (Hybrid) | Reports to CEO

THE MISSION

Let's make healthcare free and accessible to everyone through AI. We need backend infrastructure that can scale our AI doctor platform to billions of consultations while maintaining medical safety and HIPAA compliance.

WHAT YOU'LL BUILD

Healthcare API Infrastructure

- Scalable APIs using Python, FastAPI, AWS handling millions of monthly requests

- RESTful API development supporting our AI healthcare tools

- Real-time data processing for sensitive patient information (HIPAA-compliant)

- Internal API architecture for web platform and AI coordination

Integration & Data Systems

- Secure health record exchange with EHR systems, QHINs, healthcare networks

- Third-party integrations: telehealth providers, analytics platforms, healthcare APIs

- Large-scale sensitive data processing with encryption and compliance safeguards

- Partner API integrations across dozens of diverse healthcare systems

Scale & Reliability

- Database optimization for high-volume healthcare data with complex queries

- Redis for secure caching and session management in healthcare environments

- Error handling, failover systems, disaster recovery for mission-critical services

- Performance optimization for rapid user growth

AI System Integration

- Backend coordination for AI tools and decision-making workflows

- Python-based deterministic systems working alongside AI agents for clinical accuracy

- APIs supporting model inference, data preprocessing, result processing

- Infrastructure for AI safety: validation layers and human escalation protocols

You'll also work on healthcare compliance automation, advanced monitoring, multi-region deployment, and backend foundation for next-generation AI healthcare features.

HOW WE WORK

- Engineering-first org: no project managers, just senior engineers

- Flat structure with direct CEO reporting and high autonomy

- Own fea...