Backend Engineer

All.Health is hiring a Backend Engineer to architect and build scalable systems for ingesting, processing, and managing diverse health data sources—from continuous wearable signals to episodic clinical records. You will work on the backbone of a platform that combines real-time data, AI insights, and personalized care pathways to transform healthcare delivery.You should be comfortable working with regulated health data (PHI/PII), building privacy-aware and HIPAA-compliant systems, and have strong experience working with event-driven architectures, secure APIs, and health data standards (e.g., FHIR, HL7, BLE protocols). Full-stack experience, especially building internal tools or patient/provider-facing dashboards, is a strong plus.Core Responsibilities Design and implement scalable backend services that ingest, transform, and persist diverse health data (wearable sensor streams, EHRs, user inputs).Build APIs and data pipelines for real-time and batch processing, ensuring data integrity, security, and complianceIntegrate with external systems and protocols including FHIR APIs, BLE-based devices, Apple HealthKit, and Google Fit.Ensure backend services are designed for high availability, reliability, and low latency, especially for real-time clinical decision supportCollaborate with security and compliance teams to ensure HIPAA-compliant handling of PHI/PII data.Work cross-functionally with product, clinical, and AI teams to align backend capabilities with user-facing experiences and clinical workflowsContribute to CI/CD pipelines, observability tooling, and data quality monitoringSupport and mentor teammates across engineering functions, especially around secure coding and data access best practicesRequirements Bachelor’s or Master’s degree in Computer Science or related5 years of experience delivering products end-to-end, from ideation through planning and scoping to implementationFull-stack experience, including building dashboards, admin tools, or data visualizations with React/Next.js, Tailwind, etcProven software architecture experience, patterns of large, high-scale applicationsExperience integrating 3rd-party health platforms and APIs, including EHRs, remote monitoring tools, or insurance data exchangesBackground in working with data warehousing, analytics platforms, or data lakes for longitudinal health dataExposure to clinical workflows, remote patient monitoring, or population health management systemsFamiliarity with data governance, data provenance, and auditing frameworks for regulated environmentsPassion for writing clean, maintainable, and testable codeExcellent programming and computer science fundamentals, and a deep love for technologyAbility to adapt and learn new skills coupled with a resourceful, can-do attitudeOutstanding attention to detailProficient experience with Git, Github, Jira or similar project enablement toolsTechnical RequirementsStrong Python backend engineer (FastAPI, Flask, Django) with understanding of distributed systems, microservices, and asynchronous workflows (Celery)Solid database experience with PostgreSQL or MySQL; comfortable with Kafka or similar event-streaming systems and enforcing data contracts and idempotencyCompetent in test architecture using PyTest (fixtures, contract tests), Hypothesis (property-based testing), and Locust (performance/load testing)Skilled in observability and reliability engineering - instrumenting metrics, traces, and logs to measure and improve real-world system behaviorHands-on with Kubernetes, containerized CI/CD pipelines, and cloud environments (Azure, AWS, GCP)Familiar with OAuth2, TLS certificate management, and secure service communicationUnderstands security and compliance principles (HITRUST, HIPAA, FDA 510(k)), encryption, and evidence generation for auditsExperience with HL7 or FHIR interfaces - message parsing, composition, and secure data exchange in healthcare environmentsSystems-oriented mindset: treats testing, automation, and monitoring as first-class engineering concerns; pragmatic, collaborative, and effective across the full stackExperience with Java or other JVM-based languages preferredExperience with RustWhat We're Looking For Builder mindset with a passion for delivering robust, scalable, and secure systems in healthcareComfortable working in a fast-paced, mission-driven environment where data accuracy and integrity are paramountWillingness to get hands dirty across the stack when needed and collaborate across disciplinesCurious, thoughtful, and focused on long-term maintainability and resilienceDeeply motivated by improving health outcomes through technology

Salary : $150,000 - $200,000