What are the responsibilities and job description for the Backend Engineer position at GSD Search, LLC?
Backend Software Engineer (Hybrid - Nashville, TN)
We are seeking an experienced Backend Software Engineer to help architect and build a next-generation healthcare platform. This is a rare opportunity to join an early engineering team and play a defining role in the technical foundation and culture of a fast-growing technology company.
If you thrive in high-ownership environments, enjoy building from the ground up, and care deeply about quality and performance, this role offers a true 0→1 impact opportunity.
What You'll Do
Compensation is competitive and based on experience and location. Total rewards may include base salary, performance incentives, benefits, and equity participation.
Work Environment
We are seeking an experienced Backend Software Engineer to help architect and build a next-generation healthcare platform. This is a rare opportunity to join an early engineering team and play a defining role in the technical foundation and culture of a fast-growing technology company.
If you thrive in high-ownership environments, enjoy building from the ground up, and care deeply about quality and performance, this role offers a true 0→1 impact opportunity.
What You'll Do
- Design and build core backend systems including APIs, database architecture, infrastructure, and data pipelines.
- Own features end-to-end—from requirement gathering and technical spec creation through deployment and iteration.
- Collaborate closely with product and engineering leadership to shape technical decisions and long-term platform direction.
- Work in a fast-moving environment that values experimentation, rapid release cycles, and constant learning.
- Contribute to a platform designed to improve clinical workflows and enhance the healthcare experience for providers and patients.
- 5 years of experience building and shipping backend production systems.
- Strong background with modern backend technologies, such as:
- Cloud platforms: AWS or GCP
- Databases: Postgres, MySQL, DynamoDB, Spanner, etc.
- APIs: REST/gRPC/GraphQL
- Data pipelines: Airflow, Dagster, or similar
- Languages: Python, Golang, Java/Kotlin, or similar
- Experience building something meaningful from scratch—whether at a startup, as a technical lead, or through side projects.
- Ability to thrive in ambiguity, move quickly, and make thoughtful technical trade-offs.
- Strong communication skills and the ability to articulate technical decisions clearly.
- Experience with BaaS platforms like Supabase, Firebase, Railway, or Hasura.
- Familiarity with AI-native coding tools (e.g., Cursor, Claude Code).
- Exposure to healthcare systems (HIPAA, EPCS, PDMP, EHR/EMR workflows).
- Basic front-end skills with React, TypeScript, or Next.js.
Compensation is competitive and based on experience and location. Total rewards may include base salary, performance incentives, benefits, and equity participation.
Work Environment
- Hybrid role based in Nashville, TN
- High-impact engineering organization building mission-critical technology
- Opportunity to shape architecture, engineering processes, and team culture from the earliest stages