Ellipsis Health
Senior Backend Engineer, Forward Deployed
San Francisco - Hybrid · Senior
Sponsorship not specified$160k-$210kDetected 82 days ago
TypeScriptNode.jsDistributed SystemsBackend DevelopmentSQLNoSQLPostgreSQLMongoDBDynamoDBAWSGCPAzureCloud PlatformsKubernetesCI/CDDevOpsSite Reliability EngineeringGraphQLRESTMachine LearningData EngineeringNLPCybersecurityIncident Response
About the role
- The typical salary range for this role is $160,000 to $210,000 USD, depending on skills, qualifications, and relevant experience.
- BACKGROUND CHECKS: As a health technology company, we reserve the right to run background checks on candidates to whom we extend offers, in compliance with applicable laws.
- We evaluate candidates holistically and comply with all "ban the box" regulations.
Responsibilities
- Architect, develop, and maintain robust, scalable APIs and microservices using TypeScript (Node.js) to support conversational AI workflows
- Design, build, and manage orchestration services that coordinate workflows across AI systems, APIs, and external integrations
- Optimize back-end systems for high performance, reliability, and scalability
- Collaborate with the AI team to deploy and manage conversational AI and NLP workflows in production environments
- Build and maintain CI/CD pipelines to streamline deployments and ensure high availability
- We are seeking a Senior Backend Engineer to help design, build, and scale the core systems powering our conversational AI platform.
- Experience building or operating large-scale distributed systems.
Requirements
- 5+ years of experience in back-end development with a proven track record of building secure and scalable systems
- Strong proficiency in TypeScript and Node.js for API and service development
- Expertise in RESTful API and/or GraphQL development
- Hands-on experience with cloud platforms (e.g., AWS, GCP, or Azure) and container orchestration (e.g., Kubernetes)
- Experience integrating with Epic EHR, including SMART on FHIR, Epic APIs, or Epic App Orchard.
- Experience with conversational AI, voice systems, or NLP technologies.
- Experience building orchestration layers / workflow engines for distributed systems
- Deep understanding of microservices architecture and distributed systems
- Strong database design and management experience (SQL and NoSQL), including PostgreSQL, MongoDB, or DynamoDB
- Solid understanding of security best practices, including authentication, authorization, encryption, and secure data handling
- Experience building and managing CI/CD pipelines
- Own services in production end-to-end, including deployment, monitoring, incident response, and continuous improvement of reliability and performance
Compensation
- The typical salary range for this role is $160,000 to $210,000 USD, depending on skills, qualifications, and relevant experience.
Benefits
- We offer competitive salary and benefits, including 401(k) matching, health, vision, and dental insurance, and very flexible paid time off.
- As a health technology company, we reserve the right to run background checks on candidates to whom we extend offers, in compliance with applicable laws.
- If you have a disability or require accommodations during the application or recruitment process, please contact careers@ellipsishealth.com.
- Familiarity with healthcare data standards such as FHIR and HL7.
- Prior experience working in health tech or other regulated industries.
- Ensure secure and compliant integration with healthcare systems (e.g., EHRs, scheduling systems) while adhering to standards like HIPAA and FHIR
- Design and implement database schemas and data pipelines for structured and unstructured healthcare data
Company info
- Ellipsis Health is located in the San Francisco Bay Area, but we are open to remote candidates within the United States.
Apply directly at Ellipsis Health →Create a free account for alerts like thisView Ellipsis Health immigration profile
This listing is sourced directly from Ellipsis Health's careers page and normalized into a canonical job model.