Ellipsis Health
Senior Backend Engineer, Forward Deployed
San Francisco - Hybrid · Senior
Stay score
odds of building a lasting career here
Sponsors, but it's cap-subject — you still face the weighted lottery (~61% per draw at Level IV). Good if you win; have a cap-exempt backup on your list.
Lottery odds assume a STEM candidate.
Personalize to your clock →H-1B wage level
the lottery is wage-weighted — each level is one more entry
$5,131 more — $165,131 — moves this role to Level II and 2 lottery entries. That figure is inside the range the employer already advertised.
Based on the DOL prevailing wage for this occupation and worksite, a base salary of $165,131 would place this position at wage Level II. That figure is within the posted range, and I'd like to target it. This role classifies under "Software Developers" for prevailing-wage purposes.
DOL prevailing wage, 2026-27 wage year · Software Developers (15-1252) · San Francisco-Oakland-Fremont, CA. Wage level is derived by USCIS from the offered wage, occupation and worksite; the occupation shown is inferred from the job title.
Employer immigration record
from this employer's Department of Labor filings
Files H-1B transfers
Sourced from Department of Labor LCA, PERM and prevailing-wage disclosure data. Employer matching is by name, so figures may be split across an employer's legal entities. Absence of a filing means none appears in our copy of the data, not that none exists.
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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.
This listing is sourced directly from Ellipsis Health's careers page and normalized into a canonical job model.