Paradigm Health

Paradigm Health

Staff Software Engineer

US-Remote · Staff+

Sponsorship not specifiedDetected 85 days ago
TypeScriptJavaKotlinReactDistributed SystemsBackend DevelopmentFull-Stack DevelopmentCode ReviewCloud PlatformsCI/CDAPI DevelopmentGraphQLRESTDesign SystemsClinical TrialsClinical ResearchResearchLeadershipCollaborationMentoring

About the role

  • In this role, you will be a Technical Leader for the Planning and Recruiting team.
  • You will serve as the subject matter expert for our Backend architecture, designing and scaling the systems that power clinical trial matching, patient workflows, and provider integrations.

Responsibilities

  • Architect the Backend Ecosystem: Define and evolve our backend architecture, including service boundaries, data modeling, API design (REST/GraphQL), and event-driven patterns. Drive decisions around scalability, performance, and reliability.
  • Drive Engineering Standards: Establish best practices across the stack, with a focus on backend quality (testing, observability, security), while ensuring frontend integrations are clean, maintainable, and performant.
  • Shape the Product: Partner with Product Managers and Designers to translate complex clinical workflows-such as patient eligibility and trial matching-into scalable backend systems and well-designed user experiences.
  • Cross-Team Impact: Lead large cross-team initiatives, breaking down complex efforts into iterative deliverables that span backend services and frontend experiences.
  • Domain Expertise: Develop a deep understanding of the clinical trial ecosystem to design systems that solve real-world operational and data challenges.
  • Elevate the Team: Mentor engineers primarily on backend architecture and system design, while also supporting full-stack development best practices and collaboration.
  • Define and evolve our backend architecture, including service boundaries, data modeling, API design (REST/GraphQL), and event-driven patterns.
  • Drive decisions around scalability, performance, and reliability.
  • Partner with Product Managers and Designers to translate complex clinical workflows-such as patient eligibility and trial matching-into scalable backend systems and well-designed user experiences.
  • Our team hails from a broad range of disciplines and is committed to the company's mission to create equitable access to clinical trials for any patient, anywhere.

Requirements

  • 10+ Years of Experience: You have experience building and scaling distributed systems, with comfort working across the stack when needed.
  • Backend-First Full Stack Engineer: Deep expertise in backend development (Java/Kotlin or similar), including APIs, data modeling, and distributed systems.
  • You are also comfortable contributing to frontend applications (React/TypeScript) and understand how backend decisions impact user experience.
  • You have experience with CI/CD, cloud infrastructure, observability, and operating services in production.

Benefits

  • Paradigm Health is rebuilding the clinical research ecosystem by enabling equitable access to trials for all patients.
  • Our platform enhances trial efficiency and reduces the barriers to participation for healthcare providers.
  • Implement monitoring, logging, tracing, and alerting to ensure system health and performance across backend and user-facing layers.

Company info

  • Mentor engineers primarily on backend architecture and system design, while also supporting full-stack development best practices and collaboration.
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This listing is sourced directly from Paradigm Health's careers page and normalized into a canonical job model.