Counsel Health
Senior Software Engineer (Backend)
New York Office (Flatiron) · Senior
Sponsorship not specifiedDetected 20 days ago
Distributed SystemsRESTRAG
About the role
- We're looking for a Senior Backend Engineer to help define the future of AI-powered, human-led healthcare.
- This role is central to scaling our platform: supporting enterprise healthcare clients, powering AI-driven clinical workflows, and keeping distributed systems correct and reliable.
- Much of this is greenfield, especially how we model and operationalize longitudinal health data from wearables and external systems.
Responsibilities
- Design and evolve our external API and embedded product layer with long-term stability, disciplined versioning, and enterprise-grade craftsmanship
- Evolve our agentic retrieval harness to support patient and clinical search across structured and unstructured data, with strict permission and audit guarantees
- Build reusable platform primitives that let external partners embed and extend our AI capabilities, so every integration adds lasting platform leverage
- Cares deeply about API craftsmanship and long-term system design
- 5+ years building production backend systems, ideally in high-growth environments
- Comfort contributing to greenfield architectural design while shipping pragmatically
- We are optimistic as we build the future of care delivery from first principles.
- We optimize for the company, not functions.
Requirements
- Has a track record of maintaining and leveling up operational excellence across engineering organizations
- Experience working with distributed systems and multi-tenant architectures
Compensation
- Competitive salary + equity
Benefits
- Comprehensive healthcare, vision + dental, 401K, Unlimited PTO, Parental Leave
- Contribute to core data models that unify structured health records, unstructured inputs, and high-frequency time-series signals
Company info
- Has built complex systems that external customers rely on
- Experience designing and maintaining external-facing APIs used by customers or partners
- We are clinicians 1st, technologists 2nd.
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