hatch I.T.

hatch I.T.

Senior Backend Engineer, Workflow Systems

New York, NY · Senior

Sponsorship not specified$160k-$205kDetected 70 days ago
PythonNext.jsDjangoGitPostgreSQLRedisAWSKubernetesTerraformGitHub ActionsDatadogWebSocketsDesign SystemsTest AutomationHL7/FHIRProblem Solving

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odds of building a lasting career here

47Sponsors, lottery-bound
Cap-exempt (no lottery)0
Sponsors this role35
Entry-level history0
PERM / green-card track0
Lottery odds (Level IV)94
Fits your clock70

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.

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About the role

  • This role focuses on reliability, correctness, and predictable execution as the product grows.
  • You do not need prior healthcare or FHIR experience.
  • They care more about strong backend fundamentals, sound engineering judgment, and the ability to ramp quickly on a complex domain.

Responsibilities

  • They maintain automated testing and deployment pipelines using Github Actions and integrate with AI providers including Google (Vertex AI), Anthropic (AWS Bedrock), and OpenAI.
  • We're building something ambitious, and we care deeply about how we show up while we do it.
  • The best ideas come from understanding their reality and building alongside them.
  • We solve problems in real time, then step back and build the systems that make it easier for the next clinician.
  • About the Role Kinstead is hiring a Senior Backend Engineer to build and own core backend systems and application logic.
  • You'll design and build the services that power reliable clinical and operational workflows, including APIs, background processing, and system behavior under real-world conditions.
  • You'll work closely with the CTO on system design while maintaining ownership of implementation and operational correctness.
  • This creates a new model of care, one where clinicians practice on their terms and patients get consistent, community-rooted care.

Requirements

  • Strong Python experience.
  • Familiarity with asynchronous programming in any language.
  • Experience designing and maintaining APIs for production applications
  • Comfort working in an AI-assisted development workflow

Nice to have

  • Kinstead services run on AWS and Kubernetes, and we rely on Terraform for IaC and Datadog for APM and infrastructure monitoring.
  • We spend time with the people we serve, in their practices and in their communities.
  • If something matters, we don't wait for perfect clarity.
  • We step in, make progress, and figure it out together.
  • We look for ways to reduce manual work so clinicians can focus on care.

Skills

  • What It's Like to Work with Kinstead:
  • 🤝 We stay close to clinicians
  • ⚡ We take responsibility and move things forward
  • 🧩 We turn what works into something that lasts
  • 🤖 We use AI thoughtfully
  • 🌱 We care about building something meaningful

Compensation

  • Competitive salary and generous, early-stage equity (4-year grant)

Benefits

  • Competitive salary and generous, early-stage equity (4-year grant)
  • Health, vision, and dental benefits
  • About the Company Kinstead is building the AI-native operating system for independent healthcare, enabling nurse practitioners to launch and run their own clinics.
  • They replace the fragmented, manual infrastructure behind healthcare with a single, intelligent system so clinicians can spend their time on care, not paperwork.
  • They're backed by Wisdom Ventures and founders and executives from Pomelo Care, Flatiron Health, Roivant, and PathAI on their mission to deliver better care.

Company info

  • Kinstead is building the AI-native operating system for independent healthcare, enabling nurse practitioners to launch and run their own clinics.
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