AI Agent Backend Engineer

Ochsner Health•New Orleans, LA
•Hybrid

About The Position

The Back-End Engineer designs, develops, and maintains the server side of conversational AI and automation applications. The role builds APIs and services used by front-end engineers, conversational interfaces, and integrated systems such as scheduling platforms and electronic health records (EHRs). It owns server-side data structures, service and system architecture, security implementation, and back-end performance and stability. This is a hybrid position with an expectation of onsite presence approximately once per month. Additional onsite travel may be required based on business needs. The position works in a healthcare setting and must follow applicable laws, regulations, accreditation standards, and employer policies, including privacy and compliance standards. The listed responsibilities are representative and may change or be supplemented.

Requirements

  • Bachelor's degree in Computer Science, Software Engineering, or a related field; equivalent practical experience may be considered in lieu of a degree.
  • At least 5 years of professional back-end/server-side software development experience, including building and consuming RESTful APIs with Python/FastAPI and async frameworks.
  • Ability to translate business and product requirements into technical solutions.
  • Ability to independently manage system reliability, uptime, and production stability.
  • Ability to anticipate and mitigate security and data privacy risks.
  • Ability to adapt to evolving AI/LLM-enabled architectures.
  • Ability to balance speed, scalability, and compliance in development decisions.
  • Ability to design scalable, high-performance backend systems.
  • Ability to collaborate with cross-functional technical and product teams.

Nice To Haves

  • AWS experience.
  • Experience with modern deployment practices, including containers and CI/CD.
  • Hands-on experience with Agentic or LLM-integrated services.
  • Experience with relational and/or NoSQL databases.
  • Experience in a healthcare or other regulated, HIPAA-relevant environment.
  • AWS Certified Developer, Microsoft Azure Developer Associate, or Google Cloud Professional Cloud Developer certification.

Responsibilities

  • Design, build, and maintain server-side services, APIs, and system architecture for AI-enabled applications.
  • Develop and document REST APIs and integration endpoints for front-end engineers, conversational flows, and connected enterprise systems.
  • Design and manage data storage solutions and server-side data structures, and produce reusable, well-tested code libraries.
  • Implement authentication, authorization, and security controls appropriate to a HIPAA-regulated environment, including secure handling of protected health information (PHI) and personally identifiable information (PII).
  • Inspect and optimize services for speed, scalability, latency, and stability; troubleshoot defects and performance bottlenecks.
  • Collaborate with product managers, quality assurance, integration engineers, and front-end and design teams to translate requirements into technical solutions.
  • Follow change-management and backup practices before making significant changes to production services.
  • Perform other duties as assigned and comply with all policies and standards.
  • Remain knowledgeable about applicable federal, state, and local laws, accreditation standards, and regulatory requirements, and ensure compliance.
  • Immediately report known or suspected unethical or questionable conduct and patient or employee safety, privacy, or other compliance-related concerns.
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