Founding Backend / Infra Engineer (Remote)

Recruiting From ScratchSan Francisco, CA
21h$150,000 - $200,000Remote

About The Position

Our client is an early-stage, venture-backed healthcare AI startup building a next-generation personal health platform designed to shift healthcare from reactive treatment to proactive prevention. The company is developing a unified system that brings together fragmented health data—including laboratory results, wearable device data, imaging, and medical records—into a single intelligent platform. By combining modern infrastructure with AI and collaboration with top-tier clinicians, the platform enables individuals and healthcare providers to focus on improving long-term health outcomes rather than simply managing symptoms. With strong early funding, experienced founders, and a small but highly capable team, the company is entering a critical phase of growth. This is an opportunity to join as a founding engineer , help define the core architecture, and build foundational systems that power the future of proactive healthcare.

Requirements

  • 5+ years of professional experience in backend software engineering .
  • Strong experience building and maintaining APIs, backend services, and data pipelines .
  • Experience designing scalable systems and database schemas .
  • Proficiency with backend technologies such as Python and modern API frameworks .
  • Experience working with cloud infrastructure (AWS or similar) .
  • Comfortable operating in a fast-paced startup environment with evolving requirements.
  • Demonstrated ability to take ownership of complex technical problems and deliver solutions end-to-end.
  • Strong written and verbal communication skills for effective remote collaboration.

Nice To Haves

  • Experience working at early-stage startups or as an early engineering hire.
  • Experience building products from 0-to-1 or early production scale .
  • Familiarity with health technology, digital health platforms, or regulated data environments .
  • Experience integrating with health data standards or APIs (e.g., EHR systems, FHIR, wearable devices) .
  • Experience with infrastructure tooling such as Terraform or other infrastructure-as-code platforms .
  • Exposure to AI-enabled products or systems interacting with machine learning models .

Responsibilities

  • Design and build the core backend systems and health-data pipelines that power the platform.
  • Integrate and process data from sources such as wearable APIs, medical records, lab data, and other structured or semi-structured inputs .
  • Develop and maintain robust APIs used by mobile apps, web clients, and AI-powered features.
  • Own backend architecture decisions, including database design, data models, and system scalability .
  • Help define and implement infrastructure best practices across deployment, monitoring, and security .
  • Work within a regulated environment handling sensitive health data, ensuring strong security and compliance practices .
  • Collaborate with product, clinical, and engineering stakeholders to translate complex requirements into reliable systems.
  • Take ownership of projects end-to-end—from initial design through production deployment.

Benefits

  • Equity: Founding-level equity package
  • Work Environment: Fully remote with a globally distributed team
  • Team Culture: Small, high-trust engineering team with strong ownership and autonomy
  • Impact: Opportunity to build core infrastructure for a product designed to improve long-term health outcomes
  • Growth: Early-stage role with significant opportunity to shape technical direction and company trajectory
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