Senior Backend Engineer, Workflow Systems
About The Position
Kinstead is hiring a Senior Backend Engineer to build and own core backend systems and application logic. You will design and build the services that power reliable clinical and operational workflows, including APIs, background processing, and system behavior under real-world conditions. This role focuses on reliability, correctness, and predictable execution as the product grows. Prior healthcare or FHIR experience is not required; the company values strong backend fundamentals, sound engineering judgment, and the ability to quickly learn a complex domain. You will work closely with the CTO on system design while maintaining ownership of implementation and operational correctness.
Requirements
- 5+ years building production software systems
- Strong Python experience
- Familiarity with asynchronous programming in any language
- Experience designing and maintaining APIs for production applications
- Experience building backend systems beyond request/response — background jobs, event-driven patterns, or async processing
- Strong debugging and problem-solving skills
- Ability to design systems that behave predictably when things go wrong
- Comfort working in an AI-assisted development workflow
Nice To Haves
- Experience with React or NextJS
- Experience building workflow or state-machine-driven systems
- Experience reasoning about stateful systems
- Experience with FHIR or healthcare data systems (helpful but not required)
- Experience with Kubernetes or distributed systems
- Experience working in early-stage startups
Responsibilities
- Design and implement backend workflows and application logic
- Build and maintain APIs that power product functionality
- Implement scheduling, encounter, and operational workflows
- Build AI-powered tools that help clinicians with documentation, clinical decision support, and voice-driven workflows
- Integrate with clinical systems using FHIR
- Debug and resolve production issues across the stack
- Ensure system behavior remains predictable under failure conditions
- Collaborate with frontend engineers to maintain clear API contracts
- Use AI development tools to accelerate implementation while maintaining reliability
- Participate in system design and technical planning
Benefits
- Competitive salary and generous, early-stage equity (4-year grant)
- Health, vision, and dental benefits
- 401(k)
- Unlimited PTO
- Prime office in Columbus Circle with weekly team lunches
- Fun team events and offsites
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
