Senior Backend Engineer
Healiom•Grand Rapids, MI
•Remote
About The Position
We're building an Agentic Staffing Agency for Medicine — Holmes, Kelly, and 30+ AI agents you can hire. Not features, not chatbots. Colleagues. You'll build the graph layer for agent reasoning, focusing on how to inject patient context into AI agents, maintain temporal coherence, and ensure safe, scalable AI operations. You will also own the event-driven architecture, including Kafka pipelines for auditable workflows and ReBAC permissions for both clinicians and AI.
Requirements
- Deep distributed systems experience.
- Shipped with AI-assisted workflows and can show how you actually work now.
- Event-driven architecture depth (Kafka).
- Strong opinions about architecture decisions compounding when implementation is cheap.
Nice To Haves
- Healthcare/HIPAA experience.
- Graph database or graph RAG experience.
- Been a founder or early-stage engineer.
- Been paged at 2am and have opinions about why.
Responsibilities
- Build the graph layer for agent reasoning.
- Determine what context to inject into AI agents, when, and how to maintain temporal coherence across a patient's entire journey.
- Own event-driven architecture, including Kafka pipelines for auditable and immutable agent workflows.
- Implement ReBAC permissions that apply equally to clinicians and AI actors.
- Ensure AI operations can be done safely at scale.
Benefits
- Real equity.
- Architectural influence from day one.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
