Senior Backend Engineer
About The Position
Heartbeat Health is looking for a Senior Backend Engineer to join our lean, high-impact engineering team and help build our virtual-first cardiovascular care platform. Youâll develop backend services that orchestrate care journeys and drive outcomes for patients and providers across the country. This is a hands-on role where youâll work alongside experienced engineers to solve challenging technical problems and shape system architecture. Weâre looking for a senior engineer who thrives in high-autonomy environments - someone who brings architectural thinking, executional rigor, and a strong product mindset. Youâll play a key role in scaling a platform thatâs transforming specialty care through clean abstractions, pragmatic engineering, and tight iteration.
Requirements
- 5+ years of experience building backend services and APIs
- Strong proficiency in at least one modern, statically typed language like Rust, Go, or Kotlin (weâre a Rust shop)
- Experience designing and building RESTful APIs, including defining and maintaining documentation with OpenAPI specifications.
- Solid understanding and experience with relational databases (PostgreSQL), distributed systems, and AWS cloud environments.
- Familiarity with service-oriented architectures and best practices for designing modular services.
- Comfort with CI/CD pipelines, containerization (Docker, Kubernetes), and monitoring/observability tools.
- Solid communication and collaboration skills; ability to work cross-functionally and independently
- A bias toward pragmatism, simplicity, and execution
Nice To Haves
- Experience in healthcare or other regulated industries
- Familiarity with EHR integrations (FHIR, HL7, SMART on FHIR, etc.)
- Experience building with Rust and its ecosystem (e.g., Actix, Serde, Diesel, Tokio)
- Interest or experience in AI/ML systems or integrating AI-powered tools
Responsibilities
- Build Systems That Matter - Design, implement, and maintain RESTful backend services and APIs that power care coordination, EMR interoperability, and automation across our platform.
- Deliver Incremental Value - Partner closely with product, clinical, and operations to ship usable, valuable backend functionality in short, feedback-driven iterations.
- Write Reliable Code - Contribute clean, well-tested, and maintainable code thatâs built for resilience, observability, and scale.
- Shape Technical Direction - Participate in design reviews and technical discussions that influence how our systems evolve over time.
- Contribute to a High-Impact Team - Join a group that values thoughtful engineering, clear ownership, and shipping real value - fast.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
