Staff Software Engineer - Backend/Infra [NYC or SF]

Concurrence • New York City, NY

11h • Onsite

About The Position

Concurrence is building a platform that enables healthcare organizations to create clinical AI agents. Its Health World Model unifies health-system data into a living, event-level record of patient care, while agents support work across the patient journey. The platform runs natively on Databricks and integrates with major EHRs. The company has about 35 people and works in person in New York and San Francisco.

As a Staff Backend/Infra Engineer, you will build and own core services behind the agent platform. These systems handle millions of conversations per month, making concurrency, reliability, and clean design central to the role. You will own services from design through production and help shape the platform’s architecture as it grows. The role requires working on site in New York City or San Francisco.

Requirements

• Built and operated production backend systems at scale and owned their outcomes.
• Strong knowledge of concurrency, distributed systems, and service design.
• Preference for simple, maintainable solutions to difficult problems.
• Ability to debug across services, queues, and databases.
• Low-ego, direct working style and a high personal bar.
• Ability to work on site in New York City or San Francisco.

Nice To Haves

• Experience in a regulated or high-reliability domain, such as healthcare, finance, or legal.
• Experience with high-throughput or low-latency system design.
• Experience with production AI or ML systems.

Responsibilities

• Design high-throughput services that handle concurrent conversations at scale.
• Own a core platform service from design through production.
• Build systems that remain available and degrade gracefully when failures occur.
• Handle sensitive healthcare data carefully.
• Improve performance, observability, and operational health across services.
• Shape architectural decisions as the platform grows.
• Think carefully and holistically about system design under time pressure.

Benefits

• Comprehensive health, dental, and vision insurance.
• Daily catered lunch and dinner.
• Mental health support and wellness coaching.
• Flexible wellness stipend for fitness, therapy, or personal growth.
• Annual learning budget for courses, books, or conferences.
• Conference attendance budget for professional development.
• Annual team offsite.
• Academic collaboration opportunities.
• Unlimited PTO.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed