Senior Backend Engineer

Doctronic | New York City ONSITE (Hybrid) | Reports to CEO

The Mission

Let's make healthcare free and accessible to everyone through AI. We need backend infrastructure that can scale our AI doctor platform to billions of consultations while maintaining medical safety and HIPAA compliance.

What You'll Build

Healthcare API Infrastructure

Scalable APIs using Python, FastAPI, AWS handling millions of monthly requests
RESTful API development supporting our AI healthcare tools
Real-time data processing for sensitive patient information (HIPAA-compliant)
Internal API architecture for web platform and AI coordination

Integration & Data Systems

Secure health record exchange with EHR systems, QHINs, healthcare networks
Third-party integrations: telehealth providers, analytics platforms, healthcare APIs
Large-scale sensitive data processing with encryption and compliance safeguards
Partner API integrations across dozens of diverse healthcare systems

Scale & Reliability

Database optimization for high-volume healthcare data with complex queries
Redis for secure caching and session management in healthcare environments
Error handling, failover systems, disaster recovery for mission-critical services
Performance optimization for rapid user growth

AI System Integration

Backend coordination for AI tools and decision-making workflows
Python-based deterministic systems working alongside AI agents for clinical accuracy
APIs supporting model inference, data preprocessing, result processing
Infrastructure for AI safety: validation layers and human escalation protocols

You'll also work on healthcare compliance automation, advanced monitoring, multi-region deployment, and backend foundation for next-generation AI healthcare features.

How We Work

Engineering-first org: no project managers, just senior engineers
Flat structure with direct CEO reporting and high autonomy
Own features end-to-end from minimal specs to production
AI coding tools encouraged
Ship fast with good judgment; daily standups for alignment, not micromanagement

Required Qualifications

Education & Background

CS degree OR equivalent demonstrated expertise
Engineering, Math, or related technical degrees welcomed with strong programming foundation
Preference for graduates from top programs at top universities
Preference for founders, founding engineers, or extensive startup experience
Independent problem solver who collaborates well cross-functionally

Technical Expertise

6+ years backend engineering with Python and API development
FastAPI, Flask, or similar Python web frameworks
Cloud services experience
RESTful APIs, high-volume traffic handling
Relational databases (PostgreSQL, MySQL) and optimization
Redis, caching strategies, distributed systems design

System Design & Integration

Third-party API integrations and webhook management
Microservices architecture and distributed system patterns
Security best practices for sensitive data and API design
CI/CD pipelines, containerization (Docker), deployment automation
Monitoring, logging, observability tools

Preferred Qualifications

Systems for healthcare, fintech, or regulated industries
Healthcare data standards (HL7, FHIR) and HIPAA compliance
High-scale data processing and real-time systems
AI/ML systems and model serving infrastructure
Message queues, event-driven architectures, async processing
Healthcare workflows, EHR systems, telehealth platforms
Seed/Series A experience in healthcare or technology
Advanced degree in CS, Engineering, or related field

What We Offer

Competitive salary plus significant equity
Build infrastructure transforming healthcare accessibility for millions
Direct CEO reporting with significant autonomy
Access to leading technologies and healthcare experts
Benefits reimbursement

Funding & Momentum

Union Square Ventures led our seed (Feb 2025)
Lightspeed Venture Partners preempted our Series A six months later (Aug 2025)
Abstract preempted our Series B five months later (Jan 2026)
Significant equity stake in fast-moving, well-backed company

About Doctronic

Doctronic is the #1 AI Doctor, revolutionizing direct-to-patient healthcare through our proprietary AI system. Doctronic is the first AI legally authorized to practice medicine. We're processing millions of consultations monthly with 99%+ treatment plan accuracy validated by board-certified clinicians. Our platform (doctronic.ai) provides free, anonymous, HIPAA-compliant AI consultations alongside affordable human physician visits ($40) available 24/7 across all 50 states via instant video, scheduled video, or async text.