Lead Backend Engineer – Virtual Primary Care Platform

Job not on LinkedIn

November 6

🏄 California – Remote

Although this job is listed in California, this company may be open to hiring remote in other states.

💵 $180k - $200k / year

⏰ Full Time

🟠 Senior

🔙 Backend Engineer

🦅 H1B Visa Sponsor

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LifeMD

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Telecommunications • Healthcare Insurance • Wellness

LifeMD is a 50-state direct-to-patient telehealth company providing virtual primary care, diagnostics, and specialized treatments. They focus on men's and women's health, allergies, asthma, and dermatological issues. With a proprietary technology platform, a comprehensive medical group, and a nationwide mail-order pharmacy network, LifeMD aims to increase access to affordable healthcare. The company offers online consultations with board-certified doctors, covering various health concerns from weight management to chronic conditions, available anytime and anywhere.

- employees

📡 Telecommunications

⚕️ Healthcare Insurance

🧘 Wellness

📋 Description

• Architect, build, and optimize backend services that power scheduling, task management, and provider-patient workflows • Define and evolve platform APIs, data models, and service boundaries across our Node.js-based services • Collaborate with product, QA, and front-end teams to deliver features that directly impact patient and provider experience • Champion and continuously improve the company-wide SDLC — from requirements gathering and code review to automated testing, deployment, and post-release monitoring • Mentor developers on design patterns, code quality, testing, and observability best practices • Partner with DevOps and Security to ensure high availability, resilience, and SOC-2/HIPAA compliance across the stack • Lead technical reviews and help shape the roadmap for core backend domains • Improve internal documentation, migration strategies, and coding standards for the next generation of LifeMD’s backend systems

🎯 Requirements

• 7+ years of professional software engineering experience • 5+ years of experience in backend development • Strong proficiency in Node.js/TypeScript, MongoDB (or similar RDBMS), and Redis / message queues (BullMQ, SQS, etc.) • Deep understanding of distributed systems, asynchronous processing, and API design • Hands-on experience building event-driven architectures and integrating with third-party services (EHRs, pharmacies, telehealth APIs) • Familiarity with cloud infrastructure (AWS preferred) and container orchestration (ECS, Docker, or Kubernetes) • Comfortable balancing strategic architecture decisions with hands-on coding and code reviews • Experience working in regulated or healthcare-adjacent environments (SOC-2, HIPAA) • Background experience with GraphQL, gRPC, or service federation • Experience leading migrations from monoliths to microservices • Background in workflow engines or job scheduling systems • Interest in mentoring, process improvement, and helping to build an engineering culture of excellence • Excellent communication and leadership skills — able to partner cross-functionally and influence without authority

🏖️ Benefits

• Salary Range: $180,000-$200,000 • Health Care Plan (Medical, Dental & Vision) • Retirement Plan (401k, IRA) • Life Insurance (Basic, Voluntary & AD&D) • Unlimited PTO Policy • Paid Holidays • Short Term & Long Term Disability • Training & Development