Senior Backend Engineer

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🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟠 Senior

🔙 Backend Engineer

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Steer Health

WebsiteLinkedInAll Job Openings

11 - 50 employees

💼 Consulting

📣 Marketing

📦 Logistics

Consulting • Marketing • Logistics

Steer Health is a company specializing in healthcare technology solutions aimed at enhancing patient engagement and operational efficiency in medical settings. The company offers a comprehensive platform powered by artificial intelligence to streamline clinical documentation, automate patient interactions, and expand care delivery through virtual and hybrid care solutions. Steer Health is designed to serve hospitals, medical groups, and other healthcare facilities, providing tools for improving revenue, reducing operational burdens, and boosting patient satisfaction. Their platform integrates with existing healthcare applications, providing seamless EHR integrations and improving workflow efficiency through automation and AI-driven features.

📋 Description

• Design, build, and operate backend services and APIs in Node.js and TypeScript • Architect and extend event-driven systems on Kafka, including topic design, producers and consumers, stream processing, delivery guarantees, and back-pressure at scale • Own MongoDB data modeling and performance, including schema design, indexing, aggregation pipelines, replication, and query optimization • Build reliable and secure integrations with EHRs, healthcare data standards (FHIR and HL7), and third-party APIs • Support AI agent workflows with fast, resilient backend services and real-time data pipelines • Drive reliability and observability through monitoring, alerting, load testing, incident response, and postmortems • Handle PHI responsibly and uphold HIPAA-grade security practices across services • Raise engineering standards through design documents, code reviews, and mentoring

🎯 Requirements

• 5+ years of backend engineering experience with clear senior-level ownership of production systems • Expert-level Node.js and TypeScript experience in production environments • Hands-on experience designing and operating Kafka-based eventing architectures • Deep MongoDB experience at scale, including schema design, indexing strategy, and performance tuning • Track record of building and scaling systems at a high-growth or high-traffic company • Strong API design fundamentals • Disciplined habits around testing, code quality, and documentation • Healthcare or health tech background strongly preferred, including EHR integrations, FHIR or HL7, HIPAA, and PHI handling • Experience at a high-scaling technology company where reliability and throughput were mission critical strongly preferred • Cloud infrastructure experience, AWS preferred, Docker, and Kubernetes nice to have • Redis or other caching and search layers nice to have • Exposure to LLM or AI product pipelines nice to have • Early-stage startup experience and comfort with ambiguity nice to have

🏖️ Benefits

• Competitive salary • Equity • Benefits • Opportunity to build AI that improves patient access and care at scale • High ownership and direct access to the founding team • Award-winning product with strong market momentum • Equal opportunity and inclusive work environment