Note: The job is a remote job and is open to candidates in USA. Steer Health is an AI-native growth and automation platform for healthcare organizations, integrating with EHRs and powering AI agents that automate patient and clinical workflows. The Senior Backend Engineer will design, build, scale, and operate backend services, event-driven data pipelines, EHR integrations, and infrastructure supporting the platform's AI agents.
Responsibilities
- Design, build, and operate backend services and APIs in Node.js and TypeScript
- Architect and extend our 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, secure integrations with EHRs, healthcare data standards (FHIR, HL7), and third-party APIs
- Support AI agent workflows with fast, resilient backend services and real-time data pipelines
- Drive reliability and observability: monitoring, alerting, load testing, incident response, and postmortems
- Handle PHI responsibly and uphold HIPAA-grade security practices across every service you touch
- Raise the engineering bar through design docs, code reviews, and mentoring
Skills
- * 5+ years of backend engineering experience with clear senior-level ownership of production systems
- * Expert-level Node.js and TypeScript 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
- * A track record of building and scaling systems at a high-growth or high-traffic company
- * Strong API design fundamentals and disciplined habits around testing, code quality, and documentation
- * Healthcare or health tech background, including EHR integrations, FHIR or HL7, HIPAA, and PHI handling
- * Experience at a high-scaling technology company where reliability and throughput were mission critical
- * Cloud infrastructure experience (AWS preferred), Docker, and Kubernetes
- * Redis or other caching and search layers
- * Exposure to LLM or AI product pipelines
- * Early-stage startup experience and comfort with ambiguity
Benefits
- Equity
- Benefits
- Remote work
Company Overview