Note: The job is a remote job and is open to candidates in USA. Counsel Health is a company dedicated to enhancing healthcare through AI technology. They are seeking a Senior Backend Engineer to help define the future of AI-powered healthcare by owning core product primitives, supporting enterprise healthcare clients, and contributing to the operationalization of health data.

Responsibilities

• Design and evolve our external API and embedded product layer with long-term stability, disciplined versioning, and enterprise-grade craftsmanship
• Evolve our agentic retrieval harness to support patient and clinical search across structured and unstructured data, with strict permission and audit guarantees
• Build reusable platform primitives that let external partners embed and extend our AI capabilities, so every integration adds lasting platform leverage
• Contribute to core data models that unify structured health records, unstructured inputs, and high-frequency time-series signals

Skills

• 5+ years building production backend systems, ideally in high-growth environments
• Experience designing and maintaining external-facing APIs used by customers or partners
• Strong data modeling instincts, particularly around time-series or high-frequency data
• Experience working with distributed systems and multi-tenant architectures
• Comfort contributing to greenfield architectural design while shipping pragmatically
• Cares deeply about API craftsmanship and long-term system design
• Has built complex systems that external customers rely on
• Enjoys modeling messy real-world data, especially high-frequency signals, into clean, durable abstractions
• Has built comprehensive search or RAG systems at production scale
• Has helped scale early systems from 1 to 10 in a fast-paced environment
• Thrives in small, high-leverage teams where ownership is real
• Has a track record of maintaining and leveling up operational excellence across engineering organizations

Benefits

• Comprehensive healthcare, vision + dental
• 401K
• Unlimited PTO
• Parental Leave

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