Senior Backend Engineer

Heartbeat Health

full-time

Posted on: 9/20/2025

Origin: • 🇺🇸 United States

✨ AI Apply

Senior

AWSCloudDistributed SystemsDockerGoKotlinKubernetesPostgresRust

About the role

Build Systems That Matter - Design, implement, and maintain RESTful backend services and APIs that power care coordination, EMR interoperability, and automation across our platform.
Deliver Incremental Value - Partner closely with product, clinical, and operations to ship usable, valuable backend functionality in short, feedback-driven iterations.
Write Reliable Code - Contribute clean, well-tested, and maintainable code that’s built for resilience, observability, and scale.
Shape Technical Direction - Participate in design reviews and technical discussions that influence how our systems evolve over time.
Contribute to a High-Impact Team - Join a group that values thoughtful engineering, clear ownership, and shipping real value - fast.
Develop backend services that orchestrate care journeys and drive outcomes for patients and providers across the country.
Work alongside experienced engineers to solve challenging technical problems and shape system architecture.
Play a key role in scaling a platform through clean abstractions, pragmatic engineering, and tight iteration.

5+ years of experience building backend services and APIs
Strong proficiency in at least one modern, statically typed language like Rust, Go, or Kotlin (we’re a Rust shop)
Experience designing and building RESTful APIs, including defining and maintaining documentation with OpenAPI specifications.
Solid understanding and experience with relational databases (PostgreSQL), distributed systems, and AWS cloud environments.
Familiarity with service-oriented architectures and best practices for designing modular services.
Comfort with CI/CD pipelines, containerization (Docker, Kubernetes), and monitoring/observability tools.
Solid communication and collaboration skills; ability to work cross-functionally and independently
A bias toward pragmatism, simplicity, and execution
Experience in healthcare or other regulated industries
Familiarity with EHR integrations (FHIR, HL7, SMART on FHIR, etc.)
Experience building with Rust and its ecosystem (e.g., Actix, Serde, Diesel, Tokio)
Interest or experience in AI/ML systems or integrating AI-powered tools