Heartbeat Health

Senior Backend Engineer

Heartbeat Health

full-time

Posted on:

Location: 🇺🇸 United States

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Job Level

Senior

Tech Stack

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.

Requirements

  • 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