Staff Engineer, Backend, Data

Trial Library

Staff Engineer responsible for backend and data systems at Trial Library, enhancing clinical trial access through AI solutions and improving healthcare outcomes.

Posted 5/28/2026full-timeSan Francisco • California • 🇺🇸 United StatesLead💰 $168,000 - $230,000 per yearWebsite

Tech Stack

Tools & technologies

AWSETLTerraform

About the role

Key responsibilities & impact

Own the systems that power Trial Library's core workflows and be accountable for their reliability, evolution, and scale
Design for reliability in compute-intensive, long-running workflows
Independently monitor production, triage issues quickly, and maintain a close read on how the platform is actually experienced by users
Shape how good engineering gets done at Trial Library
Champion best practices and evaluate emerging practices critically
Mentor engineers and set development standards

Requirements

What you’ll need

8 or more years of experience
Deep AWS experience (Lambda, Fargate, SQS, RDS, and the surrounding ecosystem)
Proven track record of leveraging AI coding tools creatively and effectively to build production systems
Demonstrated ability to take autonomous ownership, identifying and resolving systemic issues independently
Startup experience, where you have built from scratch at an early-stage company
Strong systems thinking, encompassing backend architecture, APIs, databases, and scalability under real-world constraints
Clear communication and influence
Healthcare alignment with a genuine interest in improving clinical trial access and health equity; HIPAA experience a strong plus
Experience with data and analytics platforms, such as data warehouses, ETL pipelines, or external-facing reporting infrastructure is particularly relevant
Familiarity with IaC tooling (Terraform, Pulumi, etc), clinical or healthcare data standards (EHR/EMR, HL7/FHIR), and API design patterns are all additive

Benefits

Comp & perks

Comprehensive medical, dental, and vision coverage for employees and eligible dependents
Disability, life, and supplemental insurance options designed to support your overall well-being
Flexible paid time off
Observed company holidays
One-time home office stipend to help you create a productive and comfortable remote workspace
401(k) program
Pre-tax HSA and FSA options
Commuter benefits
Financial wellness resources
Access to legal protection plans to support both short- and long-term planning
Access to voluntary benefit offerings including pet wellness support, domestic partner coverage, and additional programs that support the diverse needs of our team members and their families

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

AWSLambdaFargateSQSRDSAI coding toolsbackend architectureAPIsdatabasesETL pipelines

Soft Skills

systems thinkingclear communicationinfluencementoringautonomous ownershipproblem-solvingcritical evaluationbest practices advocacy