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Confidential company

Job listing

San Francisco, United States$220K - $280K + Equity

Founding Platform Engineer at well-funded healthcare AI startup

Are you a backend expert ready to build the infrastructure for the future of medicine? This well-funded SF-based startup is looking for a Founding Platform Engineer to own the APIs and AWS systems powering an AI-first medical practice. With a salary up to $280k plus equity, you'll work alongside a founding team that has already scaled a healthtech company to over $100M in revenue. You'll build the technical backbone that connects AI models to real-world clinical care, managing everything from complex data integrations to high-security infrastructure. If you're a Python expert who thrives in high-stakes environments, this is your chance to make a massive impact.

Overview

Role overview

You will architect the backend infrastructure and API ecosystem for a venture-backed startup reimagining clinical delivery through artificial intelligence. This role involves building high-reliability systems that integrate with complex external networks, managing AWS infrastructure, and developing the core connective tissue between advanced AI models and real-world medical operations in a high-compliance environment.

Company

About the company

Well-funded healthcare AI startup

Responsibilities

What you will do

  • Design and implement robust Python-based APIs and backend services that power complex clinical workflows and patient applications.
  • Build and manage critical infrastructure on AWS, ensuring hospital-grade reliability, security hardening, and technical regulatory compliance.
  • Develop sophisticated integrations with external healthcare data networks and partner systems to enable real-time medical operations.

Candidate profile

Who this is a fit for

  • Has 5+ years of experience in backend engineering with Python and a proven track record of designing scalable, secure APIs.
  • Possesses deep expertise in cloud infrastructure and managing production environments with strict uptime and security requirements.
  • Thrives in an AI-native development environment and is comfortable building complex integrations with third-party service providers and webhooks.

What makes it remarkable

Why this role is remarkable

  • Ship code that directly impacts patient health outcomes and clinical decision-making in an AI-first environment.
  • Join a high-performance founding team backed by top-tier VCs with a track record of scaling healthcare companies to nine-figure revenues.
  • Gain massive ownership over architectural decisions and the opportunity to grow into a senior leadership position as the engineering team scales.

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