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Senior Staff Engineer

We are on a mission to prevent avoidable hospitalizations and transform senior-care operations. Today, our technology touches 40,000+ post-acute patients daily across skilled-nursing, home-health, and home-care networks. We are backed by leading healthcare and AI investors and headquartered in El Segundo, CA.

We need a Senior Staff Engineer who architects and hardens the backbone of our platform owning backend systems, integration frameworks, and infrastructure reliability at scale. This is a platform-defining role.

What you'll do:

• Architect core backend systems design and evolve high-performance services that ingest device telemetry, process predictive signals, orchestrate AI agents, and serve enterprise dashboards.
• Own integrations at scale. Build and harden integrations with EHRs, billing systems, and enterprise tools via HL7, FHIR, REST, SFTP, and webhook pipelines.
• Design for reliability & throughput ensure systems scale across hundreds of thousands of patients with high availability and low latency.
• Lead infrastructure strategy own cloud architecture (AWS/GCP), containerization, CI/CD, monitoring, observability, and incident response standards.
• Build data pipelines develop secure, compliant data flows for time-series telemetry, clinical data ingestion, and AI model outputs.
• Establish engineering standards define backend architecture patterns, testing frameworks, deployment workflows, and code quality standards.
• Improve deployment velocity create tooling and infra improvements that reduce environment setup time, increase release confidence, and support rapid enterprise onboarding.
• Ensure security & compliance partner with security and compliance to maintain HIPAA, SOC 2, and healthcare-grade data protections.

What you need:

• 8+ yrs of backend software engineering experience
• Deep expertise in distributed systems and AWS cloud
• Strong proficiency in Python or Node/TypeScript experience designing RESTful APIs and event-driven systems
• Experience with containerization (Docker) and orchestration (Kubernetes)
• Familiarity with databases (Postgres, Redis, time-series DBs)
• Strong understanding of observability (metrics, logging, tracing) experience scaling systems in high-growth production environments
• BSCS or related degree
• Willing to work in Los Angeles (initially embedded with team)

Benefits

• 100% company-paid medical, dental, and vision
• 401(k) with match
• Generous PTO
• Professional development budget
• Company-paid annual retreat

For this position you must be currently authorized to work in the United States. We do not sponsor for this position.