Senior Backend Engineer

Summary

Join Caregentic, a company transforming healthcare delivery through an AI-powered platform, as a Senior or Staff Backend Engineer. You will take end-to-end ownership of key backend services, building scalable and resilient systems using Python, FastAPI, and other modern technologies. Collaborate with product and engineering teams, work on deployments and monitoring, maintain databases, and drive engineering best practices. The role requires 5+ years of backend development experience with strong Python skills and experience with PostgreSQL, Docker, and testing. Caregentic offers a fully remote work environment and a competitive compensation package, including comprehensive healthcare, flexible PTO, 401(k), and equity participation. The company is committed to improving healthcare through technology and offers opportunities to make a meaningful impact.

Requirements

• 5+ years of backend development experience in production environments, specifically strong Python skills, including async programming and type hints
• Solid understanding of PostgreSQL database design and optimization
• Familiarity with Docker and containerization
• Strong testing practices using pytest

Responsibilities

• Design and develop robust, scalable, event-driven services using Python, FastAPI, Apache Kafka and GraphQL
• Collaborate across product and engineering teams to define requirements and architect features
• Work with DevOps on deployments, monitoring, and reliability improvements
• Maintain and optimize PostgreSQL databases and data models
• Drive engineering best practices through code reviews and mentorship

Preferred Qualifications

• Experience with microservice architectures is preferred
• Experience with GraphQL APIs
• Experience with event-driven systems and message queues
• Experience with major cloud providers (e.g., AWS)
• Experience with Strawberry GraphQL
• Experience with Kafka, Procrastinate, or similar background job systems
• Experience Apollo Federation or multi-service GraphQL experience
• Healthcare or regulated industry experience (HIPAA, HL7, FHIR)
• Experience with Terraform or infrastructure-as-code
• Experience with Kubernetes
• Experience mentoring engineers or leading technical projects

Benefits

• Comprehensive healthcare coverage (medical, dental, vision)
• Time off: Flexible PTO policy with 20 vacation days and 5 sick days per year
• 401(k) retirement plan
• Remote work environment
• Top-tier development equipment
• Opportunity to make a meaningful impact on healthcare delivery