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Senior Backend Engineer

Location: Remote
Compensation: Salary
Reviewed: Thu, Sep 17, 2026
This job expires in: 30 days

Job Summary

To design, build, and scale core services for a healthcare platform, the full-time Senior Backend Engineer will work remotely, focusing on event-driven pipelines, EHR integrations, and backend infrastructure while ensuring high ownership from architecture through production.

Key responsibilities
  • Design, build, and operate backend services and APIs using Node.js and TypeScript
  • Architect and extend event-driven systems on Kafka, managing topic design and stream processing
  • Own MongoDB data modeling and performance, including schema design and query optimization
Required qualifications
  • 5+ years of backend engineering experience with senior-level ownership of production systems
  • Expert-level proficiency in Node.js and TypeScript in production environments
  • Hands-on experience with Kafka-based eventing architectures
  • Deep MongoDB experience at scale, including performance tuning and indexing strategy
  • A proven track record of building and scaling systems in high-growth or high-traffic companies

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