Senior Backend Engineer
New
S
Steer HealthHealth Tech
Dallas, Texas, United StatesFull-TimeSenior
SalaryCompetitive salary, equity, and benefits
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Job Details
- Experience
- 5+ years
- Required Skills
- Node.jsKafkaMongoDBTypeScriptHIPAA
Requirements
- 5+ years of backend engineering experience with clear senior-level ownership of production systems.
- Expert-level proficiency in Node.js and TypeScript in production environments.
- Hands-on experience designing and operating Kafka-based eventing architectures.
- Deep MongoDB experience at scale, including schema design, indexing, and performance tuning.
- Proven track record of building and scaling systems at a high-growth or high-traffic company.
- Strong API design fundamentals and disciplined approach to testing, code quality, and documentation.
- Background in healthcare or health tech (EHR integrations, FHIR, HL7, HIPAA, PHI) is strongly preferred.
- Experience at a high-scaling technology company where reliability and throughput were mission-critical.
- Familiarity with cloud infrastructure (AWS preferred), Docker, and Kubernetes is a plus.
- Exposure to Redis or other caching and search layers, LLM or AI product pipelines, and early-stage startup experience is a plus.
Responsibilities
- Design, build, and operate backend services and APIs in Node.js and TypeScript.
- Architect and extend event-driven systems on Kafka, managing stream processing and delivery guarantees.
- Manage MongoDB data modeling, schema design, indexing, and query optimization.
- Develop secure integrations with EHR systems, FHIR, and HL7 standards.
- Support AI agent workflows with resilient backend services and real-time data pipelines.
- Maintain high reliability through monitoring, load testing, and incident response.
- Ensure HIPAA-grade security practices when handling sensitive PHI data.
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