Backend Engineer

The role

You will build APIs and backend services for patient apps and clinical workflows. You will develop systems connecting AI agents to patient information and healthcare systems while owning cloud infrastructure.

What you will do

• Build the APIs and backend services powering patient apps and clinical workflows.
• Develop systems that connect AI agents to patient information, clinical tools, and actions.
• Build tools that help clinicians review cases and care for patients.
• Integrate with electronic medical records and other healthcare systems.
• Own cloud infrastructure, deployments, monitoring, and production reliability.
• Design secure systems for sensitive patient data, including access controls and audit trails.
• Work with product, clinical, and AI teammates to take features from idea to launch.
• Improve software building through automation, tooling, and AI coding tools.
• Help hire and mentor engineers as the team grows.

Required qualifications

• Substantial experience building and operating production backend systems, typically six or more years.
• Experience building at an early-stage startup, shipping with a small team and owning multiple parts of the stack.
• Strong judgment about APIs, data models, databases, background jobs, and integrations.
• The ability to own cloud infrastructure and operate the services you build.
• A practical understanding of security, reliability, and handling sensitive data.
• Product judgment to work through ambiguous problems and understand user needs.
• Effective use of AI coding tools, with the judgment to review, test, and maintain what they produce.
• A desire to stay hands-on while taking responsibility for technical decisions and outcomes.
• Strong engineering practices.

Nice to have

• Backend systems for consumer or mobile products.
• AI agents, tool integrations, or AI-powered features in production.
• Healthcare software, clinical workflows, EMR integrations, or HIPAA requirements.
• Hiring or mentoring engineers.

About the company

Nolla Health is building AI-powered healthcare that connects understanding a patient's needs with delivering care.