Senior Backend Engineer

San Francisco, CA. Posted 4 months ago

The role

You will own core backend systems including subscription billing, clinical workflows, and infrastructure. You will architect healthcare commerce, build clinical state machines, and manage AWS and Kubernetes infrastructure.

What you will do

Build and evolve subscription and billing infrastructure
Own systems for medication ordering and fulfillment
Take hands-on ownership of AWS and Kubernetes infrastructure
Establish CI/CD pipelines and build observability
Work with Clinical, Operations, and Product teams to shape builds
Design backend architecture for AI-assisted agent workflows
Make key architectural decisions and upgrade legacy systems
Perform rigorous code review and testing

Required qualifications

5-7+ years of backend engineering experience
Experience building and operating production systems with complex domain logic and distributed stateful workflows
Experience with data modeling, schema design, and state transitions
Comfortable with or eager to master Kubernetes, Terraform, AWS, and CI/CD
Use of frontier agentic tools to build
Ability to work in-person 5 days a week in San Francisco

Nice to have

Experience with TypeScript, Node.js, Express, PostgreSQL, Redis, Kubernetes, Terraform and AWS

Benefits

Daily Meals and Espresso Bar (Breakfast, lunch, and dinner)
Pre-Tax Commuter Perks
Generous equity packages
401(k) with match
Generous time off
Life insurance
Medical, dental, and vision plans
Mochi Health Membership (monthly subscription fee covered, medications not included)
Unlimited PTO
Company holidays
Weekly mindfulness sessions, group workouts and fitness perks
Team socials, happy hours and spontaneous events

Before you apply

Intro call (30 min, remote)
Technical round (2 hrs, remote) involving practical coding and system design
Behavioral interview (45 min, remote)
Team meet (2 hrs on-site) in San Francisco

About the company

Mochi Health is building an AI-driven healthcare marketplace to connect patients to providers, transparent pricing, and affordable medications. The company is a profitable, nine-figure ARR healthcare platform.