Backend Engineer

San Francisco, CA On-site Full-time Compensation: $120,000–$250,000 + 0%–2% equity About The Company Our client is a Series A healthcare company building the agentic intelligence layer for healthcare — AI agents that read, reason over, and adjudicate complex clinical cases in real time and push decisions directly into payer systems. The agents automate prior authorizations, already processing 10k+ requests a month and lifting provider satisfaction by 65%. The company is venture-backed and led by an experienced ML researcher. Founded 2024 11–50 people (Series A; :6-person engineering team) Industry: Healthcare The Role Own and scale the backend and AI infrastructure behind an agentic clinical-decision platform, supporting rapid customer onboarding and growth in a production healthcare environment. Tech stack: Python-centric; infrastructure-as-code (Terraform or similar); LLM / prompt-engineering and agentic tooling. Requirements Strong Python proficiency (hard requirement) Hands-on infrastructure-as-code — Terraform or similar (hard requirement) A working understanding of prompt engineering An active GitHub contribution history Currently employed in an engineering role at an established company Available on-site in San Francisco five days a week Nice to Haves A competitive background in any domain (sports, esports, chess, competitive programming, Kaggle) that signals exceptional ability Prior founding or early-startup experience, including founding-team membership A track record of high agency and strong decision-making Experience with browser automation Active open-source contributions IC strength with the potential to grow into people management Why Join Real traction, fast: past $1M+ revenue within four months of commercialization, 10x ARR over the last six months, targeting eight-figure ARR by year end — with engineering capacity as the primary growth constraint High ownership on hard problems: architect AI-native systems end to end and ship agentic systems processing clinical data at scale A path to leadership: build and manage your own engineering team as the company scales Elite team and resources: work alongside ex-founders, operators, and clinicians from top labs and big tech; ample GPU, latest hardware, and AI coding assistants provided Details Location — San Francisco, CA Work policy — On-site, 5 days/week Compensation — $120,000–$250,000 + 0%–2% equity Visa sponsorship — Available (H-1B, O-1, OPT; transfers supported) Employment type — Full-time