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Senior Software Engineer, Core Systems

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Summary

Senior backend engineer at an early-stage healthtech company, owning core infrastructure for a radiology platform: data ingestion, warehousing, and distributed AI model inference on AWS, with HIPAA-compliant design. On-site in San Francisco; $215k–$275k base.

About the Role

Join a small engineering team at an early-stage healthtech company, building the backend infrastructure for a radiology platform. You will own key systems that support medical imaging data pipelines and AI model inference, helping improve the reliability and scale of tools used in radiology.

What You'll Do

  • Design, build, and operate backend infrastructure for data ingestion, warehousing, and distributed model inference on AWS.

  • Own reliability, observability, debugging, and capacity planning across the systems you support.

  • Build CI/CD and deployment automation that enables the team to ship safely and efficiently.

  • Design systems that handle protected health information with encryption, access controls, audit logging, and HIPAA compliance in mind.

  • Partner with the ML team on infrastructure and model inference pipelines as priorities require.

What We're Looking For

  • At least 5 years of experience in backend engineering, data infrastructure, or distributed systems, with hands-on production experience at scale.

  • Proficiency in Go, Python, or Java, and experience building and operating distributed systems on AWS or a comparable cloud.

  • Depth in data infrastructure, including large-scale pipelines, ETL, warehouses or data lakes, schema evolution, and deployment automation.

  • Experience leading multi-quarter technical initiatives across systems or teams, and working on a small, fast-moving team.

  • Strong skills in troubleshooting distributed systems and balancing performance, cost, security, and maintainability.

  • Exposure to ML infrastructure or model inference pipelines, HIPAA-compliant system design, and TypeScript or React is useful.

  • A STEM degree or strong computer science fundamentals.

Compensation & Benefits

Base salary: $215,000 to $275,000 annually. Visa sponsorship is available.

Location

On-site in San Francisco, California, United States.

Skills

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