Senior Backend Engineer

Senior Backend EngineerSteer Health is the AI-native growth and automation platform for healthcare. Health systems, hospitals, and specialty medical groups use our platform to attract and convert patients, automate front-office and clinical workflows, and accelerate revenue. Our AI agents answer calls, book appointments, document visits, and close operational gaps around the clock, connected directly to the systems clinicians already use.The platform integrates with 36 EHRs, including direct Epic integration with SSO, and serves provider organizations nationwide, covering millions of patient lives. Steer Health is a KLAS Emerging Solutions Top 20 company, an athenahealth Marketplace certified partner, and winner of the 2026 Hearst Health Prize.We are hiring a Senior Backend Engineer to design, build, and scale the core services behind our platform. You will work on event-driven pipelines that move clinical and operational data in real time, integrations with EHRs and third-party systems, and the backend infrastructure that powers our AI agents. This is a high-ownership role: you will take problems from architecture through production and operate what you ship.What You Will DoDesign, build, and operate backend services and APIs in Node.js and TypeScriptArchitect and extend our event-driven systems on Kafka, including topic design, producers and consumers, stream processing, delivery guarantees, and back-pressure at scaleOwn MongoDB data modeling and performance, including schema design, indexing, aggregation pipelines, replication, and query optimizationBuild reliable, secure integrations with EHRs, healthcare data standards (FHIR, HL7), and third-party APIsSupport AI agent workflows with fast, resilient backend services and real-time data pipelinesDrive reliability and observability: monitoring, alerting, load testing, incident response, and postmortemsHandle PHI responsibly and uphold HIPAA-grade security practices across every service you touchRaise the engineering bar through design docs, code reviews, and mentoring