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Overview
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Ellipsis Health
·
Posted Sep 15, 2026
Senior Backend Engineer, Core Services
San Francisco - Hybrid · Remote
full time
Apply on Employer Site
Remote
senior
$160k–$210k
H1B: no
Responsibilities
Design, develop, and maintain end-to-end features across TypeScript-based backend services
Architect and implement scalable APIs and microservices using TypeScript/Node to support conversational AI workflows and healthcare integrations
Own services in production end-to-end, including deployment, monitoring, incident response, and continuous improvement of reliability and performance
Lead the design and implementation of database schemas and data pipelines for structured and unstructured healthcare data
Design and maintain secure integrations with healthcare systems, scheduling systems, and external platforms
Implement and manage authentication and authorization across systems
Integrate and manage identity and access management solutions such as Zitadel
Ensure security, privacy, and compliance (HIPAA, FHIR, and related standards) across backend systems
Optimize systems for performance, reliability, and scalability, supporting high-volume, real-time workloads
Build and maintain CI/CD pipelines, infrastructure automation, and observability for production services
Troubleshoot and resolve complex production issues; participate in on-call or production support rotations as needed
Mentor junior engineers and contribute to engineering best practices, code quality, and architectural standards
Qualification
Experience with conversational AI
Exposure to DevOps practices
Salary and Benefits
Required
Bachelor's or Master's degree in Computer Science or equivalent practical experience
5+ years of professional experience building backend applications with strong TypeScript/JavaScript expertise
Strong proficiency in TypeScript/JavaScript and Node.js for backend and API development
Expertise in designing and consuming RESTful APIs and/or GraphQL
Solid understanding of microservices architectures, distributed systems, and system design
Hands-on experience with cloud platforms (AWS, GCP, or Azure) and containerized deployments (Docker, Kubernetes)
Strong database skills with SQL and NoSQL systems (e.g., PostgreSQL, MongoDB, DynamoDB)
Deep understanding of security best practices, authentication/authorization, and secure data handling
Experience building and maintaining CI/CD pipelines and production monitoring/alerting systems
Excellent collaboration and communication skills in cross-functional teams
Preferred
Experience implementing role-based access control (RBAC) and fine-grained permission systems
Familiarity with identity providers and access management platforms such as Zitadel, Auth0, or similar
Familiarity with healthcare data standards such as FHIR and HL7
Experience with conversational AI, voice systems, or real-time systems
Prior experience working in health tech or other regulated industries
Experience building or operating large-scale distributed systems
Exposure to DevOps practices, infrastructure-as-code, or site reliability engineering concepts
Salary and Benefits
Benefits
Dental
Vision
401(k)
PTO
Company
Ellipsis Health
View company page
Source: ashby
Active within the past hour
Remote-friendly
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