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Nxt Level
Nxt Level

Senior Software Engineer

Location

Remote restrictions apply
See all remote locations

Salary Estimate

N/AIconOpenNewWindows

Seniority

Senior

Tech stacks

Security software
Data
Software Development
+33

Visa

U.S. visa required

Permanent role
2 days ago
Apply now

Location: New York City | Employment: Full-Time | Dept.: Engineering

Compensation: Competitive base + significant equity (seed-stage)

Overview

Seeking a skilled Backend Engineer to build and scale the infrastructure behind an AI healthcare platform serving millions of patients. This role sits at the intersection of high-scale backend engineering and AI systems, owning secure APIs, distributed services, and data pipelines that power 14M+ patient interactions with uncompromising reliability and healthcare compliance.

Required Qualifications

Education & Background

  • CS degree or exceptional equivalent experience (Engineering/Math welcome)
  • Startup DNA: founder/founding engineer or deep early-stage experience preferred
  • Proven independence solving complex problems and strong cross-functional collaboration

Technical Expertise

  • 5+ years backend engineering with Python and API development
  • Strong with FastAPI/Flask (or similar) and cloud services (AWS/GCP/Azure)
  • Built/scaled RESTful APIs for high-volume traffic
  • Proficient with relational DBs (PostgreSQL/MySQL) and performance tuning
  • Knowledge of Redis, caching strategies, and distributed systems design

System Design & Integration

  • Third-party API integrations, webhooks, and microservices patterns
  • Security best practices for sensitive data and API design
  • CI/CD, containers (Docker), and deployment automation
  • Monitoring/logging/observability (metrics, tracing, alerts)

Preferred Qualifications

  • Experience in healthcare, fintech, or other regulated domains
  • Familiar with HL7, FHIR, and HIPAA requirements
  • High-scale data processing and real-time systems
  • Background with AI/ML systems and model serving
  • Message queues, event-driven, and async architectures
  • Knowledge of healthcare workflows, EHRs, or telehealth platforms
  • Seed/Series A startup experience
  • Advanced degree in CS/Engineering (or related)

About Nxt Level

🔗Website
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