Founding Engineer, Backend & Infra
Backbone, San Francisco
What you will do
What you’ll do
As a founding engineer, you’ll own the systems that make Backbone work: chart ingestion, document processing, claims workflows, browser and computer-use automation, payer portal navigation, orchestration, queues, reliability, auditability, and the infrastructure needed to scale from thousands of charts and claims to hundreds of thousands.
You will
- Build and scale the distributed systems that power Backbone’s clinical and financial workflow; own backend services across chart data, claims data, authorization workflows, denial workflows, and payer/provider integrations
- Build orchestration infrastructure for long-running, failure-prone workflows across EHRs, practice management systems, clearinghouses, and payer portals
- Work on browser-use and computer-use systems that navigate complex medical software and payer portals
- Design reliable systems for messy healthcare data: