Staff Backend Engineer
Location
United States
Posted
78 days ago
Salary
0
Job Description
Staff Backend Engineer
Attuned Intelligence
Senior Backend Engineer About Attuned Intelligence Attuned Intelligence is building the future of healthcare communication through AI Agent workforce technology. Our platform enables healthcare organizations to deploy, manage, and optimize their own multilingual AI agents that handle complex patient service workflows including appointment management, prescription services, and clinical support tasks. Healthcare teams can customize and control these AI agents without technical expertise, with real-time oversight and the ability to update workflows as needs evolve. The platform maintains natural conversation, intelligent triaging, and seamless integration into existing healthcare workflows. This isn't a phone tree or chatbot—we're building a trainable, operational platform that functions as a true AI workforce, with EHR integration capabilities. Backed by Radical Ventures and Threshold Ventures, we’re live with multiple health systems handling thousands of calls daily. And we're growing fast, actively onboarding dozens of additional hospitals and health systems. The Opportunity We're seeking a Senior Backend Engineer to build and scale the distributed systems that power our real-time AI voice agent platform. You'll architect and implement the core backend infrastructure—microservices, APIs, databases, and message queues—that enables healthcare organizations to deploy AI agents at scale. This role focuses on creating scalable, reliable backend systems that support complex healthcare workflows while maintaining HIPAA compliance and integration with electronic health record (EHR) systems. Given our work with sensitive patient data and critical healthcare workflows, we're looking for engineers who are passionate about quality, reliability, and making a meaningful impact on healthcare accessibility. Key Responsibilities - Design and implement high-performance, scalable Python microservices and APIs that support our real-time AI agent framework - Build resilient distributed systems that maintain high availability and low latency at scale, supporting tens of thousands of concurrent connections - Architect robust data storage solutions across SQL, NoSQL, in-memory stores (Redis), and blob storage, understanding when to use each and how to orchestrate them - Implement message queuing systems and event-driven architectures for reliable inter-service communication - Build and maintain integrations with Epic EHR and other healthcare systems - Ensure HIPAA compliance and security in all system designs - Create monitoring and observability systems to ensure platform reliability - Take end-to-end ownership of backend features from design through deployment - Collaborate effectively with cross-functional teams through technical discussions and code reviews Qualifications - 7+ years of backend engineering experience building scalable, distributed systems - Strong system design skills with demonstrated ability to architect solutions from scratch - Experience integrating with external systems and third-party APIs - Track record of independently owning and delivering complex technical projects - Comfort with AI-assisted coding tools (e.g., Claude, Cursor) for enhanced productivity Preferred Qualifications - Experience with real-time, low-latency distributed systems at scale - Background in healthcare technology or regulated environments (HIPAA, SOC 2) - EHR integrations (Epic, Athenahealth, eClinicalWorks) and healthcare system APIs - Telephony systems or voice infrastructure Why Join Us? At Attuned Intelligence, you'll be at the forefront of transforming healthcare through AI workforce technology. Our platform is helping healthcare organizations reimagine patient service delivery, reduce provider burnout, and provide better care to their patients. We're tackling one of healthcare's hardest challenges—hospital main lines—where the technical difficulty and social impact are both significant. By owning the front door to healthcare systems, we're building a platform that can expand from routing and scheduling today to fundamentally transforming how patients access care. You'll join a collaborative team of experts from leading healthcare institutions and world-class technology companies like DeepMind, Google, Amazon, InstaDeep, and AssemblyAI. As a venture-backed startup with live deployments across multiple healthcare systems, we offer both stability and rapid growth. Your contributions will directly shape our products and future. Ready to make a difference? Join us in building the future of healthcare communication.
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About Culturello Culturello, having recently joined engagement & gamified compliance pioneers Patient Rewards Hub and Hubbux Teams, is transforming the science of gameplay, behavioral economics, and AI‑supercharged data into delightful member connections, brand moments, and inspired rewards. Finally, a one‑stop shop for the application‑weary. We offer organizations an AI Agent and multi‑member experience platform that compounds brand touchpoints across their various relationship journeys — automating manual workflows and activating data into connected experiences and successful outcomes for patients, customers, employees, and community partners. With over a billion points awarded and millions of gamified rewards transacted, organizations and their members trust Culturello to power meaningful brand moments into shared benefits. Join the Culturello journey in inspiring connection and recognizing success. Together, we believe big changes happen one little nudge at a time. Job Overview As a Senior Software Engineer (Backend) at Culturello, you’ll help shape a production platform used by millions while influencing how we evolve our systems in an increasingly AI-driven world. You’ll contribute through hands-on development, architectural decision-making, code review, and collaboration across engineering, product, and design. We value engineers who bring strong judgment, curiosity, and a sense of ownership — not just people who can write code. We are actively evolving our platform — continuing the long-standing work of modernizing our stack, improving developer experience, and increasing system reliability — while also responsibly incorporating applied AI, including LLM-powered workflows and intelligent automation, into a mature, mission-critical system. Technology You’ll Work With Our stack continues to evolve, but today includes: - Backend: PHP (Laravel), MySQL, Elasticsearch / Solr - Frontend: JavaScript (React, Next.js) - Infrastructure: AWS, Docker, CI/CD pipelines - Data & Systems: Distributed systems, data pipelines, caching layers - AI & Automation: LLMs, embeddings, vector search, AI agents, evaluation workflows - Testing & Quality: PHPUnit, Cypress, automated deployments Why You’ll Love Working Here - Impact That Matters: Your code won’t just live in a repository – it will help real people achieve their goals and improve their lives. We’re building a cognitive architecture that combines behavioral science, AI, and engagement mechanics to create meaningful outcomes. - Applied, Real-World AI: We focus on deploying AI where it genuinely adds value — not chasing trends. You’ll help shape how modern AI techniques are used responsibly in production systems. - Modern, Evolving Stack: We run cloud-native infrastructure on AWS and continuously improve how we build, ship, and operate software. - Collaborative, Low-Ego Culture: We’ve cultivated a team where everyone genuinely enjoys working together. Our product and development teams work in close partnership, fostering an environment where knowledge sharing is the norm and support is always available. No egos, no jerks – just smart, helpful people working together to build something meaningful. - Stability with Momentum: With 15+ years in the market and over 1,000 locations deployed, we offer stability without stagnation — you’ll have the autonomy to innovate and make meaningful contributions while working with a seasoned team that knows how to execute. 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If you don’t meet every requirement but feel excited about this role, we still encourage you to apply. If this sounds like a good fit, we’d love to hear from you. Please apply via the attached form. No recruiters — direct applicants only.
Staff Backend Engineer
KoyfinA modern investment platform for research, portfolio analysis, and client-ready proposals
• Drive the architecture and technical roadmap for core backend services • Lead the design and implementation of scalable APIs and data processing pipelines • Guide critical initiatives that impact multiple teams and business areas • Collaborate with engineering leadership to raise the bar on system performance, reliability, and maintainability • Mentor engineers across teams and foster a culture of technical ownership • Debug and optimize distributed systems and large-scale data flows • Act as a force multiplier — identifying gaps, proposing solutions, and enabling others to move faster • Work with modern technologies including TypeScript, Node.js, NestJS, PostgreSQL, MongoDB, AWS, and Kubernetes
• Build and maintain backend services and integration layers using Scala. • Develop TypeScript services, APIs, and tooling that interact with blockchain-based applications. • Write well-tested, readable, and maintainable code. • Participate in design discussions, code reviews, and iterative improvement of the platform. • Work with a team of talented software developers in a distributed work environment • Represent the engineering team in daily client interactions, communicating progress, tradeoffs, and technical decisions clearly and effectively.
About Us Turnkey is developer-first infrastructure for private key management, making it simple to create wallets, sign transactions, and automate on-chain actions through one elegant API, without ever exposing sensitive key material. Founded by the team who scaled Coinbase Custody from zero to a $100M+ ARR business and helped protect over $100B in crypto assets, Turnkey is tackling crypto security at its foundational level. Our mission is to make strong cryptography the default across the open internet the same way AWS made scalable computing the default for software. Our team is low-ego, high-agency, and high-autonomy, with a significant amount of combined experience in cryptography, security, and low-level systems. We're building the trustless, programmable infrastructure that will power the next wave of mass-market crypto applications and we're looking for people who want to shape what that future looks like. We are looking for talented engineers who are excited by the radical potential of crypto to change the world for the better. We are generalist engineers and constantly solving new problems and challenges. We are language-agnostic, though we do use Go, Typescript, and Rust in production and while we don't expect you to have a background in every technology we use, we do expect strong fundamentals and experience building scalable infrastructure. What You'll Do - Design and build systems from the ground up without cutting corners on security or usability - Develop signing infrastructure and applications to run inside secure computing environments - Collaborate effectively across the company to design and deliver the core product - Write internal product specifications, external developer documentation, whitepapers, etc. - Design and build new product features end-to-end driven by customer requests - Assist in scaling out a world-class engineering team - Develop thoughtful deployment processes and infrastructure to reduce the risks inherent in the software development lifecycle What We're Looking For - 5+ years of production engineering experience - Experience with one of the following languages: Go, Typescript, or Rust - Experience working with AWS, GCP, or other other cloud providers - An understanding of modern application architectures with opinions on how they should be developed and deployed - Experience building and operating large-scale, mission-critical infrastructure - People who have experience building scaled crypto products - A healthy amount of paranoia :-) Style Points - Experience developing against TEEs, HSMs, and other secure computing environments - A deep understanding of the Linux operating system and how to reduce the surface area of applications deployed on top of it - Expertise in threshold signing systems and a desire to stay on the cutting edge of production-grade cryptography - Actively tracking developments in the crypto ecosystem and opinionated on where it is going What We Offer - Full benefits, including medical, dental, vision, life, disability, HSA/FSA, 401(k) - detailed benefits overview available as we get further in the process - Paid parental leave - Unlimited PTO - $3,000/yr learning and development budget to attend industry conferences - Multiple team offsites per year - Lunch stipend Please note that while the team is remote, we are only considering candidates who are physically based in the United States and Canada at the current time. Turnkey is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other characteristic protected by law. We encourage individuals of all backgrounds to apply. Compensation range $150,000—$275,000 USD



