• Ensure we build, scale, ship, and monitor our platform reliably, leveraging technologies such as Java, Python, MySQL, NSQ, Hbase, AWS, and Kubernetes. • Partner with product managers, designers, and other engineers to define requirements and complete feature work. • Work to improve the processes, systems, and tools we use to deliver quality products and champion technical initiatives and direction. • Uphold project quality and planning through meeting deadlines, breaking down work, and ensuring proper testing and monitoring • Lift the skills of other engineers through mentorship, knowledge sharing, and providing feedback on PRs and technical designs.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description We are seeking a Mid-Level Backend Engineer (3–5 years of experience) to join our engineering team. This role focuses on designing, developing, and optimizing scalable backend services that power our core business systems. - Design and develop backend services for core business systems, including API design, business logic implementation, and system optimization. - Build high-performance, scalable services using: - Python (FastAPI, Django, Flask), or - Go (Gin, Echo, Fiber). - Design and optimize database schemas using relational databases (MySQL, PostgreSQL) and NoSQL databases (MongoDB). - Write and maintain API documentation, unit tests, and integration tests to ensure service reliability and maintainability. - Perform performance analysis and optimization to address high-concurrency and high-availability challenges. - Participate in system architecture design and refactoring, promoting microservices, modularization, and standardization. - Collaborate closely with frontend, product, QA, and DevOps teams to deliver high-quality features on schedule. - Troubleshoot production issues and ensure stable system operation. Qualifications - Bachelors degree or above in Computer Science or a related field (preferred). - 3–5 years of backend development experience. - Strong proficiency in either Python or Go, with hands-on production experience. - Experience in both is a strong plus. - Familiarity with common web frameworks: - Python: FastAPI, Django, or Flask. - Go: Gin, Echo, Fiber, or similar frameworks. - Solid experience with relational databases (MySQL, PostgreSQL), strong SQL skills, and query optimization capabilities. - Experience with Redis and understanding of caching strategies (cache penetration, breakdown, avalanche, etc.). - Understanding of distributed system concepts such as: - Microservices architecture - Message queues (Kafka, RabbitMQ, RocketMQ) - Task queues - Idempotency design - Familiar with Linux environments. - Basic knowledge of containerization and DevOps practices (Docker, Kubernetes, CI/CD). - Strong engineering mindset with good coding standards, testing awareness, and systematic problem-solving skills. Preferred Qualifications (Nice to Have) - Experience working in high-concurrency, high-availability, or large-scale data environments. - Experience with microservices governance (service discovery, circuit breaking, rate limiting). - Experience building observability systems (logging, monitoring, tracing). - Experience leading or deeply participating in complex system design from 0 to 1. - Contributions to open-source projects, technical blogs, or technical sharing experience.

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.

• Own key platform APIs end to end, from RFC to rollout and monitoring • Shape the partner developer experience (docs, SDKs, sample apps, sandbox flows) • Build clean contracts and stable interfaces for identity, eligibility, scheduling, claims, and reporting • Work with standards like OAuth2/OpenID Connect and FHIR/HL7 when they help, and keep things simple when they don’t • Collaborate with product, security, data, and customer teams to turn real integration pain points into shipped solutions • Measure impact and iterate quickly • Lead the design, development, and optimization of services built on Ruby on Rails. • Architect and implement event-based systems leveraging RabbitMQ and other messaging technologies. • Design and optimize schemas and queries for relational databases (e.g., PostgreSQL, MySQL). • Drive the development of FHIR-compliant APIs for healthcare interoperability. • Provide technical leadership and mentorship to engineers across teams. • Partner with product, compliance, and business stakeholders to translate healthcare workflows into reliable software solutions. • Advocate for engineering best practices including code quality, testing, CI/CD, and system observability. • Collaborate in cross-functional discussions on scalability, security, and patient data protection.