Backbone Systems
Founding Engineer, Backend & Infra
San Francisco · On-site · Full-time · Posted Jun 3, 2026
- Experience
- 3+ years of professional software engineering experience.
About the job
Build and scale the backend, workflow, and infrastructure systems that automate healthcare chart, claims, authorization, and payment operations.
What you'll do
- Develop distributed backend services and integrations for clinical and financial workflows.
- Build orchestration, browser-use automation, reliability, observability, retry, audit, and human-in-the-loop systems.
- Bring clinical intelligence capabilities into production and establish engineering patterns for the team.
What they ask for
- Professional software engineering experience shipping production systems end-to-end.
- Generalist skills across backend, data, and ML, with real LLM experience in production.
- Comfort with distributed systems, microservices, queues, workflow engines, data pipelines, or large-scale backend infrastructure.
Nice to have
- Healthcare experience.
Tools
LLM, EHRs
AI focus
Productionize clinical intelligence capabilities and build clinical AI-powered workflow automation, including browser-use and computer-use systems.
Model-written summary · the original posting is authoritative