Note: The job is a remote job and is open to candidates in USA. Synaxia Group is a rapidly scaling AI healthcare startup seeking a Senior Software Engineer (Backend) to own the critical layer between application code and cloud infrastructure. The role involves developing and maintaining cloud infrastructure, owning CI/CD pipelines, and writing production backend services in a HIPAA-regulated environment.
Responsibilities
- You'll develop and maintain cloud infrastructure using Terraform across AWS and GCP
- You'll own CI/CD pipelines end-to-end with one goal: make production deploys boring
- Fast, reliable, automatic
- You'll write production backend services in TypeScript and Node.js, contributing real application code to core server-side systems
- You'll build the foundational archetypes (abstract base stream consumers, cron executors, worker patterns) that the rest of the team builds on top of
- You'll improve local dev workflows, reduce build times, eliminate flaky infrastructure, and build internal tooling the team wants to use
- And you'll do all of this inside a HIPAA-regulated healthcare environment, working closely with security and compliance on secrets management, IAM policies, network isolation, and audit logging
Skills
- 5+ years in backend engineering, infrastructure engineering, or a hybrid of both
- Strong proficiency in a strongly-typed or compiled language (Go, Rust, Java, TypeScript)
- AWS/GCP/Azure experience and comfort with Docker and containerised environments
- A bias toward automation. If you do something manually twice, you're already writing the script
- Kubernetes experience
- Terraform
- CI/CD pipeline ownership (GitHub Actions, CircleCI)
- Working in regulated environments (HIPAA, SOC 2)
Benefits
- $180K-$225K base salary + equity in a $35M-funded, a16z-backed company
- Comprehensive healthcare, vision, dental, 401K, unlimited PTO, parental leave
- Direct interface with leadership and executives at leading healthcare organisations
- NYC hybrid, Boston hybrid, or East Coast remote
- A team where the right answer wins. Debate is open, egos are low, and the mission is real: multiply the world's healthcare capacity
Company Overview