80Twenty connects high-growth companies with exceptional candidates. This role offers the opportunity to build technology that makes a meaningful impact in healthcare.
About the Company
The client is a healthcare tech and services company based in San Francisco, combining clinical expertise, operational excellence and modern engineering to reshape how people experience care.
About the Role
• Design, build and scale backend services that power pharmacy, telehealth and patient-facing workflows.
• Collaborate cross-functionally with product, operations and pharmacy teams to deliver seamless integrations and reliable systems.
• Lead architectural design discussions and set long-term technical direction for the backend stack.
This is a fully onsite role based in San Francisco, CA. Candidates must be located within 30 miles of San Francisco. The standard schedule is Monday-Friday, 9am-7pm and may vary depending on business needs and role responsibilities.
Responsibilities
• Mentor fellow engineers and help shape our backend engineering culture.
• Optimize system performance and streamline complex data flows across distributed services.
• Influence and define standards for how we build, test and deploy software across the company.
Requirements
• 7+ years of backend engineering experience in fast-moving production environments.
• Strong experience with Node.js and modern backend frameworks.
• Deep familiarity with AWS, Kubernetes, CI/CD and distributed system design.
• Adept at owning code from design through deployment and caring about maintainability, reliability and long-term scalability.
• Excellent communicator who enjoys collaborating across disciplines.
• Motivated by solving complex real-world problems in healthcare and improving patient outcomes.
This is a great opportunity to be a key member of the engineering team, taking technical ownership of our pharmacy platforms core backend systems. Your work will directly power real-time healthcare operations and improve access to care. If you're excited to apply your engineering expertise to meaningful healthcare infrastructure and want to join a company that values autonomy, sustainability and impact, we want to hear from you.
