Senior Backend Engineer - AI/Healthcare Join a fast-growing healthcare AI startup transforming clinical workflows. About Basalt At Basalt, we're revolutionizing healthcare workflows with next-generation AI-powered Medical Assistants (MAs) that support clinical administrative workflows. Our mission is to turn Medical Assistants from data hunters into high-value clinical partners through cutting-edge LLM applications. We're already piloting with a top-10 healthcare system (and investor) and are looking for a Senior Backend Engineer to shape our technical future. While healthcare and LLM experience are valuable, we prioritize strong backend engineers who thrive on solving complex problems. Why Join Basalt? Be a Founding Engineer: Join at the ground level of a well-funded healthcare AI startup. Shape the Future of Healthcare AI: Work on impactful AI solutions that directly improve healthcare workflows. Cutting-Edge Technology: Collaborate with AI, MLOps, and modern engineering systems. Growth & Learning: Grow your skills in healthcare tech, AI, and machine learning (ML). Compensation & Equity: Competitive salary and equity package. Meaningful Impact: Help improve healthcare delivery and patient outcomes. Core Responsibilities As a Senior Backend Engineer, you will: Architect Scalable Infrastructure: Drive technical architecture decisions and build scalable systems. Build & Lead Development: Lead platform development and partner with internal and external engineering teams. API & Service Design: Design and implement secure, scalable APIs that integrate with healthcare systems. Data Processing Solutions: Architect robust solutions for processing and analyzing clinical documentation. Mentor & Grow the Team: Help build and mentor a growing engineering team as we scale. Required Skills & Experience We're looking for a passionate problem-solver with the following experience: 8+ years of backend development with Python or TypeScript/Node.js. Cloud & Distributed Systems: Expertise in modern cloud architecture and distributed systems. API Design & Microservices: Deep understanding of scalable API design and microservices architecture. Passion for Learning: A hunger to explore new technologies, especially in healthcare and AI. What You'll Learn & Work With You'll have the opportunity to expand your skills with: AI & LLM Systems: LLM frameworks (LangChain, LlamaIndex) and vector databases (Chroma, Pinecone). Healthcare Tech: Deep exposure to healthcare systems, EMR integration, and HIPAA compliance. Google Cloud Platform: GCP ecosystem, including Vertex AI for ML operations. Semantic Search & Retrieval-Augmented Generation (RAG): Modern MLOps and AI system production. Tech Stack We use modern, industry-leading tools and technologies, including: Backend: Python/FastAPI or TypeScript/Node.js AI/ML: Vertex AI, LangChain, OpenAI, Anthropic Claude Cloud: Google Cloud Platform (GCP), Cloud Run, Cloud Functions, Cloud Storage Data: PostgreSQL, Redis, MongoDB Infrastructure: Docker, Kubernetes Why You Should Join Our Team We're reimagining the patient experience while increasing operational efficiency in healthcare — a true win-win. Everyone recognizes the challenges of healthcare workflows. Here's your chance to be part of the solution. If you're a talented backend engineer who wants to build impactful, scalable systems while growing your skills in healthcare tech and AI, we'd love to hear from you! Apply Today and become part of a team that's passionate about learning, teaching, and transforming healthcare together.