Senior Backend Engineer, Workflow Systems

United States·New YorkFull Timesenior

OtherSenior Backend Engineer

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Quick Summary

Overview

hatch I.T. is partnering with Kinstead to find a Senior Backend Engineer.

Technical Tools

OtherSenior Backend Engineer

hatch I.T. is partnering with Kinstead to find a Senior Backend Engineer. See details below:

About the Role

~3 min read

Kinstead is hiring a Senior Backend Engineer to build and own core backend systems and application logic.

You’ll design and build the services that power reliable clinical and operational workflows, including APIs, background processing, and system behavior under real-world conditions. This role focuses on reliability, correctness, and predictable execution as the product grows.

You do not need prior healthcare or FHIR experience. They care more about strong backend fundamentals, sound engineering judgment, and the ability to ramp quickly on a complex domain.

You’ll work closely with the CTO on system design while maintaining ownership of implementation and operational correctness.

About the Company

Kinstead is building the AI-native operating system for independent healthcare, enabling nurse practitioners to launch and run their own clinics. They replace the fragmented, manual infrastructure behind healthcare with a single, intelligent system so clinicians can spend their time on care, not paperwork.

This creates a new model of care, one where clinicians practice on their terms and patients get consistent, community-rooted care. They’re backed by Wisdom Ventures and founders and executives from Pomelo Care, Flatiron Health, Roivant, and PathAI on their mission to deliver better care.

Design and implement backend workflows and application logic

Build and maintain APIs that power product functionality

Implement scheduling, encounter, and operational workflows

Build AI-powered tools that help clinicians with documentation, clinical decision support, and voice-driven workflows

Integrate with clinical systems using FHIR

Debug and resolve production issues across the stack

Ensure system behavior remains predictable under failure conditions

Collaborate with frontend engineers to maintain clear API contracts

Use AI development tools to accelerate implementation while maintaining reliability

Participate in system design and technical planning

5+ years building production software systems

Strong Python experience.

Familiarity with asynchronous programming in any language.

Experience designing and maintaining APIs for production applications

Experience building backend systems beyond request/response — background jobs, event-driven patterns, or async processing

Strong debugging and problem-solving skills

Ability to design systems that behave predictably when things go wrong

Comfort working in an AI-assisted development workflow

Experience with React or NextJS

Experience building workflow or state-machine-driven systems

Experience reasoning about stateful systems

Experience with FHIR or healthcare data systems (helpful but not required)

Experience with Kubernetes or distributed systems

Experience working in early-stage startups

Python (Django, async-first with django-ninja and Channels), Next.js, PostgreSQL (with pgvector), Redis, WebSockets, asynchronous background jobs, workflow state machines, and clinical integrations using Medplum and FHIR.

Kinstead services run on AWS and Kubernetes, and we rely on Terraform for IaC and Datadog for APM and infrastructure monitoring.

They maintain automated testing and deployment pipelines using Github Actions and integrate with AI providers including Google (Vertex AI), Anthropic (AWS Bedrock), and OpenAI.