Software Engineer, Backend and Infrastructure

United StatesUnited States·Miamifull-timemid
EngineeringBackend Developer
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Quick Summary

Overview

Role As a Software Engineer, Backend and Infrastructure, you will build the mission-critical backend powering our medical AI platform used by healthcare providers worldwide.

Technical Tools
EngineeringBackend Developer

As a Software Engineer, Backend and Infrastructure, you will build the mission-critical backend powering our medical AI platform used by healthcare providers worldwide. You will architect and scale core systems, including service reliability and data platforms with autonomy to shape performance, security, and infrastructure design for sensitive medical data.

We hire exceptional builders, not in narrow lanes. Engineers work across products and projects, owning work wherever they can create the most impact.

OpenEvidence is the most widely used medical AI platform in the world.

In just over a year, our usage has grown to >65% of US clinicians via product-led word of mouth adoption. We are a $12B company with a 30-person engineering team from MIT, Harvard, and Stanford. We believe world-changing products come from a small group of exceptional, autonomous builders, organized along focused objectives and empowered to take individual ownership and run fast. We are growing our team to seize a once-in-a-lifetime opportunity to define the default platform for medical AI.

If you are a world-class engineer or scientist looking to define the bleeding edge and deliver concrete outcomes that impact hundreds of millions of lives, we want to talk.

We believe work should be engaged with at a world-class level. Building 0->1 and scaling 1->1000 are professional sports, and uncompromising excellence is the bar. We believe building technologies that haven't existed is only possible with end-to-end ownership. Important things are accomplished when an individual decides to accomplish them.

If you are looking to complete tickets 9-5, this job is not for you. If you are looking to write papers, this job is not for you. If you are looking to lean in and get your hands dirty, bruised, and bloody, making something from nothing, personally impacting hundreds of millions of lives, and driving ten figures of revenue, this job might be for you.

The ideal candidate is a brilliant builder. They are smart, ambitious, scrappy, autonomous, precise, motivated, hard-working, and low-ego. Does that sound rare? It is rare, we have only found 30 of them, and we would like to find more.

This full-time role on our engineering team is in-person 5 days a week in Miami.

Location & Eligibility

Where is the job
Miami, United States
On-site at the office
Who can apply
Open to applicants worldwide

Listing Details

Posted
February 11, 2026
First seen
May 19, 2026
Last seen
October 5, 2026

Posting Health

Days active
139
Repost count
0
Trust Level
20%
Scored at
October 6, 2026

Signal breakdown

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Software Engineer, Backend and Infrastructure