Job Description

About Us

We're continuing to build a transformative healthcare accreditation platform that is revolutionizing how our clients and new hospitals manage compliance, quality improvement, and regulatory processes. Our platform combines cutting-edge technology with deep healthcare domain expertise to solve real problems for healthcare organizations nationwide.

The Opportunity

We are looking for motivated developers for our intern-to-full-time track. You will be given full-time responsibilities from day one in a high-velocity growth startup environment. You'll work directly with our engineering team on a production healthcare platform, gaining hands-on experience with enterprise-grade systems while making real contributions that impact our product and customers.

Compensation Structure:

The base position is unpaid; however, highly qualified candidates may receive upfront equity compensation based on their experience level and demonstrated capabilities. We evaluate each applicant individually and offer equity packages commensurate with their potential contribution.

About the Role

We are hiring a Backend Engineer who can design, implement, and maintain the robust, scalable server-side systems that power our platform. You will be responsible for a variety of tasks focused on data integrity, API performance, and system reliability, working on features from the database all the way through to serving the application's core logic.

Key Responsibilities

• Backend Development: Design and develop robust Node.js (TypeScript) server-side applications, build and maintain RESTful APIs, and ensure data integrity and security within MongoDB.
• Database & Data Modeling: Own the database schema design, optimization, querying, and indexing within MongoDB Atlas to ensure high performance and scalability.
• API Architecture: Define and evolve the structure of our internal and external RESTful APIs, focusing on performance, security, and maintainability.
• System Scalability: Implement caching, message queues, and distributed system concepts to ensure the platform remains performant and scalable under high load.
• Security & Compliance: Implement secure authentication systems, ensure HIPAA compliance, and maintain high security standards across the platform, especially for data at rest and in transit.
• DevOps & Quality: Develop and maintain automated backend testing, version control using Git/GitHub, and contribute to CI/CD pipelines and cloud deployment strategies.
• Cloud Infrastructure: Utilize and manage backend services within AWS (ECS, S3, Lambda) to support highly available and resilient application services.

Technical Stack

• Back-End: Node.js (TypeScript), MongoDB Atlas, AWS (ECS, S3, Lambda), RESTful APIs
• DevOps/Tools: Git/GitHub, Automated Testing Frameworks

Required Qualifications

Successful candidates must have a specific deep specialization and a foundational understanding of the others to contribute across the backend stack:

• Backend Foundation:
• 2+ years of experience with Node.js (TypeScript, API development).
• Strong understanding of modern web security, data protection, and collaborative development workflows using Git/GitHub.
• Backend Depth: Strong expertise with MongoDB (design, optimization, complex querying, aggregation pipelines) and implementing robust RESTful APIs with authentication, authorization, and error handling.
• System Design & Architecture: Proven ability to design and architect highly available, scalable, and resilient server-side applications.
• Problem Solving: Ability to debug and troubleshoot complex production issues and performance bottlenecks in the backend and database layers.

Preferred Qualifications (Nice to Have)

• Previous experience in a high-velocity team environment with separated responsibilities.
• Understanding of HIPAA compliance and working within the healthcare or other regulated industries.
• Experience with AWS services (ECS, S3, Lambda) or DevOps practices (Docker, CI/CD).
• Experience with server-side caching (e.g., Redis) or message queuing systems (e.g., SQS).

Our Hiring Process

We believe in a transparent and thorough selection process that respects your time:

• Initial Screening Call: Discussion of your background, experience, and career goals.
• Technical Challenge: A real-world technical challenge to complete at your own pace.
• Technical Interview: An in-depth discussion where you will walk through, debug, and defend your solution, demonstrating complete ownership and understanding of the entire codebase and architectural decisions—regardless of whether code was generated manually or with AI assistance.

We're looking for engineers who can think critically, adapt their approach, and truly understand the systems they build.

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