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founding senior backend engineer ai powered healthcare platform
Senior Backend Engineer San Francisco, CA
Pump San Francisco, California
Cloud spend is a whopping $500 billion/yr, the biggest growing expense category for any tech company - tackling these costs requires continuous effort and time from DevOps teams. Pump is a building the fastest way to save 60% on cloud spend. Our AI-powered platform not only fully automates savings but we also leverage the power of group buying for even greater discounts. Our mission is to use AI to transform the status quo of cloud cost optimization. We are backed by Y Combinator and our founding team consists of seasoned entrepreneurs with prior exits. We have a transparent, collaborative and a fast-paced culture that prioritizes winning with a flat organizational structure. About the role You will play a critical role in building our platform, driving the technical direction of our company. This is a hands on position that will involve working on all parts of our backend, from the infra to services, and collaborating with other engineers, designers, and founders. A great opportunity for someone to create a lasting impact not only on the primary product but also on the company's values and vision, given our early stage - we hope Pump would be that career defining opportunity for all of us! We are 5 days a week in office. No remote work will be considered. Responsibilities Work closely with the rest of the team to design and implement our backend, and infrastructure. Collaborate with other engineers and designers to build a user-friendly and intuitive platform that meets our customers' needs. Help define and execute the technical roadmap for our platform, balancing technical debt and innovation to ensure we can deliver on our business goals. Invent, extend, and maintain development processes, tools, and workflows. Qualifications BS or MS in Computer Science, Engineering, or a related field. 5+ years of experience as a backend engineer, with a focus on building scalable and reliable web applications, preferably at a pre Series B startup. Tech Lead experience is a plus. Ability to decompose large problems into concrete deliverables and milestones and then deliver against the committed plan. Ability to work 5 days a week in office. Strong proficiency in Python, and familiarity with at least one Python backend framework. We use FastAPI! Experience with AWS and knowledge of AWS cost and billing is a plus. Experience with SQL and NoSQL databases. We use Postgres and Dynamo!. Experience with Docker and container orchestration systems (e.g. Kubernetes) is a plus. Strong communication skills and ability to collaborate effectively with cross functional teams. Experience with and enjoys creating prototypes and experimenting quickly. Benefits Comprehensive healthcare and dental coverage. 401(k) plan. Generous PTO: 13 accrued days, plus company shutdown December 24-January 1st. Free lunch & dinner at the office. Annual company paid retreats. Developmental bonuses: support for professional development opportunities tied to cloud and related fields. Minimum Requirements and Pay US Citizen/Visa Only - no sponsorships available. Minimum 4 years of experience. Base salary USD 120,000-200,000 per year. Eligible for our highly valuable equity.
04/02/2026
Full time
Cloud spend is a whopping $500 billion/yr, the biggest growing expense category for any tech company - tackling these costs requires continuous effort and time from DevOps teams. Pump is a building the fastest way to save 60% on cloud spend. Our AI-powered platform not only fully automates savings but we also leverage the power of group buying for even greater discounts. Our mission is to use AI to transform the status quo of cloud cost optimization. We are backed by Y Combinator and our founding team consists of seasoned entrepreneurs with prior exits. We have a transparent, collaborative and a fast-paced culture that prioritizes winning with a flat organizational structure. About the role You will play a critical role in building our platform, driving the technical direction of our company. This is a hands on position that will involve working on all parts of our backend, from the infra to services, and collaborating with other engineers, designers, and founders. A great opportunity for someone to create a lasting impact not only on the primary product but also on the company's values and vision, given our early stage - we hope Pump would be that career defining opportunity for all of us! We are 5 days a week in office. No remote work will be considered. Responsibilities Work closely with the rest of the team to design and implement our backend, and infrastructure. Collaborate with other engineers and designers to build a user-friendly and intuitive platform that meets our customers' needs. Help define and execute the technical roadmap for our platform, balancing technical debt and innovation to ensure we can deliver on our business goals. Invent, extend, and maintain development processes, tools, and workflows. Qualifications BS or MS in Computer Science, Engineering, or a related field. 5+ years of experience as a backend engineer, with a focus on building scalable and reliable web applications, preferably at a pre Series B startup. Tech Lead experience is a plus. Ability to decompose large problems into concrete deliverables and milestones and then deliver against the committed plan. Ability to work 5 days a week in office. Strong proficiency in Python, and familiarity with at least one Python backend framework. We use FastAPI! Experience with AWS and knowledge of AWS cost and billing is a plus. Experience with SQL and NoSQL databases. We use Postgres and Dynamo!. Experience with Docker and container orchestration systems (e.g. Kubernetes) is a plus. Strong communication skills and ability to collaborate effectively with cross functional teams. Experience with and enjoys creating prototypes and experimenting quickly. Benefits Comprehensive healthcare and dental coverage. 401(k) plan. Generous PTO: 13 accrued days, plus company shutdown December 24-January 1st. Free lunch & dinner at the office. Annual company paid retreats. Developmental bonuses: support for professional development opportunities tied to cloud and related fields. Minimum Requirements and Pay US Citizen/Visa Only - no sponsorships available. Minimum 4 years of experience. Base salary USD 120,000-200,000 per year. Eligible for our highly valuable equity.
Founding Senior Backend Engineer AI-Powered Healthcare Platform
esrhealthcare San Francisco, California
Founding Senior Backend Engineer AI-Powered Healthcare Platform Compensation: $100-200k annually + Equity Location: San Francisco, CA (Hybrid, 3 days in office) Who Are We? We're an early-stage startup building a next-gen, AI-driven healthcare system designed to eliminate friction in patient care from scheduling and billing to provider communication and operational efficiency. Backed by top-tier investors, were a small, high-output team tackling one of the most complex and important industries on the planet. You'll work directly with the founding team to define the product, tech, and trajectory. What's In It For You? Ownership: Youll own the backend architecture of a platform serving thousands of patients. Impact: We're using AI to improve real people's healthcare experiences at scalethis isn't theoretical. Speed: No red tape. You ship fast, iterate faster, and your work goes live in days, not quarters. Tech Frontier: Build AI-first systems with LLMs, real-time event processing, and bleeding-edge infra. Team: Work with a group of builders whove led at YC startups, top-tier tech firms, and high-growth unicorns. Mission: Help fix a broken system by building one that actually works. What Will You Do? Architect and implement an event-driven backend using Node.js, Supabase (Postgres), and AWS. Build real-time patient/provider workflows powered by AIthink dynamic scheduling, intake, and automation. Design event pipelines to process structured operational data like call transcripts and metadata. Ensure availability, security, and HIPAA compliance across a high-throughput system. Collaborate cross-functionally with AI and frontend teams to deliver a seamless care experience. What Will You Need? 5+ years of backend engineering experience using Node.js, TypeScript, and PostgreSQL. Deep experience with event-driven systems and real-time data processing (Kafka, RabbitMQ, webhooks). Strong grasp of distributed system architecture and messaging infrastructure. Bonus points if you've worked with LLMs or in AI-integrated environments. Security-forward mindset experience in HIPAA or other regulated industries is a huge plus. High-velocity mindset ideally from YC startups, FAANG, or similarly fast-paced environments. Signs of technical depth: open-source contributions, fast career growth, or math/CS accolades (e.g., Olympiad, MIT/Harvard CS). You're comfortable in chaos, allergic to bureaucracy, and thrive with autonomy.
01/15/2026
Founding Senior Backend Engineer AI-Powered Healthcare Platform Compensation: $100-200k annually + Equity Location: San Francisco, CA (Hybrid, 3 days in office) Who Are We? We're an early-stage startup building a next-gen, AI-driven healthcare system designed to eliminate friction in patient care from scheduling and billing to provider communication and operational efficiency. Backed by top-tier investors, were a small, high-output team tackling one of the most complex and important industries on the planet. You'll work directly with the founding team to define the product, tech, and trajectory. What's In It For You? Ownership: Youll own the backend architecture of a platform serving thousands of patients. Impact: We're using AI to improve real people's healthcare experiences at scalethis isn't theoretical. Speed: No red tape. You ship fast, iterate faster, and your work goes live in days, not quarters. Tech Frontier: Build AI-first systems with LLMs, real-time event processing, and bleeding-edge infra. Team: Work with a group of builders whove led at YC startups, top-tier tech firms, and high-growth unicorns. Mission: Help fix a broken system by building one that actually works. What Will You Do? Architect and implement an event-driven backend using Node.js, Supabase (Postgres), and AWS. Build real-time patient/provider workflows powered by AIthink dynamic scheduling, intake, and automation. Design event pipelines to process structured operational data like call transcripts and metadata. Ensure availability, security, and HIPAA compliance across a high-throughput system. Collaborate cross-functionally with AI and frontend teams to deliver a seamless care experience. What Will You Need? 5+ years of backend engineering experience using Node.js, TypeScript, and PostgreSQL. Deep experience with event-driven systems and real-time data processing (Kafka, RabbitMQ, webhooks). Strong grasp of distributed system architecture and messaging infrastructure. Bonus points if you've worked with LLMs or in AI-integrated environments. Security-forward mindset experience in HIPAA or other regulated industries is a huge plus. High-velocity mindset ideally from YC startups, FAANG, or similarly fast-paced environments. Signs of technical depth: open-source contributions, fast career growth, or math/CS accolades (e.g., Olympiad, MIT/Harvard CS). You're comfortable in chaos, allergic to bureaucracy, and thrive with autonomy.

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