Senior Backend Engineer đź’» (Event-Driven Architecture, AI-Enabled Systems)
Legion Health
Administration, Software Engineering, IT, Data Science
San Francisco County, CA, USA · San Francisco, CA, USA
USD 70k-200k / year + Equity
Posted on Feb 11, 2025
🚀 Legion Health | AI-Driven Psychiatric Care – We’re Hiring!
Why This Role?
- Join us in building the most efficient, AI-powered mental healthcare system.**\ We’re a YC-backed company revolutionizing telepsychiatry—not with AI for diagnostics, but with AI-driven operations that actually make patient care faster, smoother, and more accessible.
Why This Role?
- You’ll own the architecture for a next-gen, AI-driven healthcare system.
- You’ll design event-driven systems that integrate LLM-powered automation across scheduling, billing, and patient interactions.
- You’ll scale a backend that supports thousands of patients while maintaining HIPAA compliance & security.
- You’ll shape the future of AI in healthcare, working directly with the founding team.
- Architecting and implementing a highly-scalable, event-driven backend using Node.js, Supabase (Postgres), and AWS.
- Building real-time, AI-powered patient and provider workflows that optimize scheduling, intake, and operational efficiency.
- Designing robust event pipelines to capture and structure rich operational data (call transcripts, scheduling metadata, etc.).
- Ensuring high availability, reliability, and security—handling PHI data while keeping everything fast and seamless.
- Collaborating with our AI and front-end teams to build an integrated, LLM-powered care delivery system.
- 5+ years of experience in backend engineering (Node.js, TypeScript, Postgres).
- Expertise in event-driven systems, message queues, or stateful data architectures.
- Experience with real-time data processing (e.g., webhooks, Kafka, or event sourcing).
- Comfortable working with LLMs—you don’t need deep AI expertise, but you should be excited to build AI-first systems.
- Strong security and compliance mindset (HIPAA or other regulated environments is a huge plus).
- $70-200K salary + equity (commensurate with experience).
- A high-velocity team—you will ship and own your work.
- A mission that matters—we’re solving real healthcare problems at scale.
- Deep AI integration—you’ll be at the frontier of operational AI in healthcare.