Steer Health
via Workable
Senior Backend Engineer
This is the employer's own posting, not a copy on a job board.
What we know
Is it still open?
Confirmed still open
Last checked 1d ago — checked against the employer's own applicant tracking system, which is the company answering directly.
We re-read the employer's own applicant tracking system and the posting was still there. That is the company answering directly.
How old is it?
Posted 33d ago
The date the source published, not the day we noticed it (2026-08-13). Last seen at its source 3h ago.
Is it remote?
Marked remote on the employer's board
Their board carries a remote setting on this posting — a field they filled in, not wording we read. The location field names somewhere specific, which is usually where the team or the entity sits.
Who may apply?
United States
The description states no restriction of its own. This is the source's own tag.
Pay not stated
Similar roles pay $160.3k–208.4k/yr
Middle 50% of 746 listings that do state pay — Engineering · Senior · United States · USD/year. This employer has published no salary; this is what comparable listings we hold disclose, never converted between currencies or periods. How this is calculated.
Skills named in the ad
Recognised terms only, from a fixed vocabulary — this is what CV matching compares against.
Carried by 1 source
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workable employer's own board first seen 11d ago · last seen 3h ago
The listing
About Steer Health
Steer Health is the AI-native growth and automation platform for healthcare. Health systems, hospitals, and specialty medical groups use our platform to attract and convert patients, automate front-office and clinical workflows, and accelerate revenue. Our AI agents answer calls, book appointments, document visits, and close operational gaps around the clock, connected directly to the systems clinicians already use.
The platform integrates with 36 EHRs, including direct Epic integration with SSO, and serves provider organizations nationwide, covering millions of patient lives. Steer Health is a KLAS Emerging Solutions Top 20 company, an athenahealth Marketplace certified partner, and winner of the 2026 Hearst Health Prize.
The Role
We are hiring a Senior Backend Engineer to design, build, and scale the core services behind our platform. You will work on event-driven pipelines that move clinical and operational data in real time, integrations with EHRs and third-party systems, and the backend infrastructure that powers our AI agents. This is a high-ownership role: you will take problems from architecture through production and operate what you ship.
What You Will Do
- Design, build, and operate backend services and APIs in Node.js and TypeScript
- Architect and extend our event-driven systems on Kafka, including topic design, producers and consumers, stream processing, delivery guarantees, and back-pressure at scale
- Own MongoDB data modeling and performance, including schema design, indexing, aggregation pipelines, replication, and query optimization
- Build reliable, secure integrations with EHRs, healthcare data standards (FHIR, HL7), and third-party APIs
- Support AI agent workflows with fast, resilient backend services and real-time data pipelines
- Drive reliability and observability: monitoring, alerting, load testing, incident response, and postmortems
- Handle PHI responsibly and uphold HIPAA-grade security practices across every service you touch
- Raise the engineering bar through design docs, code reviews, and mentoring
Requirements
Must-Have Qualifications
- 5+ years of backend engineering experience with clear senior-level ownership of production systems
- Expert-level Node.js and TypeScript in production environments
- Hands-on experience designing and operating Kafka-based eventing architectures
- Deep MongoDB experience at scale, including schema design, indexing strategy, and performance tuning
- A track record of building and scaling systems at a high-growth or high-traffic company
- Strong API design fundamentals and disciplined habits around testing, code quality, and documentation
Strongly Preferred
- Healthcare or health tech background, including EHR integrations, FHIR or HL7, HIPAA, and PHI handling
- Experience at a high-scaling technology company where reliability and throughput were mission critical
Nice to Have
- Cloud infrastructure experience (AWS preferred), Docker, and Kubernetes
- Redis or other caching and search layers
- Exposure to LLM or AI product pipelines
- Early-stage startup experience and comfort with ambiguity
Our Stack
Node.js, TypeScript, Kafka, and MongoDB, with Next.js on the front end and a purpose-built eventing engine at the core of the platform.
Benefits
Why Join Steer Health
- Build AI that measurably improves how patients access and receive care, at real scale
- High ownership and direct access to the founding team; your work ships fast and matters
- Award-winning product with strong market momentum
- Competitive salary, equity, and benefits
Steer Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all