Senior Backend Engineer

About The Gig:

• Heartbeat Health is looking for a Senior Backend Engineer to join our lean, high-impact engineering team and help build our virtual-first cardiovascular care platform. You’ll develop backend services that orchestrate care journeys and drive outcomes for patients and providers across the country. This is a hands-on role where you’ll work alongside experienced engineers to solve challenging technical problems and shape system architecture.
• We’re looking for a senior engineer who thrives in high-autonomy environments - someone who brings architectural thinking, executional rigor, and a strong product mindset. You’ll play a key role in scaling a platform that’s transforming specialty care through clean abstractions, pragmatic engineering, and tight iteration.

What You'll Do:

• Build Systems That Matter - Design, implement, and maintain RESTful backend services and APIs that power care coordination, EMR interoperability, and automation across our platform.
• Deliver Incremental Value - Partner closely with product, clinical, and operations to ship usable, valuable backend functionality in short, feedback-driven iterations.
• Write Reliable Code - Contribute clean, well-tested, and maintainable code that’s built for resilience, observability, and scale.
• Shape Technical Direction - Participate in design reviews and technical discussions that influence how our systems evolve over time.
• Contribute to a High-Impact Team - Join a group that values thoughtful engineering, clear ownership, and shipping real value - fast.

What You'll Need:

• 5+ years of experience building backend services and APIs
• Strong proficiency in at least one modern, statically typed language like Rust, Go, or Kotlin (we’re a Rust shop)
• Experience designing and building RESTful APIs, including defining and maintaining documentation with OpenAPI specifications.
• Solid understanding and experience with relational databases (PostgreSQL), distributed systems, and AWS cloud environments.
• Familiarity with service-oriented architectures and best practices for designing modular services.
• Comfort with CI/CD pipelines, containerization (Docker, Kubernetes), and monitoring/observability tools.
• Solid communication and collaboration skills; ability to work cross-functionally and independently
• A bias toward pragmatism, simplicity, and execution

Nice-to-Haves:

• Experience in healthcare or other regulated industries
• Familiarity with EHR integrations (FHIR, HL7, SMART on FHIR, etc.)
• Experience building with Rust and its ecosystem (e.g., Actix, Serde, Diesel, Tokio)
• Interest or experience in AI/ML systems or integrating AI-powered tools

About our Culture:

• We are mission-driven: we're revolutionizing the way cardiovascular care is delivered 
• We are fast-paced & agile: we move quickly, iterate often, and value experimentation
• We are remote-first: flexibility, autonomy, and trust are at the core of how we operate
• We care about diversity: diversity allows us to build an excellent patient experience
• We are an equal opportunity employer: we do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status