Sr Backend Engineer at NxT Level
New York, NY
—
Jul 29, 2026
New York, NY
Sep 24, 2026
What this job asks for AI summary
A senior backend engineering role at an early-stage AI healthcare startup, focused on building and scaling Python-based API infrastructure that handles millions of healthcare consultations. The work spans HIPAA-compliant data pipelines, EHR integrations, AI workflow coordination, and high-availability distributed systems. Best suited for engineers with startup experience and a strong sense of end-to-end ownership.
Senior level · 6+ years · Remote
“or” means any one of them counts — you don't need all of them.
We read this from the posting text with AI. Skim the description below before ruling yourself out.
How this req sits in the market our data
Roughly 12,800 people nationally plausibly meet what this posting asks for (software developers). range 5,400–19,100
Applicant volume Moderate — A normal amount of company. The rare requirements below are what will separate a shortlisted application from the rest.
Most people in this occupation already list these. Still required — just not what gets you shortlisted.
What the occupation pays Median $138,970 (middle half $107,524–$175,762).
Estimated from BLS employment for this occupation and area, per-skill prevalence across our listing corpus, and published wage benchmarks — as of Aug 1, 2026. It is a model, not a headcount.
Why we read it this way (7)
No work location or metro area is specified in the posting; the role appears to be fully remote but no geography is confirmed.
Compensation is described only as 'competitive' with equity — no figures are provided.
The posting is from a staffing/recruiting intermediary ('our client'); the actual employer is an unnamed AI healthcare startup.
HIPAA compliance is central to the role's responsibilities but is listed as a Nice to Have in the qualifications section — it is captured as preferred accordingly.
Containerization is listed under required qualifications without naming a specific tool (e.g. Docker, Kubernetes); captured generically as required.
Cloud services are required but no specific provider (AWS, GCP, Azure) is named.
Relational databases are required but no specific product is named.
Read the full posting
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