Founding Backend Engineer at NxT Level
New York, NY
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Aug 6, 2026
New York, NY
Sep 24, 2026
What this job asks for AI summary
A founding individual-contributor role at a healthcare-tech startup, responsible for designing and owning the entire data platform: canonical data models across multiple EMR systems, a real-time event backbone, ETL/ELT pipelines, and analytics/experimentation tooling. The successful hire will eventually grow and lead a small data platform team, making this a strong fit for a backend or data engineer with deep integration and data-modeling experience.
Senior level · New York-Newark-Jersey City, NY-NJ-PA · Full-time
“or” means any one of them counts — you don't need all of them.
Posted 2 times — it's one opening, so apply once.
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 85 people in the New York-Newark-Jersey City, NY-NJ-PA area plausibly meet what this posting asks for (database architects). range 35–120
Applicant volume Moderate — A normal amount of company. The rare requirements below are what will separate a shortlisted application from the rest.
Rare in this occupation — lead with these, and say what you built with them.
Most people in this occupation already list these. Still required — just not what gets you shortlisted.
What the occupation pays Median $134,433 (middle half $95,331–$179,625).
Estimated from BLS employment for this occupation and area, per-skill prevalence across our listing corpus, and published wage benchmarks — as of Aug 7, 2026. It is a model, not a headcount.
Why we read it this way (8)
No compensation range is stated anywhere in the posting.
The role is explicitly in-person in New York City — remote is not offered.
No specific technologies (e.g., Kafka, Spark, dbt, Snowflake, Python) are named in the posting; all skill requirements are described in functional/conceptual terms rather than as named tools. Skills have been extracted at the highest level of specificity the posting supports.
SOC classification is a genuine judgment call: the role spans data architecture/modeling (15-1243) and backend software development (15-1252). The emphasis on canonical data models, integration abstraction, and pipeline design tips it toward 15-1243, but the 'backend engineer' framing and expectation to ship production systems make 15-1252 a credible alternative.
WellSky, HHAeXchange, AlayaCare, and Axxess are named as the EMR systems to be integrated; they are listed as a group under the 'Bonus signals' section context, so familiarity with any of them is treated as preferred rather than a hard gate.
Healthcare domain experience (EMRs/EHRs, revenue-cycle, home health) and FHIR-style data modeling are explicitly listed under 'Bonus signals' — treated as preferred.
The role has a clear path to people management (leading a 3–5 person team by year-end), but the immediate hire is an individual contributor; seniority is assessed accordingly as Senior.
Ignored 1 non-technology phrase(s) as skills (responsibilities/concepts, not named tools): integration platform development.
Read the full posting
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