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Senior Backend Engineer

Wellth

$150,000 - $180,000
Sep 22, 2025
Los Angeles, CA, US
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Wellth is looking to build systems that save lives and transform healthcare by reducing hospitalization rates and improving health outcomes, particularly for underserved populations

Requirements

  • 5+ years building production services with Node.js and TypeScript at scale
  • 5+ years of operational experience troubleshooting, monitoring, and optimizing production systems for reliability and performance
  • 3+ years with cloud infrastructure (AWS, GCP, or Azure) using Infrastructure as Code (Terraform or CloudFormation)
  • 5+ years working with databases, including both relational and NoSQL systems, with experience in query optimization and scaling strategies
  • Production monitoring expertise with APM tools (DataDog, New Relic, or similar)
  • CI/CD pipeline design and deployment automation (GitHub Actions, CircleCI, or Jenkins)
  • Pub/sub architecture experience with message queues (RabbitMQ, Kafka, Amazon SQS)

Responsibilities

  • Scale healthcare interactions from thousands to millions while maintaining sub-second response times on complex medical data queries
  • Architect fault-tolerant systems for mission-critical healthcare workflows where downtime directly impacts patient care
  • Build secure data pipelines that process highly sensitive healthcare records while maintaining HITRUST certification
  • Design automated scaling solutions that handle unpredictable traffic patterns in healthcare environments
  • Optimize database performance across both relational and NoSQL systems, managing massive patient datasets
  • Implement monitoring and alerting strategies that ensure 99.9% uptime for business-critical systems
  • Own end-to-end system design for services powering Wellth's mobile app and business-critical healthcare systems

Other

  • 5+ years of experience
  • Strong collaborative experience contributing to shared codebases, implementing developer tooling, and knowledge sharing through documentation and technical presentations
  • Proven track record solving complex technical problems with reliable, scalable solutions
  • Flexible hybrid arrangements: strong remote-first practices with optional collaboration in our Marina Del Rey office space
  • Comprehensive time off: robust PTO and generous parental leave programs