Mochi Health is looking for a Senior Backend Engineer to help build the next generation of their pharmacy software platform, aiming to set the standard for how pharmacies operate by designing and developing scalable, reliable backend systems that power critical pharmacy workflows, manage high-volume integrations, and ensure infrastructure supports real-time interactions.
Requirements
- 7+ years of backend development experience, with deep expertise in Node.js (TypeScript/JavaScript) and modern backend frameworks.
- Proven experience architecting and deploying distributed systems in production at scale.
- Strong knowledge of cloud infrastructure (AWS preferred), container orchestration (Kubernetes), and CI/CD pipelines.
- Skilled in building products end to end, from design to deployment, and improving maintainability and performance in large codebases.
- Experience with healthcare software, pharmacy systems, or regulated environments.
- Familiarity with real-time messaging, inventory and fulfillment systems, or enterprise SaaS platforms.
- Typescript, Javascript, Node.js, Next.js, React, React Native, SQL, Redis, Redux, New Relic, Kubernetes, CSS, AWS, Cypress, Docker, Express
Responsibilities
- Lead the development and optimization of backend services, APIs, and data pipelines that power pharmacy operations at scale.
- Architect and manage systems supporting high webhook traffic, third-party integrations, real-time scheduling, provider and patient management, and compliance workflows.
- Drive best practices in performance, security, observability, and scalability as we rapidly expand pharmacy operations.
- Ensure system reliability and resilience in distributed environments, with a focus on patient safety and operational efficiency.
- Own key architectural decisions, mentor engineers, and set backend engineering standards across the company.
- Collaborate closely with Product, Frontend, and Pharmacy Operations teams to build seamless workflows that meet complex healthcare needs.
- Influence engineering culture, fostering technical ownership and innovation within the team.
Other
- Full-time / Onsite (5 days/week)
- Strong collaborator with excellent written and verbal communication skills, able to work cross-functionally with both technical and non-technical teams.
- Thrive in a startup environment, adaptable, resourceful, and driven to solve complex problems with real-world impact.
- Excited to work in-person with our team in San Francisco.
- The base salary for this full-time position ranges from $250,000 to $300,000, in addition to equity and benefits.
