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Flagler Health+ Logo

Senior Software Engineer Backend (NYC)

Flagler Health+

$150,000 - $200,000
Dec 18, 2025
New York, NY, US
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Flagler Health is looking to solve the problem of transforming how healthcare organizations deliver care through AI-powered workflow automation, remote patient engagement, and chronic care programs.

Requirements

  • Proven experience building highly available backend applications in a regulated environment (e.g., healthcare, finance, compliance-driven SaaS)
  • Proficiency in TypeScript and/or Python for backend service development
  • Experience interacting with backend APIs built using Node.js, Express, Mongoose, Twilio or similar frameworks
  • Experience with Temporal or similar distributed workflow orchestration systems (e.g., Cadence, AWS Step Functions, Conductor)
  • Solid understanding of distributed systems fundamentals, including retries, idempotency, and failure handling
  • Familiarity with HL7, FHIR, or EHR integrations
  • Experience with cloud platforms such as AWS, Azure, or GCP

Responsibilities

  • Design, build, and maintain backend services and web applications
  • Work on real-time web applications for audio and SMS communications with users (patients)
  • Implement and operate fault-tolerant, long-running workflows for asynchronous and background processing
  • Collaborate with frontend, product, and infrastructure teams to deliver reliable, compliant systems

Other

  • Hybrid work environment with regular and consistent on-site presence required
  • Camera required to be on during meetings
  • Persistence + ownership of outcomes: We wear many hats and aren’t afraid to run through walls to solve hard problems.
  • Personal + professional growth: We push ourselves to learn new things and embrace challenges, even if it means that we sometimes fail.
  • Don’t take things personally: We value and react quickly to constructive feedback.