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Trial Library · 1 month ago

Senior Engineer (Backend + Data)

United States

Full-time

Remote

Senior Level

$155K/yr - $205K/yr

Trial Library, Inc. is a venture-backed startup focused on improving health equity in cancer care through clinical trial access. The Senior Engineer will build and scale the clinical trial recruitment platform, driving technical decisions and collaborating with cross-functional teams to deliver high-quality solutions.

Health CareMedicalOncologyWellness

Responsibilities

Design and build scalable backend systems

Own the architecture and implementation of core backend services, APIs, data systems, and infrastructure

Drive technical decisions

Make pragmatic architectural choices, evaluate tradeoffs, and set technical direction for your areas of ownership

Ship production code daily

Write code, review PRs, debug issues, and deliver features hands-on as a working engineer

Advocate for quality

Push back on unrealistic timelines, champion technical excellence, and ensure we're building sustainably

Collaborate cross-functionally

Partner with engineering leadership, product, frontend engineers, AI engineers, and SDET to deliver end-to-end solutions

Ensure compliance and security

Maintain healthcare compliance standards (HIPAA) and implement security best practices across systems

Elevate engineering practices

Establish testing strategies, development workflows, and technical standards as the team scales

Qualification

PythonSQLBackend architectureAPI designCloud infrastructureData analyticsHealthcare complianceSystems thinkingStartup experience0-1 building experienceDevOps/InfrastructureAI-augmented developmentHealthcare alignmentCommunication skillsHands-on mentality

Required

Strong Python and SQL skills: our stack is Python (AWS Lambda) + Postgres, and you'll be writing both daily

Startup experience: you've built things from scratch at an early-stage company and embraced the fast-paced, dynamic environment

Small team comfort: excited to wear many hats, jump into different areas as needed, and thrive without rigid role boundaries

High autonomy: as the second backend engineer, you'll work directly with a Staff Engineer and have real influence on technical direction. You figure things out independently, make decisions with incomplete information, and own outcomes

Hands-on mentality: you're an engineer first who writes code daily, not an architect who only reviews

0-1 building experience: you've taken something from idea to production and know what it takes

Systems thinking: strong understanding of backend architecture, APIs, databases, and scalability

Communication skills: can push back respectfully, explain technical tradeoffs, and work cross-functionally

Healthcare alignment: genuinely interested in improving clinical trial access and health equity

Preferred

Data and analytics platform experience: building data warehouses, ETL pipelines, analytics infrastructure, and external-facing reporting/analytics platforms

Cloud infrastructure experience: we use AWS, but experience with any major cloud provider is valuable

API design experience: RESTful APIs, API documentation, versioning strategies

AI-augmented development: experience leveraging AI coding tools (Claude Code, Cursor, GitHub Copilot, etc.) to boost productivity

Healthcare/regulated industry background: HIPAA, clinical data, healthcare tech

DevOps/Infrastructure: CI/CD, monitoring, logging, infrastructure as code