Staff Backend Engineer jobs in United States
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Plenful · 2 days ago

Staff Backend Engineer

Plenful is a company dedicated to transforming healthcare operations through innovative technology. They are seeking a Staff Backend Engineer to lead the design and development of their backend systems, mentor engineers, and set technical direction across the organization.

Artificial Intelligence (AI)Data Center AutomationHealth CareIT InfrastructureMachine LearningSoftware
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H1B Sponsor Likelynote

Responsibilities

Maintain and evolve our workflow orchestration system that runs across serverless and containerized environments, processing millions of tasks each month
Design scheduling, queuing, rate limiting, and retry logic for reliable and fair resource allocation
Build mechanisms for state tracking, error handling, timeouts, and cleanup across distributed tasks
Partner with DevOps on observability, structured logging, tracing, and deployment automation
Design and optimize schemas for flexible data storage and user-defined structures
Improve performance across large datasets (100M+ rows) using indexing, replication, and connection pooling
Ensure ACID compliance, concurrency control, and referential integrity
Implement audit logging, data lineage tracking, and compliant data retention policies
Collaborate with DevOps on replication, backups, and disaster recovery
Manage integrations with SFTP, email, databases, spreadsheets, and REST APIs, with secure credential and failure recovery handling
Build and maintain file processing pipelines that handle millions of files per month
Work with healthcare data formats (HL7, X12, EDI) and standard file types (PDF, Excel, CSV, JSON)
Develop webhook handlers, polling services, and event-driven workflows to ensure data consistency
Collaborate with ML/AI teams on data pipelines for model training and inference
Lead technical projects and set quality and reliability standards for the backend team
Identify and reduce technical debt; plan and execute major system improvements and migrations
Mentor engineers through code reviews, design sessions, and pair programming
Participate in incident response and postmortems, focusing on long-term reliability
Write and review RFCs to document and guide key architectural decisions

Qualification

Distributed systemsWorkflow orchestrationDatabase expertiseData pipelinesTechnical leadershipIncident managementCollaboration with DevOpsMentoring engineersCommunication skills

Required

8+ years of professional software engineering experience
Strong background in distributed systems, workflow orchestration, and large-scale task processing
Advanced database expertise: SQL, schema design, query tuning, and operations at scale
Solid computer science fundamentals (data structures, algorithms, system design)
Experience building and maintaining large-scale data pipelines and external integrations
3+ years of technical leadership, guiding projects and mentoring engineers
Proven experience leading re-architecture or modernization efforts
Track record of improving reliability, managing incidents, and reducing technical debt
Strong written and verbal communication skills for documentation and cross-team collaboration
Experience working closely with DevOps, observability, and ML/AI teams

Benefits

Unlimited PTO
Health insurance
Meal stipend
Health & wellness stipend
Team offsites
401K matching
Stock options

Company

Plenful

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Plenful is a no-code workflow automation and AI platform that optimizes healthcare's manual, administrative workflows.

H1B Sponsorship

Plenful has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (3)
2023 (1)
2022 (1)

Funding

Current Stage
Growth Stage
Total Funding
$76M
Key Investors
TQ VenturesBessemer Venture Partners
2025-04-30Series B· $50M
2024-05-30Series A· $17M
2023-10-03Seed· $9M

Leadership Team

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Joy Liu
Founder & CEO
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Michael Longo
Chief Revenue Officer (CRO)
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Company data provided by crunchbase