Apply on Employer Site

Blue · 6 days ago

Founding Engineer (Backend/DevOps)

United States

Full-time

Remote

Senior Level

$150K/yr - $200K/yr

Blue is a personal health operating system focused on prevention and optimization in healthcare. They are seeking a Backend and infrastructure focused engineer to own complex health-data pipelines and core infrastructure in a HIPAA-regulated environment.

Artificial Intelligence (AI)Health CarePersonal Health

No H1B

Responsibilities

Own the core health-data ingestion and processing layer — integrating wearable APIs, EHR/FHIR data, PDF extraction outputs, and other structured/semistructured inputs into clean, queryable domain objects

Design and maintain data APIs consumed by web and mobile clients, as well as AI agents and subsystems

Continue development of the existing Python app or guide a deliberate reboot if a different stack proves more strategic

Lead infrastructure strategy across IaC, build+release, observability, HIPAA-aligned security posture, and scaling strategy

Qualification

PythonHIPAA complianceData APIsAWSTerraformFHIRTeam collaborationAdaptabilityOwnership

Required

Backend and infrastructure focused engineer that can own complex health-data pipelines and core infrastructure in a HIPAA-regulated environment

Software engineer and generalist first. You'll be an internal domain expert, but can still pitch in across the stack when needed. No silos. No precious boundaries

Responsible approach to AI. We don't purely 'vibe'. We use AI to gain productivity everywhere we can, and own the outcomes as if they were our own

Strong bias for ownership and end-to-end delivery. Take a seed of an idea and make it reality

Able to work in a fast-moving early-stage environment where requirements evolve and ambiguity is normal

Prior health-tech, digital health, or regulated-data experience is a major advantage (HIPAA, FHIR, wearable data, EHR integrations, etc.)

Design and maintain data APIs consumed by web and mobile clients, as well as AI agents and subsystems

Continue development of the existing Python app or guide a deliberate reboot if a different stack proves more strategic

Lead infrastructure strategy across IaC, build+release, observability, HIPAA-aligned security posture, and scaling strategy

Preferred

Expertise in at least one server-side language, and willingness to work across others as needed. The current base stack is Python (FastAPI), Postgres in AWS via Terraform

Prior work with FHIR resources, wearable integrations (Apple Health, Oura, Withings, etc.), or data-modeling in healthcare

Comfortable navigating early-stage infra balancing product development efficiency while establishing the right long-term patterns and hardened security

Benefits

Competitive compensation: Structured, high-end market-based approach to ensure open and fair compensation across all roles and levels.

Health-native: Your health goals are just as important as company goals. Everyone has dedicated time and budget to accomplish their health goals. We believe in great sleep, fostering relationships both inside and outside the company, and quality time off contribute to a high-functioning team.

Personal healthcare: Each teammate has a "health wallet" (ICHRA) with the equivalent monthly funds for a platinum-level health insurance. You choose how to spend your budget choosing from the biggest selection of traditional insurance plans, and augmenting it with all-things proactive health and longevity.

Async by default; sync with intent: The most effective teams spend the least amount of time in meetings or commuting and more time actually getting things done. We work from all over the globe and as asynchronously as possible. Synchronous time together, IRL or remote, is done with intention, and bolstered by a quarterly 1-2 week team retreat in awesome locations.

Upgraded offline time: We value a strong "work ethic", but also a strong "rest ethic". We burn steady, not burn out. We provide explicit days off, rolled up "bank holidays" that you can take whenever works best for you, and two team-wide weeks off per year (1 week over winter holidays + 1 mid-year week) into an ample amount of time to unplug and recharge.