Outlive · 1 day ago
Backend Engineer (Node.js / NestJS)
Austin, TX
Full-time
Onsite
Mid, Senior Level
$100K/yr - $175K/yr
5+ years expOutlive is a company focused on improving long-term health through an evidence-based product. The Backend Engineer will be responsible for designing and evolving core services for the health intelligence platform, including user identity and data integration.
Computer Software
Responsibilities
Design and implement backend services using NestJS (v11) and TypeScript
Build secure, well-validated REST APIs using zod, class-validator, and OpenAPI
Implement role-based access control and JWT validation using Google Identity
Model and manage relational data using Prisma and Postgres
Implement background jobs and async workflows using Cloud Tasks
Integrate with external services (OCR, scheduling APIs, third-party data sources)
Ensure observability through structured logging, metrics, and Sentry
Write unit and integration tests using Jest
Collaborate closely with frontend and infra engineers on system design and deployment
Qualification
Required
5+ years of backend engineering experience
Strong experience with Node.js and TypeScript
Production experience with NestJS or similar structured backend frameworks
Experience designing APIs and data models for complex domains
Familiarity with relational databases and ORMs
Strong security mindset, especially around auth and data access
Experience optimizing Postgres data interactions
Strong familiarity with building distributed systems, related practical design considerations, and patterns for scaling such systems in the cloud
Preferred
Experience with Google Cloud Platform
Experience in healthcare, fintech, or other regulated domains
Familiarity with OCR pipelines or document processing
Experience with event-driven or task-based architectures
Benefits
100% employer-paid medical, vision, and dental insurance (multiple plans available).
100% employer-paid life insurance, short-term, and long-term disability insurance.
Employer-sponsored HSA contributions for HDHP medical plans
Additional HSA and FSA spending account plans for employees
401(k) with a 5% company match.
Generous PTO and holiday schedule.
Company-issued technology and work-from-home stipend.
Company
Outlive
Outlive is building the operating system for Medicine 3.0, helping people take ownership of their future health by turning longevity science into daily, personalized action.
2-10 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase