Senior Backend Engineer jobs in United States
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Clarion · 1 day ago

Senior Backend Engineer

Clarion is a company focused on transforming healthcare communication through AI technology. The Senior Backend Engineer will design and build core backend systems that power AI agents and healthcare workflows, ensuring the reliability and security of these systems.

Hospital & Health Care

Responsibilities

Design, build, and own the services, data models, and business logic powering Clarion’s AI agents and healthcare workflows
Build infrastructure for multi-step, asynchronous workflows—including agentic AI workflows with conditional logic, retries, and graceful failure handling
Own high-stakes integrations with EHRs and legacy healthcare platforms via APIs and RPA
Create internal abstractions and tooling that allow the team to deploy and customize AI assistants for new customers quickly and reliably
Implement and maintain backend authentication, authorization, and HIPAA-compliant architecture required for enterprise healthcare
Design and operate production systems using LLMs with real-time monitoring, safety controls, and enterprise reliability
Architect backend systems that coordinate AI agents across complex healthcare workflows with strong guarantees
Build systems supporting thousands of concurrent patient interactions with high uptime and fast incident detection
Design resilient abstractions across modern APIs and legacy EHRs while maintaining security and compliance

Qualification

Backend systems designAPI integrationRelational databasesAsynchronous workflowsDistributed systemsSecurity complianceHIPAA familiarityClear communicationCross-functional collaborationHigh ownership

Required

5+ years of experience designing, building, and scaling backend systems in high-reliability production environments
Strong backend expertise across APIs, relational databases, async workflows, and distributed systems
High ownership and agency—you thrive in ambiguity and take responsibility for system outcomes
Ability to communicate clearly, collaborate cross-functionally, and surface risks early

Preferred

Bonus: experience with security, auth, or regulated environments (HIPAA familiarity is a plus)

Company

Clarion

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At Clarion, we’re building the AI communication layer for healthcare, enabling every clinic to streamline operations and making it effortless for patients to access and receive care.

Funding

Current Stage
Early Stage

Leadership Team

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Jeffrey Lamothe
CTO, Co-Founder
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Ryan Gallagher, MD
Co-Founder
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Company data provided by crunchbase