Senior Backend Engineer jobs in United States
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Clarion · 11 hours ago

Senior Backend Engineer

Clarion is a company focused on improving healthcare communication through AI. They are seeking a Senior Backend Engineer to design and build core backend systems for their AI agents, ensuring effective healthcare workflows and integrations with existing healthcare platforms.

Hospital & Health Care

Responsibilities

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

Qualification

Backend systems designAPI developmentHealthcare integrationsSecurity complianceDistributed systemsRelational databasesAsynchronous workflowsCommunication skillsCollaborationProblem-solving

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

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