Join to apply for the Senior Backend Engineer (Event-Driven Architecture, AI-Enabled Systems) role at Legion Health 3 months ago Be among the first 25 applicants Join to apply for the Senior Backend Engineer (Event-Driven Architecture, AI-Enabled Systems) role at Legion Health This range is provided by Legion Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $120,000.00/yr - $180,000.00/yr Join us in building the most efficient, AI-powered mental healthcare system.**\ We’re a YC-backed company revolutionizing telepsychiatry—not with AI for diagnostics, but with AI-driven operations that actually make patient care faster, smoother, and more accessible. Legion Health | AI-Driven Psychiatric Care – We’re Hiring! Join us in building the most efficient, AI-powered mental healthcare system.**\ We’re a YC-backed company revolutionizing telepsychiatry—not with AI for diagnostics, but with AI-driven operations that actually make patient care faster, smoother, and more accessible. We’re hiring top-tier engineers who thrive in high-velocity, AI-first environments and want to build technology that meaningfully improves lives. If you love shipping fast, working with AI, and solving hard problems, keep reading. Why This Role? You’ll own the architecture for a next-gen, AI-driven healthcare system. You’ll design event-driven systems that integrate LLM-powered automation across scheduling, billing, and patient interactions. You’ll scale a backend that supports thousands of patients while maintaining HIPAA compliance & security. You’ll shape the future of AI in healthcare, working directly with the founding team. What You’ll Work On Architecting and implementing a highly-scalable, event-driven backend using Node.js, Supabase (Postgres), and AWS. Building real-time, AI-powered patient and provider workflows that optimize scheduling, intake, and operational efficiency. Designing robust event pipelines to capture and structure rich operational data (call transcripts, scheduling metadata, etc.). Ensuring high availability, reliability, and security—handling PHI data while keeping everything fast and seamless. Collaborating with our AI and front-end teams to build an integrated, LLM-powered care delivery system. What We’re Looking For 5+ years of experience in backend engineering (Node.js, TypeScript, Postgres). Expertise in event-driven systems, message queues, or stateful data architectures. Experience with real-time data processing (e.g., webhooks, Kafka, or event sourcing). Comfortable working with LLMs—you don’t need deep AI expertise, but you should be excited to build AI-first systems. Strong security and compliance mindset (HIPAA or other regulated environments is a huge plus). What We Offer $70-200K salary + 0.2-1.0% equity (commensurate with experience). A high-velocity team—you will ship and own your work. A mission that matters—we’re solving real healthcare problems at scale. Deep AI integration—you’ll be at the frontier of operational AI in healthcare. Apply now Seniority level Seniority level Mid-Senior level Employment type Employment type Full-time Job function Job function Engineering and Information Technology Industries Mental Health Care Referrals increase your chances of interviewing at Legion Health by 2x Get notified about new Back End Developer jobs in San Francisco, CA . San Francisco, CA $112,000.00-$160,000.00 1 day ago Software Engineer I, Entry-Level (Graduation Date: Fall 2024-Summer 2025) San Francisco, CA $120,000.00-$160,000.00 3 days ago San Francisco, CA $145,000.00-$225,000.00 1 day ago Software Engineer, Deployment & Observability San Francisco, CA $150,000.00-$250,000.00 20 hours ago Frontend Software Engineer - University Graduate 2025 San Mateo, CA $120,000.00-$280,000.00 46 minutes ago San Francisco, CA $100,000.00-$120,000.00 1 hour ago San Francisco, CA $30,000.00-$220,000.00 1 day ago San Francisco, CA $150,000.00-$215,000.00 18 hours ago Software Engineer, Credit Card and SoFi Money San Francisco, CA $105,600.00-$198,000.00 6 days ago Software Engineer, Research - Human Data We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr Legion Health
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