Backend Software Engineer (Hybrid – Nashville, TN)We are seeking an experienced Backend Software Engineer to help architect and build a next-generation healthcare platform. This is a rare opportunity to join an early engineering team and play a defining role in the technical foundation and culture of a fast-growing technology company.If you thrive in high-ownership environments, enjoy building from the ground up, and care deeply about quality and performance, this role offers a true 0?1 impact opportunity.What You'll DoDesign and build core backend systems including APIs, database architecture, infrastructure, and data pipelines.Own features end-to-end—from requirement gathering and technical spec creation through deployment and iteration.Collaborate closely with product and engineering leadership to shape technical decisions and long-term platform direction.Work in a fast-moving environment that values experimentation, rapid release cycles, and constant learning.Contribute to a platform designed to improve clinical workflows and enhance the healthcare experience for providers and patients.Must-Have Qualifications5+ years of experience building and shipping backend production systems.Strong background with modern backend technologies, such as: Cloud platforms: AWS or GCPDatabases: Postgres, MySQL, DynamoDB, Spanner, etc.APIs: REST/gRPC/GraphQLData pipelines: Airflow, Dagster, or similarLanguages: Python, Golang, Java/Kotlin, or similarExperience building something meaningful from scratch—whether at a startup, as a technical lead, or through side projects.Ability to thrive in ambiguity, move quickly, and make thoughtful technical trade-offs.Strong communication skills and the ability to articulate technical decisions clearly.Nice-to-Have ExperienceExperience with BaaS platforms like Supabase, Firebase, Railway, or Hasura.Familiarity with AI-native coding tools (e.g., Cursor, Claude Code).Exposure to healthcare systems (HIPAA, EPCS, PDMP, EHR/EMR workflows).Basic front-end skills with React, TypeScript, or Next.js.Compensation & BenefitsCompensation is competitive and based on experience and location. Total rewards may include base salary, performance incentives, benefits, and equity participation.Work EnvironmentHybrid role based in Nashville, TNHigh-impact engineering organization building mission-critical technologyOpportunity to shape architecture, engineering processes, and team culture from the earliest stages