Senior Backend / Infrastructure EngineerBrellium's mission is to improve the standard of care across the US healthcare system. We've built AI-powered technology that helps healthcare providers deliver safer, higher-quality care. Our goal is to give every provider in the U.S. the tools to deliver clinically excellent, data-driven care - at scale.We're hiring a Senior Backend / Infrastructure Engineer to design the systems that let Brellium scale 10x. We currently process ~100k sessions per day – and we're building toward 1 million+. That requires robust distributed systems, resilient pipelines, and infrastructure that doesn't break under load. You'll architect and build the backend systems that ensure reliability, observability, and performance as volume increases by an order of magnitude.What You'll DoDesign and evolve distributed systems to support 10x growth in session volumeImprove throughput, fault tolerance, and system resilience across the core pipelineBuild scalable data pipelines and processing infrastructureStrengthen observability, monitoring, and incident responseReduce operational bottlenecks and technical debtCollaborate with AI and product teams to ensure the underlying systems can support new capabilities at scaleYou Might Be A Fit If YouHave scaled systems handling high throughput or real-time processingAre comfortable with distributed architectures and failure modesThink in terms of system design, not just featuresHave strong backend fundamentals: databases, queues, concurrency, APIsCare deeply about reliability and performance under loadRequired Skills5+ years of professional software engineering experience with a backend/infrastructure focusExpertise in Python and AWS infrastructure.Experience building and scaling data-intensive applications and pipelinesStrong understanding of distributed systems, concurrency, and database internalsProven track record of improving system reliability and performance in productionCompensation: $230,000 – $300,000We are committed to offering a comprehensive and competitive total rewards package, including robust health benefits, commuter benefits, and meaningful ownership opportunities through equity.
Compensation decisions are made holistically, ensuring fairness and alignment with market benchmarks while recognizing individual contributions and potential.Benefits Offered Include:401(k) Retirement Savings PlanEquity CompensationDinner Provided via DoorDash & stocked kitchen for NY employeesMedical, Dental, and Vision coverage of up to 100% premiums for you and your familyHSA / FSA11 paid holidays each yearUnlimited PTOTraining and professional developmentHybrid Work Schedule (4 days onsite, 3 if located > 1 hour away)What It Means To Be "One of Us"Bias to Action: Brellium teammates do not wait to make reversible decisions or seek unnecessary approval. We quickly decide and move forward. If the decision was incorrect, we quickly reverse it and move forward.Thinks for Themselves: Brellium teammates do not take things at face value. We ask "why" until base truth is reached. If a better solution is present, Brellium teammates use it, regardless of status quo.Negative Maintenance: The opposite of high maintenance isn't low maintenance - it's negative maintenance. Brellium teammates are poised under pressure, self-motivated, self-improving, self-disciplined, self-aware, and non-defensive.Expect Excellence: We hold ourselves to exceptionally high and continuously rising standards. We strive for thoughtfulness in our decision making, and for speed and quality in our execution. We acknowledge trade-offs and communicate proactively.Communicate with Clarity: Brellium teammates communicate concisely, directly, and purposefully. We optimize for ensuring our points are easily understood the first time.We are aware of fraudulent job offers claiming to be from Brellium. All legitimate communication comes from brellium.com, or , and we will never ask for money or sensitive personal information as part of our hiring process. If there are any questions please direct them to