Backend Software Engineer

Title: Backend Software Engineer

Location: San Francisco, CA

Reporting Structure: Reports to the Head of Engineering

Company Description

Our client is building an AI-powered platform designed to transform radiology workflows. Their platform integrates multiple radiology software tools with AI to streamline image review, automate routine tasks, and allow radiologists to focus on diagnosing disease more effectively.

Quick facts:

• Early-stage, high-growth startup
• 25 employees, with the majority on the engineering team
• Series A funded with strong runway
• Mission-driven: improving outcomes for patients through smarter radiology workflows

Responsibilities

The Backend Software Engineer will be responsible for:

• Taking end-to-end ownership of the radiology platform backend, from design to implementation, testing, monitoring, and deployment.
• Building reliable and high-performance server applications using Python and Django.
• Collaborating with radiologists, clinical staff, and IT teams to discover requirements, prototype solutions, and validate features.
• Improving application quality, reliability, and performance, including automated testing, robust error handling, and graceful failure recovery.
• Partnering with frontend engineers to ship new features and optimize overall system performance.

Is this you?

• 4+ years of experience building and maintaining complex, high-performance web applications in cloud environments.
• Strong proficiency in Python and Python web frameworks (Django preferred) with supporting development tools.
• Well-practiced debugging and problem-solving skills, with deep understanding of underlying abstractions.
• A product engineering mindset with a bias toward frequent user feedback and iterative shipping.
• End-to-end ownership mindset across design, implementation, testing, monitoring, and fixing production issues.

Preferred Qualifications

• Experience building or maintaining LLM- or ML-based systems, including operations and data pipelines.
• Experience measuring and optimizing web application and database performance.
• Experience deploying and operating backend services with Kubernetes or other container orchestration and managing cloud infrastructure with Terraform or similar tools.
• Familiarity with systems programming, Linux/POSIX, concurrency, networking, memory management, or filesystem operations.
• Full-stack experience, ideally with Typescript/React to collaborate with frontend engineers.
• Knowledge of radiology, medical imaging, or healthcare environments.

#Perks

• Salary: $195,000–$235,000 base + equity
• Opportunity to work on mission-driven AI products transforming healthcare
• Hands-on, high-impact engineering environment
• Collaborative team with direct exposure to end-users