Senior Backend Software Engineer

POSITION OVERVIEW: Our San Diego-based client is a publicly traded HealthTech company using AI, advanced imaging, data science, and cloud software to transform how complex spine procedures are planned and delivered. Its personalized surgery platform combines sophisticated clinical data, imaging, planning, automation, and manufacturing to improve patient outcomes. We’re looking for a Senior Backend Software Engineer to build and evolve the backend systems and data infrastructure powering this platform. This is a backend-first, data-intensive role for an engineer who enjoys complex problems involving data models, APIs, system architecture, database performance, scalability, and reliability. You’ll have meaningful ownership and the opportunity to influence technical direction while working alongside experienced engineers, product leaders, and clinical experts. What You’ll Do: Design and build scalable backend services and APIs using Node.js, GraphQL, and Java/Kotlin with Spring BootDesign and optimize data models and PostgreSQL databases, including schema design, complex queries, indexing, migrations, and performanceBuild systems that handle complex clinical and operational data with high standards for accuracy, reliability, and performanceDesign GraphQL schemas and APIs for scalability, maintainability, and performanceParticipate in architecture, technical design, and code reviews and help shape engineering standardsTroubleshoot complex production issues and drive problems to root causeCollaborate with product and engineering teams to translate complex requirements into effective technical solutionsMentor engineers and contribute to a strong engineering culture QUALIFICATIONS: 7+ years of software engineering experience with a strong backend focusProven experience building production-grade backend services, APIs, and data-intensive applicationsExpert Node.js / server-side JavaScriptStrong experience with Java and/or Kotlin, preferably Spring BootDeep PostgreSQL expertise, including schema design, query optimization, indexing, and performance tuningStrong GraphQL experience, including schema design and API architectureExperience building cloud-first applications on AWS, GCP, or AzureStrong understanding of software architecture, design patterns, data structures, and engineering fundamentalsExperience with CI/CD and modern DevOps practicesExcellent debugging, problem-solving, and communication skillsEDUCATION: BS in Computer Science or related field, or equivalent experiencePreferred: Prisma, JPA, database migration frameworks, healthcare/medical device software, medical imaging, computer vision, CAD/3D software, manufacturing technology, AI/data platforms, or other complex or highly regulated environments.Healthcare experience is a plus, not a requirement. We’re especially interested in engineers who have solved difficult problems involving data, scale, performance, reliability, and complex workflows. Why This Role: You’ll be building technology at the intersection of AI, medical imaging, clinical workflows, and advanced manufacturing. The work is technically challenging, highly visible, and directly connected to clinical decision-making and patient care. This is an opportunity to own meaningful backend systems, influence architecture, and solve genuinely complex engineering problems rather than simply implement tickets. COMPENSATION AND BENEFITS OVERVIEW: $140K–$180K base salaryPerformance bonusRSUs with a publicly traded company100% employer-paid medical, dental & vision for employees and dependents401(k) with company matchUnlimited PTO