Senior Backend Software Engineer, Regard

• BS in Computer Science or equivalent experience
• 6+ years of professional experience with software development
• Proficient in Python or Go with demonstrated ability to write and maintain production-quality code
• Proven experience building data-intensive applications, backed by strong data fluency in designing and evolving schemas consumed across cross-functional teams
• Able to participate in on-call operational support for your areas of responsibility
• Able to travel up to 4 weeks a year for company co-working and/or retreat weeks
• Practical experience leveraging AI coding tools in day-to-day software development (e.g., Cursor, Claude Code, Codex)
• Our expectation for this role is to be in the office 2 days per week. We also require more frequent in-office work during the onboarding period and team onsite weeks up to once per month
• All candidates must successfully complete a background check as part of the hiring process

Desirable

• As a Senior Backend Software Engineer on our Diagnostics team, you'll build the part of Regard that reads a patient's medical chart — labs, medications, vitals, procedures, prior notes, history — and determines which conditions are present, along with the evidence supporting each one
• You'll design and develop critical backend services and drive them end-to-end through the full product lifecycle: ideation, planning, design, execution, deployment, and iteration
• Our senior engineers are true technical leaders by driving architectural decisions, mentoring teammates, and leading major projects that help set the bar for engineering excellence
• You'll collaborate closely with product, design, clinicians, and fellow engineers to ship high-quality solutions that empower physicians and improve patient care
• Collaborate with product, design, and clinicians to design medium-to-large projects, often starting from an ambiguous problem statement and balancing speed to market, user experience, business goals, and technical architecture quality
• Own backend services and drive improvements across system design, observability, testing, performance, and support
• Model clinical data and design the schemas and service contracts that new product surfaces are built on
• Work directly with clinicians to understand what a diagnosis requires, and turn that intent into logic and tooling they can extend themselves
• Mentor and review code from other developers across backend services
• Maintain and improve the quality of the codebase and tooling in your area of responsibility through proactive fixes and by proposing projects that improve the overall backend codebase
• Participate in operational activities including on-call, monitoring, and production support