Senior Software Engineer, Incision

• This is a great role for someone who enjoys owning AWS architecture, mentoring others, and building systems where security, performance, and trust truly matter
• 7+ years of backend engineering experience, with strong hands-on AWS expertise in production environments
• Deep understanding of AWS core services, such as Lambda, API Gateway, S3, CloudWatch, Step Functions, EventBridge, IAM, and networking fundamentals
• Proven experience designing and operating serverless or cloud-native architectures at scale
• Strong background with Infrastructure as Code (AWS CDK strongly preferred, Terraform acceptable)
• Solid experience with Node.js, TypeScript, and Nest.js in production systems
• Database expertise: DocumentDB (or MongoDB), plus DynamoDB or Aurora
• Experience improving system reliability, performance, and scalability through effective debugging, execution optimization, and memory management
• Strong observability, security, and CI/CD practices in AWS-based systems
• Track record of mentoring engineers and influencing technical direction
• Excellent communication skills, able to explain complex AWS concepts to both technical and non-technical stakeholders

Desirable

• As a Senior Backend Engineer (AWS-focused) at Incision, you will design, scale, and operate secure, reliable, and cost-efficient backend systems with a strong emphasis on AWS architecture and cloud-native best practices
• You’ll work with Node.js and TypeScript, using Nest.js, AWS CDK, and core AWS services to build and evolve our serverless platform
• You’ll collaborate closely with Product Owners, Data Engineer, and Frontend teams to deliver features end-to-end, while also acting as a technical authority on AWS design decisions, trade-offs, and operational excellence
• You’ll play a key role in strengthening our cloud foundations, improving reliability, scalability, and cost control across environments
• Architect, build, and operate backend services on AWS serverless using TypeScript, Node.js, Nest.js, and AWS CDK
• Take ownership of AWS architecture decisions, including service selection, scaling strategies, and cost optimization
• Own features end-to-end: requirements, design docs, implementation, testing, observability, cost posture, and on-call readiness
• Design resilient systems using AWS-native patterns (event-driven, async processing, retries, idempotency)
• Work with DocumentDB (primary) and DynamoDB/Aurora, making informed data modeling and performance trade-offs
• Design and document clear APIs with OpenAPI, ensuring scalability, security, and maintainability
• Strengthen observability across services using CloudWatch, logs, metrics, and tracing
• Ensure privacy, security, and compliance in handling healthcare data
• Collaborate closely with Product, Data, Frontend, and QA teams to deliver high-quality outcomes
• Mentor and support other engineers, raising AWS, backend, and operational standards across the team