Senior Software Engineer, Incision

• 7+ years of backend engineering with Node.js and TypeScript (with at least 2–3 in senior/lead capacity)
• Hands-on experience building and scaling services with Nest.js in production
• Excellent TypeScript knowledge; able to improve existing code, introduce new practices, and establish guidelines
• Proven experience architecting backend systems in AWS serverless (Lambda, API Gateway, S3, CloudWatch, Step Functions, EventBridge)
• Strong background with Infrastructure as Code (CDK/Terraform) and multi-environment deployments
• Database expertise: DocumentDB (primary), plus DynamoDB or Aurora
• Experience improving system performance and scalability through efficient debugging, execution speed optimization, and memory management
• Strong observability, reliability, security, and CI/CD practices
• Track record of mentoring team members and influencing technical direction
• Excellent communication skills and ability to align across tech and business stakeholders
• Background in healthcare, finance, or other regulated environments

Desirable

• As a Senior Backend Engineer at Incision, you will design and scale secure, reliable, and cost-efficient backend systems
• You’ll work with Node.js and TypeScript, using Nest.js and AWS CDK to build serverless services that power our products
• You’ll collaborate closely with our Product Owners, Data Engineer, and Frontend team to deliver features end-to-end — from designing APIs and data models, through implementation, to observability and release
• You’ll play a key role in shaping the architecture behind our surgical education platform, ensuring privacy, compliance, and scalability are built in
• This is a great role for someone who loves solving complex backend challenges, enjoys mentoring others, and thrives in an environment where security, performance, and user trust truly matter
• Architect and implement backend services on AWS serverless (CDK) with TypeScript, Node.js, and Nest.js
• Own features end-to-end: requirements, design docs, implementation, testing, observability, cost posture, and on-call readiness
• Make key design decisions around service boundaries, data models, and integrations
• Work with DocumentDB (primary) and DynamoDB/Aurora for data modeling and storage
• Design and document clear APIs with OpenAPI, ensuring scalability and maintainability
• Ensure privacy, security, and compliance in handling healthcare data
• Optimize system performance, debugging, execution speed, and memory usage for scalability
• Collaborate closely with Product, Data, and Frontend teams to deliver high-quality outcomes
• Mentor and support other engineers, raising the bar through code reviews, guidelines, and best practices