Founding Backend Engineer - Healthtech SaaS Startup

clera Germany
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AI Summary

Shape core backend services and cloud infrastructure for AI-native healthtech platform. High-impact, high-autonomy role. Competitive compensation, visa sponsorship available.

Key Highlights
Design and implement robust, scalable backend services and APIs
Own cloud infrastructure end-to-end: automate deployments, set up CI/CD pipelines, ensure high availability
Collaborate closely with founders and product team to define technical foundation
Key Responsibilities
Design and implement robust, scalable, and secure backend services and APIs
Own cloud infrastructure end-to-end: automate deployments, set up and maintain CI/CD pipelines, and ensure high availability across environments
Monitor system health and implement observability best practices across all environments
Model and manage relational data using PostgreSQL or similar databases
Containerize services with Docker and apply orchestration concepts in production
Collaborate closely with founders and the product team to define and build the technical foundation of the platform
Technical Skills Required
Python Node.js PostgreSQL Terraform Azure Docker Security best practices
Benefits & Perks
Competitive compensation package
Visa sponsorship available
Nice to Have
Experience in healthtech, pharma-tech, or regulated data environments
Familiarity with agentic AI workflows or LLM-integrated systems
Background at a high-growth startup or in a founding engineer capacity

Job Description


About The Role

A fast-growing, Y Combinator–backed healthtech SaaS startup is hiring a Founding Backend Engineer to shape the core of their platform. You will be one of the earliest engineers, with direct ownership over backend services and cloud infrastructure powering an AI-native product used by leading pharmaceutical companies worldwide. This is a high-impact, high-autonomy role for someone who thrives at the intersection of scalable systems and real-world product impact.

What You'll Do

  • Design and implement robust, scalable, and secure backend services and APIs.
  • Own cloud infrastructure end-to-end: automate deployments, set up and maintain CI/CD pipelines, and ensure high availability across environments.
  • Monitor system health and implement observability best practices across all environments.
  • Apply security best practices and threat modeling to backend systems.
  • Model and manage relational data using PostgreSQL or similar databases.
  • Containerize services with Docker and apply orchestration concepts in production.
  • Collaborate closely with founders and the product team to define and build the technical foundation of the platform.

What We're Looking For

Must-have

  • 2+ years of software engineering experience.
  • Proficiency in Python and/or Node.js for backend development.
  • Proven experience designing and implementing scalable backend services and APIs.
  • Experience with PostgreSQL or other relational databases for data modeling and querying.
  • Cloud infrastructure automation using Terraform and Azure.
  • Experience setting up and maintaining CI/CD pipelines and automated testing workflows.
  • Containerization with Docker (and familiarity with orchestration concepts).
  • Implementation of security best practices and threat modeling for backend systems.
  • Ability to design for high availability, monitoring, and observability.
  • Strong computer science fundamentals.

Nice To Have

  • Experience in healthtech, pharma-tech, or regulated data environments.
  • Familiarity with agentic AI workflows or LLM-integrated systems.
  • Background at a high-growth startup or in a founding engineer capacity.

Compensation & Benefits

  • Competitive compensation package.
  • Visa sponsorship available.
  • Opportunity to join as a founding team member with significant scope and ownership.

Location

This role is based on-site in Munich, Germany. Candidates must be willing to work from the Munich office full-time.

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