Senior Backend Engineer

Heartbeat Health is the leading virtual-first cardiovascular care company in the country, providing patients with convenient, high-quality heart care through a combination of telemedicine, diagnostics, and virtual care programs. By leveraging real-time data and AI-powered insights, Heartbeat Health empowers providers and patients with personalized treatment plans, reducing hospitalizations and improving long-term heart health outcomes. Heartbeat Health is redefining how cardiovascular care is delivered in the digital age, led by our medical group of cardiologists, advanced practitioners, nurses, and care coordinators.

About The Gig:

• Heartbeat Health is looking for a Senior Backend Engineer to join our lean, high-impact engineering team and help build our virtual-first cardiovascular care platform. You’ll develop backend services that orchestrate care journeys and drive outcomes for patients and providers across the country. This is a hands-on role where you’ll work alongside experienced engineers to solve challenging technical problems and shape system architecture.
• We’re looking for a senior engineer who thrives in high-autonomy environments - someone who brings architectural thinking, executional rigor, and a strong product mindset. You’ll play a key role in scaling a platform that’s transforming specialty care through clean abstractions, pragmatic engineering, and tight iteration.

What You'Ll Do:

• Build Systems That Matter - Design, implement, and maintain RESTful backend services and APIs that power care coordination, EMR interoperability, and automation across our platform.
• Deliver Incremental Value - Partner closely with product, clinical, and operations to ship usable, valuable backend functionality in short, feedback-driven iterations.
• Write Reliable Code - Contribute clean, well-tested, and maintainable code that’s built for resilience, observability, and scale.
• Shape Technical Direction - Participate in design reviews and technical discussions that influence how our systems evolve over time.
• Contribute to a High-Impact Team - Join a group that values thoughtful engineering, clear ownership, and shipping real value - fast.

What You'Ll Need:

• 5+ years of experience building backend services and APIs
• Strong proficiency in at least one modern, statically typed language like Rust, Go, or Kotlin (we’re a Rust shop)
• Experience designing and building RESTful APIs, including defining and maintaining documentation with OpenAPI specifications.
• Solid understanding and experience with relational databases (PostgreSQL), distributed systems, and AWS cloud environments.
• Familiarity with service-oriented architectures and best practices for designing modular services.
• Comfort with CI/CD pipelines, containerization (Docker, Kubernetes), and monitoring/observability tools.
• Solid communication and collaboration skills; ability to work cross-functionally and independently
• A bias toward pragmatism, simplicity, and execution

Nice-To-Haves:

• Experience in healthcare or other regulated industries
• Familiarity with EHR integrations (FHIR, HL7, SMART on FHIR, etc.)
• Experience building with Rust and its ecosystem (e.g., Actix, Serde, Diesel, Tokio)
• Interest or experience in AI/ML systems or integrating AI-powered tools

About Our Culture:

• We are mission-driven: we're revolutionizing the way cardiovascular care is delivered 
• We are fast-paced & agile: we move quickly, iterate often, and value experimentation
• We are remote-first: flexibility, autonomy, and trust are at the core of how we operate
• We care about diversity: diversity allows us to build an excellent patient experience
• We are an equal opportunity employer: we do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status