Senior Backend Engineer, Care Platform – EMR

Bask Health

. Design, develop, and maintain backend services supporting Bask's care platform and EMR workflows.

Posted 11/11/2026full-timeRemote • United StatesSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in backend development, particularly with TypeScript, Node.js, and AWS services, while ensuring secure handling of sensitive patient information. Capable of designing scalable systems and APIs that support complex healthcare workflows and collaborating effectively with cross-functional teams.

Highest-signal resume keywords

Backend DevelopmentTypeScript ProficiencyAWS Services ExperienceSQL Database DesignAPI Design

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

TypeScriptNode.jsJavaScriptSQLAPI DevelopmentDatabase Schema DesignAsynchronous ProcessingDistributed SystemsORM ToolsApplication Security

Soft Skills

Analytical ThinkingProblem-SolvingAttention to DetailCommunication SkillsCollaboration

Tools & Technologies

AWS LambdaSQSEventBridgePrismaDrizzleGitCursorClaude CodeSSTTRPC

Industry Keywords

Healthcare WorkflowsPatient RecordsClinical EncountersPrescribing WorkflowsHIPAA ComplianceElectronic Medical RecordsSaaS PlatformsRegulated Software EnvironmentsAudit LogsRole-Based Access Controls

Tech Stack

Tools & technologies

AWSDistributed SystemsJavaScriptNext.jsNode.jsReactSQLTypeScript

About the role

Key responsibilities & impact

Design, develop, and maintain backend services supporting Bask's care platform and EMR workflows.
Build and improve systems for patient records, clinical encounters, provider review queues, and prescribing workflows.
Develop reliable APIs and backend services connecting patient-facing applications with internal clinical tools.
Design database schemas, data models, and application logic for complex healthcare workflows.
Build scalable services using TypeScript, Node.js, SST, AWS, and SQL databases.
Work with serverless AWS services, including Lambda, SQS, and EventBridge, for asynchronous processing and event-driven workflows.
Improve performance, reliability, and maintainability of existing backend systems.
Design accurate and consistent workflows for changes in patient and clinical records.
Ensure sensitive patient information is handled with appropriate security, access controls, and auditability.
Build and maintain integrations between clinical workflows and other parts of Bask's platform.
Collaborate with product managers and clinical operations teams to translate requirements into technical solutions.
Own complex backend projects from architecture and implementation through testing, deployment, and production monitoring.
Write clean, maintainable, well-tested code and contribute to engineering standards.
Investigate production issues, identify root causes, and implement durable fixes.
Review code, provide technical guidance, and improve engineering practices across the team.
Use Cursor and Claude Code to investigate problems, prototype solutions, and accelerate development while applying independent technical judgment.
Work across the stack when necessary to understand backend impacts on frontend experiences and operational workflows.
Design reusable services and architectural patterns for future product development.
Participate in technical planning, architecture discussions, and product development decisions.
Continuously improve system performance, observability, testing, and deployment practices.

Requirements

What you’ll need

5+ years of professional software engineering experience, with substantial hands-on backend development experience.
Strong proficiency in TypeScript, JavaScript, and Node.js.
Experience designing, building, and maintaining production backend applications and APIs.
Experience working with AWS services and serverless architectures.
Familiarity with AWS Lambda, SQS, EventBridge, or comparable event-driven infrastructure.
Strong experience with SQL databases, relational data modeling, and database schema design.
Experience using modern ORM or database access tools such as Prisma or Drizzle.
Understanding of API design, asynchronous processing, distributed systems, and backend application architecture.
Experience designing reliable systems that handle complex business logic and multi-step workflows.
Strong understanding of application security, authentication, authorization, and secure data handling.
Experience writing automated tests, debugging production issues, and maintaining high software quality.
Ability to independently own complex projects or substantial areas of a production codebase.
Experience making architectural decisions and evaluating technical tradeoffs.
Familiarity with modern development workflows, Git, code reviews, and production deployments.
Ability to use AI-assisted development tools effectively while independently evaluating generated code for correctness, security, and maintainability.
Strong analytical thinking, problem-solving skills, and attention to detail.
Excellent written and verbal communication skills, including the ability to explain technical decisions, constraints, and timelines.
Comfortable working in a fast-moving environment with significant individual ownership.
Willingness to collaborate closely with product managers, engineers, and operational teams.
Nice to Have: Experience with SST and serverless application development on AWS.
Nice to Have: Experience working with tRPC, Next.js, React, or full-stack TypeScript applications.
Nice to Have: Experience with multi-tenant SaaS platforms or monorepo architectures.
Nice to Have: Experience building electronic medical records, healthcare applications, or clinical workflow systems.
Nice to Have: Familiarity with patient records, clinical encounters, prescribing workflows, or provider-facing applications.
Nice to Have: Understanding of HIPAA, healthcare data privacy, or regulated software environments.
Nice to Have: Experience designing audit logs, role-based access controls, and sensitive-data workflows.
Nice to Have: Experience with event-driven architectures, queues, background jobs, or distributed processing.
Nice to Have: Experience building and scaling paid SaaS products or taking products from concept to launch.
Nice to Have: Experience improving database performance, API reliability, and system observability.
Nice to Have: Familiarity with integrations involving clinical systems, pharmacies, or healthcare service providers.
Nice to Have: Experience mentoring engineers, reviewing complex implementations, or establishing backend engineering standards.
Nice to Have: Experience using Cursor, Claude Code, or other AI-assisted development tools in production software workflows.
Nice to Have: Experience building automation or AI-powered functionality into existing software products.