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MEDvidi

Senior Backend Engineer, NodeJS

MEDvidi

. Design and build backend architecture for AI-powered automation systems .

Posted 10/27/2026full-timeRemote • GeorgiaSeniorWebsite

Core Competencies

Role fit
Core Competencies

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Demonstrates expertise in designing and building scalable backend architectures for AI-powered automation systems, with a strong focus on integrating LLMs and optimizing RAG pipelines. Proficient in developing robust APIs and ensuring observability and performance in production environments.

Highest-signal resume keywords
Node.js Backend DevelopmentLLM IntegrationRAG Pipeline OptimizationAPI DevelopmentObservability with Grafana

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills
Backend Architecture DesignMulti-Agent AI WorkflowsPrompt EngineeringPostgreSQLAWS CDKLambdaAPI GatewayElastiCacheSystem DecompositionPerformance Optimization
Soft Skills
Proactive MindsetProduct-Oriented ApproachCollaboration
Tools & Technologies
GrafanaOpenSearchModern AI Frameworks
Industry Keywords
Healthcare AIRegulated EnvironmentsMCP in Node.js

Tech Stack

Tools & technologies
AWSGrafanaJavaScriptNode.jsPostgresReact

About the role

Key responsibilities & impact
  • Design and build backend architecture for AI-powered automation systems
  • Integrate and scale LLM-based product features with AI engineers and product teams
  • Implement and evolve agent-based systems such as ReAct and supervisor-agent models
  • Optimize RAG pipelines and context enrichment using structured and unstructured data
  • Develop robust APIs for internal services and external integrations
  • Ensure observability, monitoring, and alerting using tools such as Grafana and OpenSearch
  • Participate in code reviews and architecture discussions
  • Maintain high-quality technical documentation for newly designed systems and APIs
  • Build production-grade systems that automate clinical and operational workflows
  • Collaborate with AI engineers, product teams, and cross-functional stakeholders

Requirements

What you’ll need
  • 8+ years of commercial backend development with Node.js in product companies, preferably SaaS
  • Deep understanding of complex backend systems end-to-end
  • Experience designing backend architectures and technical solutions, including system decomposition, scalability trade-offs, long-term maintainability, and technology choices
  • Proven experience building scalable, high-performance backend systems and robust APIs
  • Strong understanding of data flows, failure modes, and performance bottlenecks
  • Hands-on experience integrating LLMs into production systems
  • Experience designing and implementing multi-agent AI workflows in production, including orchestration logic, ReAct patterns, and supervisor-agent architectures
  • Practical experience with modern AI frameworks
  • Experience designing and optimizing RAG pipelines, including embeddings, vector databases, retrieval strategies, ranking, chunking, and quality-versus-latency trade-offs
  • Strong prompt engineering skills, including structured JSON/YAML outputs, schema validation, evaluation-based iteration, and reliability techniques
  • Understanding of LLM infrastructure in production, including tracing and observability, evaluation frameworks, quality metrics, safety mechanisms, guardrails, performance optimization, and cost optimization
  • Hands-on experience with PostgreSQL and AWS, including CDK, Lambda, API Gateway, and ElastiCache
  • Good understanding of observability and debugging using Grafana, OpenSearch, or similar tools
  • Strong engineering culture involving testing, CI/CD, reliability, and technical ownership
  • Product-oriented mindset focused on user-centered automation
  • Proactive AI enthusiast mindset
  • Fluent Russian
  • English B2+
  • Experience with medical/healthcare AI or regulated environments is a plus
  • Experience with MCP (Model Context Protocol) in Node.js is a plus

Benefits

Comp & perks
  • Competitive compensation package
  • Health insurance after the probation period
  • Sports and wellness compensation
  • Personalized English lessons via Preply
  • Clear growth paths
  • 19 paid vacation days annually
  • 4 additional wellness days each year
  • Paid sick leave for the first 5 working days
  • Thoughtful gifts for key life events
  • Offline corporate events
  • Fully remote long-term collaboration under a B2B model