Senior Software Engineer (Backend)

New York, United States
Full-time

About the role

We need a Senior Backend Engineer with 6+ YOE building production backend systems who has designed and maintained external-facing/public APIs that customers or partners depend on. You should be comfortable working in a fast-paced, greenfield environment with high ownership and have strong data modeling instincts, particularly around health data, time-series, or high-frequency signals. Bonus points if you have experience at a name-brand startup (Series B–D) or in healthcare/health tech.

Responsibilities

  • Design and evolve Counsel Health's external API and embedded product layer, ensuring long-term stability, disciplined versioning, and enterprise-grade API craftsmanship for major healthcare clients like CVS
  • Take ownership of critical platform primitives on the Platform & Integrations team, building the health data platform that ingests, reconciles, and exposes wearable, medication, lab, and EHR data across the entire application
  • Work closely with enterprise partners' engineering teams to build and maintain tight-knit embedded integrations where Counsel sits inside their apps
  • Contribute to core data models that unify structured health records, unstructured inputs, and high-frequency time-series signals into clean, durable abstractions
  • Build pluggable ingestion frameworks that normalize data from third-party sources into canonical internal models with extensible adapters for new partner onboarding
  • Shape the future of Counsel's backend architecture, evolving the platform as new integration patterns and client requirements emerge every few months

About Counsel Health

Counsel’s mission is to multiply the world's healthcare capacity. We believe in a future in which every person has a personalized, AI-enabled doctor always in their pocket. To accomplish this, we are building an AI-first medical practice from the ground up that automates across the entire clinical stack, allowing our in-house clinicians to provide superhuman medical advice that is near-instant, highly personalized, and always available. We believe that collaborative care models that integrate clinicians and AI are the key to solving global healthcare access challenges.

Since our founding in 2023, we have formed partnerships with leading healthcare organizations and are on track to serve hundreds of thousands of patients on our platform within the next year. We have raised over $37M from top-tier VC firms, positioning us strongly to pursue our ambitious mission for years to come.

Our founding team includes experienced clinical and technology experts who have held senior roles at Harvard Medical School, Massachusetts General Hospital, UCSF, the MIT Media Lab, NVIDIA, and Mount Sinai.

Join us as we build the future of AI in healthcare!

Required skills

TypeScript
Node.js
Bun
PostgreSQL
Redis
SQS
Temporal
AWS
GCP
Docker
Kubernetes

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Job details

Salary

$190,000 - $220,000

Location

New York, United States

Experience

6+ years

Company

NameCounsel Health
Industryhealthcare, ai
Team Size92

Funding

Total raised

$36M

Last stage

Series A

Investors

a16z
GV
AAsymmetric Capital Partners
Floodgate Fund
Pear VC

Founders

MA

Muthu Alagappan

Founder & CEO

LinkedIn
RK

Rishi Khakhkhar

Co-Founder, Clinical Lead

JY

Justin Yu

Co-Founder

What happens next.

No applications, no recruiter spam. Just the intro.

01

Confirm the fit

A few questions to make sure this role is the right shape for you. Two minutes.

02

I pitch you to the company

I write the intro, send it to the founder, and handle the back-and-forth.

03

A meeting lands on your calendar

If they’re a yes, I book the chat. You show up — that’s the whole job-hunt.