Senior / Staff Backend Engineer

About Aegis Ventures

Aegis Ventures partners with entrepreneurs and industry leaders to launch and scale transformative companies in digital health and artificial intelligence. Our platform brings together market-shaping ideas, growth capital, and ambitious individuals to solve major societal problems. With a focus on innovations in healthcare, Aegis has launched four successful portfolio companies in partnership with Northwell Health and recently announced the Digital Consortium to co-develop, invest in, and launch new companies.

About Caregentic

Caregentic is transforming how healthcare organizations deliver patient care in the real world by developing a modern platform with AI-powered patient engagement. We’re solving complex challenges in patient care with sophisticated technology: Care journey orchestration, health data integration, and clinical workflows. We relieve healthcare providers of daily frustrations, so they can focus on what matters most: caring for patients.

Founded by a team that understands both the technical challenges and clinical realities of modern healthcare, we're co-developing a platform with leading health systems like Northwell Health, giving us access to real-world feedback and validation from day one. This unique partnership means our work is refined and improved in real clinical environments.

We're at an exciting inflection point — our early customers are seeing measurable improvements in care delivery and operational efficiency, and we’re ready to grow our team with an experienced, senior engineer who can help scale our impact in the industry.

About the Job

As a Senior or Staff Backend Engineer, you will have end-to-end ownership of key parts of our backend services architecture. You will work on our modern micro-service architecture, built with Python 3.12, FastAPI, Strawberry GraphQL, and event-driven design principles.

You will be responsible for building scalable, resilient systems that drive real impact in patient care while also helping shape the technical direction of the platform and mentoring other engineers. Our team operates with the urgency that healthcare demands, and we never lose sight that our work directly impacts patient lives.

We’ve been a fully remote team from the start, distributed across the U.S. We believe that great engineering happens wherever people do their best work.

Our Tech Stack:

• Python 3.12, FastAPI, Strawberry GraphQL
• PostgreSQL with asyncpg and SQLAlchemy
• Procrastinate (background jobs) and Apache Kafka
• Docker, Kubernetes, AWS (S3, Cognito, SES, etc.)
• Apollo Federation (GraphQL gateway)
• React and TypeScript web frontend

What You'll Do:

• Design and develop robust, scalable, event-driven services using Python, FastAPI, Apache Kafka and GraphQL.
• Collaborate across product and engineering teams to define requirements and architect features.
• Work with DevOps on deployments, monitoring, and reliability improvements.
• Maintain and optimize PostgreSQL databases and data models.
• Drive engineering best practices through code reviews and mentorship.

What You'll Need:

• 5+ years of backend development experience in production environments, specifically strong Python skills, including async programming and type hints.
• Solid understanding of PostgreSQL database design and optimization.
• Familiarity with Docker and containerization.
• Strong testing practices using pytest.
• Experience with microservice architectures is preferred.
• Experience with GraphQL APIs.
• Experience with event-driven systems and message queues.
• Experience with major cloud providers (e.g., AWS).

Bonus Points For:

• Experience with Strawberry GraphQL.
• Experience with Kafka, Procrastinate, or similar background job systems.
• Experience Apollo Federation or multi-service GraphQL experience.
• Healthcare or regulated industry experience (HIPAA, HL7, FHIR).
• Experience with Terraform or infrastructure-as-code.
• Experience with Kubernetes.
• Experience mentoring engineers or leading technical projects.

What You'll Bring to the Table:

• Technical leadership: Ability to guide design decisions, and bring others along.
• End-to-end ownership: From technical design, through shipping code, and supporting it in production, you’ll take responsibility for the health of the platform.
• Product-minded approach: Combining technical excellence with pr