Skip to content
CV Rocket
Get started
How it worksThe enginePricingBlogContactSign in

Open nowPosted 15 days ago

Principal Backend Engineer

Qualified Health19 open roles

Pay
$230,000 – $300,000 a year
Where
Palo Alto, CA
Work mode
Hybrid
Get the CV for this job

From $25 per CV, paid once. No subscription.

Your applicationOpen nowPrincipal Backend EngineerQualified Health · Palo Alto, CA

  1. YouYes, apply to this one.

  2. CV RocketCV written for this posting.

  3. 25 readersRecruiter, hiring manager, skeptic. Round after round.

  4. CV RocketApplied on Qualified Health's own form.

The reply lands in your private mailbox

3×more interviews than doing it yourself with ChatGPT.

The clock on this job

Early applications get read.

12.7% of postings close within 7 days. Measured by our own scanner across the market. Qualified Health postings stay open a median of 53 days.

Share of postings closed within
  1. 2.2%1 day
  2. 4.5%3 days
  3. 12.7%7 days
  4. 20.4%14 days
  5. 35.6%30 days
  6. 58.7%60 days
This job: posted 15 days ago

Qualified Health median: 53 days open

The posting

TRANSFORM HEALTHCARE WITH US.

At Qualified Health, we’re redefining what’s possible with Generative AI in healthcare. Our infrastructure provides the guardrails for safe AI governance, healthcare-specific agent creation, and real-time algorithm monitoring, working alongside leading health systems to drive real change.

This is more than just a job. It’s an opportunity to build the future of AI in healthcare, solve complex challenges, and make a lasting impact on patient care. If you’re ambitious, innovative, and ready to move fast, we’d love to have you on board.

JOB SUMMARY

We’re looking for a Principal Backend Engineer to shape the technical direction and architecture of our generative AI healthcare SaaS platform. As one of the most senior individual contributors on our engineering team, you will lead the design and evolution of critical backend systems, solve complex technical challenges, and establish engineering foundations that enable us to scale reliably and securely.

You will work closely with engineering, product, AI, and security leadership to translate business priorities into long-term technical strategy, drive high-impact initiatives across teams, and make architectural decisions that balance rapid innovation with operational excellence.

This is a hands-on technical leadership role. You will work directly on our hardest engineering problems while multiplying the impact of engineers around you, raising engineering standards, and helping shape the technical culture of a rapidly growing organization.

KEY RESPONSIBILITIES

- Technical Strategy & Architecture: Define and drive the long-term technical direction for our core backend systems and services. Establish architectural principles and guide critical technology decisions that enable scalability, security, reliability, and sustainable growth.

- Cross-Team Technical Leadership: Identify and lead complex engineering initiatives spanning multiple teams. Build alignment around technical priorities, resolve architectural disagreements, and drive initiatives from early design through successful production operation.

- Hands-On Engineering: Design, implement, and review critical components of our backend infrastructure. Foster AI first culture. Lead by example through high-quality code, thoughtful system design, and deep technical problem-solving.

- Distributed Systems & Scalability: Architect resilient distributed systems, APIs, data services, and asynchronous workflows capable of supporting growing enterprise workloads, complex integrations, and evolving product requirements.

- Reliability & Operational Excellence: Establish engineering practices that improve system reliability, observability, performance, and operational efficiency. Partner with Platform and Infrastructure teams on service-level objectives, capacity planning, incident prevention, and systemic improvements.

- Technical Mentorship: Mentor Senior and Staff engineers, develop emerging technical leaders, and foster a culture of technical rigor, collaboration, ownership, and continuous improvement.

- Strategic Partnership: Collaborate with engineering, product, and business leadership to evaluate technical investments, make build-versus-buy decisions, manage architectural trade-offs, and balance near-term delivery with long-term platform sustainability.

REQUIRED QUALIFICATIONS

- Demonstrated track record of architecting, building, and operating complex, large-scale backend or platform systems in production, with measurable technical and business impact.

- Deep expertise in distributed systems, including service architecture, data consistency, concurrency, fault tolerance, scalability, and performance optimization.

- Expert-level proficiency in at least one modern backend programming language, with the ability and willingness to work extensively in Python.

- Strong experience designing and operating cloud-native applications on AWS, GCP, or Azure, with an understanding of infrastructure automation, deployment practices, and production operations.

- Deep understanding of API design, data modeling, databases, asynchronous processing, and modern backend architectural patterns.

- Ability to navigate ambiguity, independently identify important technical problems, and translate complex requirements into pragmatic, scalable engineering solutions.

- Demonstrated ability to improve engineering effectiveness through architectural simplification, reusable systems, mentorship, and technical standards.

- Ability to work on-site in our Palo Alto office three days per week.

DESIRABLE QUALIFICATIONS

- Experience designing, building, or operating production generative AI applications, LLM-powered workflows, or AI infrastructure.

- Experience building multi-tenant enterprise SaaS platforms with strong requirements for security, isolation, scalability, and availability.

- Experience with Google Cloud Platform, Kubernetes, Terraform, and modern monitoring and observability tooling.

- Experience building systems in regulated environments, including healthcare, financial services, or other industries with stringent data privacy and security requirements.

- Familiarity with HIPAA, SOC 2, or comparable security and compliance frameworks.

- Experience establishing technical foundations, engineering standards, and architectural direction in rapidly growing organizations.

WHY JOIN QUALIFIED HEALTH?

This is an opportunity to join a fast-growing company and a world-class team that is poised to change the healthcare industry. We are a passionate, mission-driven team building a category-defining product. We are backed by premier investors and are looking for founding team members who are excited to do the best work of their careers.

Our employees are integral to achieving our goals, so we are proud to offer competitive salaries with equity packages, robust medical/dental/vision insurance, flexible working hours, hybrid work options, and an inclusive environment that fosters creativity and innovation.

OUR COMMITMENT TO DIVERSITY

Qualified Health is an equal opportunity employer. We believe that a diverse and inclusive workplace is essential to our success, and we are committed to building a team that reflects the world we live in. We encourage applications from all qualified individuals, regardless of race, color, religion, gender, sexual orientation, gender identity or expression, age, national origin, marital status, disability, or veteran status.

Pay & Benefits

The pay range for this role is between $230,000 and $330,000, and will depend on your skills, qualifications, experience, and location. This role is also eligible for equity and benefits.

Join our mission to revolutionize healthcare with AI. To apply, please send your resume through the application below.

From $25, paid onceGet the CV for this job

What happens when you press

One press. We do the rest.

  1. A CV for this posting

    Written against Qualified Health's own wording, from every piece of relevant proof in your profile.

  2. 25 readers review it

    Recruiter, hiring manager, skeptic and more read every draft, round after round. You get the best round.

    The review screen in CV Rocket: how each CV was read, round by round.

  3. We apply on Qualified Health's form

    Our application engine gets through the hardest forms there are. Where a question needs you, AI suggests the best answer. Don't want us applying from our IP addresses? Use our Chrome extension: we apply straight from your own browser.

    An application in CV Rocket: every answer filled in on the employer's form.

  4. Every reply, sorted

    Qualified Health's answer lands in your private mailbox, and we classify it on arrival: interview, question, rejection.

    The CV Rocket inbox: each employer reply classified as an interview, an action or a rejection.

  5. Reply with AI

    AI helps you write the email, checks it and sends it. We show you whether the recruiter read it.

  6. The interview in your calendar

    Full integration with your calendar. The invitation goes straight in.

    An interview invitation in the CV Rocket inbox, added to the candidate's calendar.
Get the CV for this job

From $25 per CV, paid once. No subscription.

Why it works

3×

more interviews than doing it yourself with ChatGPT.

ChatGPT writes a CV and never learns what happened to it. We see every reply. For each CV we know:

  • How it was written, and how the review scored it
  • When we applied, and how long after the posting went up
  • Which posting, which company, which city
  • Who got the interview, and who heard nothing

That is how we know which CVs get called.

Get the CV for this job

From $25 per CV, paid once. No subscription.

The numbers game

More applications. More interviews.

Every application goes out with its own CV, written for that posting and paid once. Send enough of them and the law of large numbers finds you the job.

Get the CV for this job
By hand5–10
With CV Rocket100
applications a day

Nearby

Live postings like this one

Same employer first, then the same role elsewhere.

Before you press

Straight answers

Get the CV for this job

From $25 per CV, paid once. No subscription.

What if my background isn't good enough?

We make the most of the background you have. The CV uses every piece of relevant proof your profile holds, and one of the 25 readers reads your whole profile and flags what the CV left out.

Do you really apply for me?

Yes, on the employer's own form, the hardest ones included. Where a question needs you, you answer it right there and AI suggests the best answer. Don't want us applying from our IP addresses? Use our Chrome extension: we apply straight from your own browser.

Is it a subscription?

No. You pay once per CV, from $25. Every application goes out with its own CV, written for that posting.

One job. One CV.
Paid once.

Pick the posting you want. We write for it, apply for you and catch the reply.

Get the CV for this job

From $25 per CV, paid once. No subscription.