
K Health
Actively Hiring
The first medical app that uses AI to deliver primary care better, faster, and cheaper
- Top 10% of respondersK Health is in the top 10% of companies in terms of response time to applications
- Responds within a weekBased on past data, K Health usually responds to incoming applications within a week
About the job
About the role:
We are seeking a Senior Backend Engineer with deep backend engineering expertise and proficiency in one or more major programming languages (e.g., Python, Java, Go, Rust, or Kotlin), along with a strong understanding of AI models and agents. As a core member of our AI Engineering team, you will collaborate with data scientists, ML engineers, and product managers to build scalable, production-ready infrastructure and APIs that power intelligent systems.
What you'll be doing:
As a Senior Backend Engineer in the AI Engineering team, you will:
- Build and maintain reliable, scalable backend services to support AI agent execution and orchestration.
- Develop AI agent systems for complex operational workflows using LangChain, LangGraph, LiteLLM, and Langfuse.
- Orchestrate a hybrid model stack that includes OpenAI and Google Gemini alongside self-hosted and fine-tuned LLMs like Gemma and Llama.
- Build and maintain integrations with clinical systems (FHIR, EMR).
- Drive observability and reliability using OpenTelemetry, Datadog, and Langfuse.
- Design APIs (GraphQL, REST), background workers, and event-driven systems that interface with AI inference engines and agent runtimes.
- Collaborate with Data Science, ML, and engineering teams to deploy AI features and improve the performance, scalability, and reliability of backend systems.
- Participate in code reviews, knowledge sharing, and mentoring to elevate the team’s technical capabilities.
What we're looking for:
- 6+ years of backend engineering experience, with strong proficiency in more than one major programming language (such as Python, Java, Go, Rust, or Kotlin).
- Solid understanding of AI systems architecture and experience working in environments involving AI agents, LLMs, or inference pipelines.
- Proven experience in building and scaling backend APIs, microservices, and background jobs.
- Strong experience with relational and NoSQL databases (e.g., PostgreSQL, MySQL, MongoDB, Redis), including schema design, data modeling, and query optimization.
- Experience with message brokers and distributed systems (e.g., Pub/Sub, Redis Streams, RabbitMQ).
- Highly adaptable, a strong team player, with the ability to quickly learn and apply new technologies.
Advantages:
- Strong proficiency in Python and/or Node.js/NestJS.
- Experience with clinical systems and healthcare data standards (FHIR, EMR/EHR).
- Hands-on experience with AI agent frameworks such as LangChain, LangGraph, or LiteLLM.
- Experience orchestrating hybrid model stacks combining commercial APIs (OpenAI, Google Gemini) with self-hosted or fine-tuned LLMs.
- Familiarity with observability tools for AI systems (Langfuse, OpenTelemetry).
About the company

K Health
Actively Hiring
201-500
Startup
Healthcare Technology
Mobile App
Artificial Intelligence / Machine Learning
- Top 10% of respondersK Health is in the top 10% of companies in terms of response time to applications
- Responds within a weekBased on past data, K Health usually responds to incoming applications within a week
Similar Jobs

ArcadeLift
Ai-native growth platform