EST | Full overlap with US Eastern business hours (Monday–Friday) Compensation Range: $A seed-stage healthcare technology company is building the data infrastructure behind faster, clearer healthcare coverage decisions, and is looking for a Senior Backend Engineer to own and scale that infrastructure end-to-end. The founder is currently the sole engineer, so this hire acts as technical lead — reviewing code and setting architectural direction for a small group of part-time and offshore engineers, without managing people directly. Day-to-day, the role centers on building and scaling web scraper infrastructure, using LLMs to structure unstructured payer policy text, and standing up CI/CD and reliability improvements across the data pipeline.

Success means the founder is no longer the bottleneck — the data infrastructure runs reliably and accurately and scales without constant direction.

Requirements Must-Have 5+ years of backend software engineering experience, with at least 3 years in backend-focused (not generalist full-stack) roles 3+ years of professional Python as a primary backend language SQL proficiency with relational databases (PostgreSQL, MySQL, or SQL Server), including complex queries and schema design Hands-on AWS experience (Azure or GCP transferable) deploying and managing production services,



plus CI/CD pipeline ownership Experience building and maintaining production data pipelines or ETL systems that ingest from inconsistent, messy, or unstructured external sources Demonstrated end-to-end system or architecture ownership at an early-stage startup or small engineering team (2–15 engineers) English at C1+ CEFR level for technical communication on video calls with the founder and engineering team Nice-to-Have Web scraping infrastructure experience (Scrapy, Playwright, or similar frameworks) Production LLM/AI experience, specifically building evaluation or testing harnesses (beyond API consumption) RAG (Retrieval-Augmented Generation) pipeline experience Healthcare payer data, medical coding (CPT, ICD-10), or prior authorization workflow experience Familiarity with Terraform, FastAPI, or Snowflake Based on experience and skills Remote Work: Fully remote—work from anywhere Team Incentives: Recognition for maintaining 100% CRM hygiene and on-time reporting Generous PTO: In accordance with company policy Health Coverage for PH-based talents: HMO coverage after 3 months for full-time employees Direct Mentorship: Ongoing access to resources for professional growth General Networking:

📌 Remote Senior Backend Engineer for Data and Analytics Company (Xico)
🏢 Pearl
📍 Xico