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Senior Backend Engineer

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Abridge

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Location:
United States , San Francisco

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Contract Type:
Not provided

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Salary:

210800.00 - 248000.00 USD / Year

Job Description:

Our generative AI-powered products are bringing joy back to the practice of medicine, and we’re looking for experienced backend software engineers to join our growing US-based engineering team. You’ll be an inaugural member of a new team forming to build the data + processing foundations we need to support our continued growth. You’ll work primarily in Typescript and Node, and you’ll deploy on platforms like Kubernetes and Temporal.

Job Responsibility:

  • Design, build, and support the robust cloud-native applications, services, and APIs we need for our rapidly-growing business. Sample projects might include building a new processing pipeline or overhauling our data storage services to support increasing scale
  • Research commercial and open-source solutions, and make build vs buy recommendations to bring new capabilities into the technology organization
  • Enhance existing systems to add new functionality, and to improve performance, stability, quality, and security. Make quality-of-life improvements to the codebase, and help limit the growth of technical debt
  • Build deep user empathy and maintain a user-centric mindset
  • Communicate regularly and effectively within and on behalf of our cross-functional product delivery teams. You’ll work with other disciplines including product, machine learning, and platform engineering, and will have opportunities to learn from and contribute to projects across the company

Requirements:

  • 7+ years of software engineering experience with either: (1) Proven track record of rapidly mastering new technologies and languages - you're the engineer who can pick up TypeScript/Node and be productive quickly, or (2) Deep specialization in Node.js backend development - you've built complex, scalable Node-based systems and know the ecosystem inside and out
  • Passion for engineering excellence, and a love for data and architecture
  • Experience building and deploying a complex backend system utilizing Temporal or Kafka at scale
  • Several years of experience building software for a regulated environment, and understand the tradeoffs that can be required to ensure compliance with regulations and frameworks such as HIPAA, SOC 2, and HITRUST
  • Knowledge of industry best-practices and trends, and an enjoyment of learning new things
  • Willing to pitch in wherever needed - as a fast-moving startup we need to do good work, quickly
  • Strong plus for ability and desire to work in San Francisco or New York on a hybrid working basis
  • Must be willing to work from our SF office at least 3x per week
What we offer:
  • Offers Equity
  • Will reimburse up to $10,000 USD for relocation expenses for candidates willing to relocate to the San Francisco Bay area
  • Generous Time Off: 14 paid holidays, flexible PTO for salaried employees, and accrued time off for hourly employees
  • Comprehensive Health Plans: Medical, Dental, and Vision coverage for all full-time employees and their families
  • Generous HSA Contribution: If you choose a High Deductible Health Plan, Abridge makes monthly contributions to your HSA
  • Paid Parental Leave: Generous paid parental leave for all full-time employees
  • Family Forming Benefits: Resources and financial support to help you build your family
  • 401(k) Matching: Contribution matching to help invest in your future
  • Personal Device Allowance: Tax free funds for personal device usage
  • Pre-tax Benefits: Access to Flexible Spending Accounts (FSA) and Commuter Benefits
  • Lifestyle Wallet: Monthly contributions for fitness, professional development, coworking, and more
  • Mental Health Support: Dedicated access to therapy and coaching to help you reach your goals
  • Sabbatical Leave: Paid Sabbatical Leave after 5 years of employment
  • Compensation and Equity: Competitive compensation and equity grants for full time employees

Additional Information:

Job Posted:
January 20, 2026

Employment Type:
Fulltime
Work Type:
Hybrid work
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