Staff Software Engineer - Backend/Infra [NYC or SF]
ABOUT AMIGO
Amigo partners with healthcare organizations to deploy robust AI infrastructure that directly serves patients and providers. Our agents handle clinical workflows and patient engagement across the entire journey: pre-visit intake, care navigation, post-visit care plans, patient monitoring, and more.
We're fresh off our Series A backed by Tier 1 investors like Madrona, General Catalyst, and Optum Ventures. Our work is validated with leading academic medical institutions. Our agents have reached 3M+ patient encounters and are on track to 10x this year.
ABOUT THIS ROLE
As a Staff Backend/Infra Engineer at Amigo, you'll build the core services behind our agent platform. The systems you own handle millions of conversations a month, so concurrency, reliability, and clean design are the job itself, not an afterthought. You'll own services end to end, from design through production.
WHAT YOU'LL DO
- Designing high-throughput services that handle concurrent conversations at scale
- Owning a core platform service from design to production
- Building systems that stay available and degrade gracefully when things fail
- Handling sensitive healthcare data with the care it requires
- Improving performance, observability, and operational health across services
- Shaping architectural decisions as the platform grows
- Think carefully and holistically about system design under time pressure.
WHAT WE'RE LOOKING FOR
- You've built and operated production backend systems at scale and owned the outcome
- You're strong with concurrency, distributed systems, and service design
- You prefer simple, maintainable solutions to hard problems
- You debug well across services, queues, and databases
- You're low ego, direct, and hold yourself to a high bar
- You can work on site in New York City or San Francisco
NICE TO HAVE
- Experience in a regulated or high-reliability domain (healthcare, finance, legal)
- High-throughput or low-l...