Senior Staff Software Engineer

About Circadia Health

Circadia Health is a growth-stage healthcare AI company on a mission to prevent avoidable hospitalizations and transform senior-care operations. Our Circadia Intelligence Platform combines:

• Contactless sensing that monitors respiration and motion with medical-grade accuracy
• Predictive analytics & agentic AI workflows that detect 85% of preventable rehospitalizations ~11 days in advance
• Enterprise integrations that embed insights directly into EHR, care-coordination, billing, and compliance systems

Today, our technology touches 40,000+ post-acute patients daily across skilled-nursing, home-health, and home-care networks. We are backed by leading healthcare and AI investors and headquartered in El Segundo, CA.

Why This Role Exists

We are scaling from to $100M+, and our backend systems must scale faster than revenue. Our predictive models, agentic workflows, device telemetry, and enterprise integrations all depend on resilient infrastructure. As deployments multiply across SNFs nationally, performance, reliability, data integrity, and security become existential.

We need a Senior Staff Engineer who architects and hardens the backbone of Circadia’s platform—owning backend systems, integration frameworks, and infrastructure reliability at scale. This is not a ticket-closing role. This is a platform-defining role.

What You’ll Do

Architect Core Backend Systems

Design and evolve high-performance services that ingest device telemetry, process predictive signals, orchestrate AI agents, and serve enterprise dashboards.

Own Integrations at Scale

Build and harden integrations with EHRs, billing systems, and enterprise tools via HL7, FHIR, REST, SFTP, and webhook pipelines.

Design for Reliability & Throughput

Ensure systems scale across tens of thousands → hundreds of thousands of patients with high availability and low latency.

Lead Infrastructure Strategy

Own cloud architecture (AWS/GCP), containerization, CI/CD, monitoring, observability, and incident response standards.

Build Data Pipelines

Develop secure, compliant data flows for time-series telemetry, clinical data ingestion, and AI model outputs.

Establish Engineering Standards

Define backend architecture patterns, testing frameworks, deployment workflows, and code quality standards.

Improve Deployment Velocity

Create tooling and infra improvements that reduce environment setup time, increase release confidence, and support rapid enterprise onboarding.

Ensure Security & Compliance

Partner with Security and Compliance to maintain HIPAA, SOC 2, and healthcare-grade data protections.

Mentor & Raise the Bar

Act as a technical leader across backend and infra teams—reviewing architecture, mentoring engineers, and driving long-term technical strategy.

What “Great” Looks Like (Example Profile)

• Designed backend systems supporting 50K–500K+ users or devices
• Built scalable ingestion pipelines for high-frequency time-series data
• Led EHR or healthcare integrations (HL7/FHIR) in production
• Reduced infrastructure costs while improving system reliability
• Designed multi-region failover or high-availability architectures
• Improved CI/CD velocity and reduced incident frequency materially

Must-Have Qualifications

• 8+ years of backend software engineering experience
• Deep expertise in distributed systems and AWS cloud
• Strong proficiency in Python or Node/TypeScript
• Experience designing RESTful APIs and event-driven systems
• Experience with containerization (Docker) and orchestration (Kubernetes)
• Familiarity with databases (Postgres, Redis, time-series DBs)
• Strong understanding of observability (metrics, logging, tracing)
• Experience scaling systems in high-growth production environments
• Willing to work in Los Angeles (initially embedded with team)

Nice-to-Haves

• Experience with healthcare data standards (HL7, FHIR)
• Experience building AI/ML infrastructure pipelines
• Familiarity with Kafka or streaming architectures
• Background in regulated environments (HIPAA, SOC 2)
• Experience supporting hardware + software integrated platforms
• Prior Staff/Principal-level engineering leadership

You’ll Thrive Here If…

• You think in systems and failure modes
• You proactively eliminate technical debt before it compounds
• You enjoy designing durable infrastructure more than flashy UI
• You hold high standards and elevate those around you
• You take pride in building systems that “just work” at scale

Compensation & Equity

$200,000 – $260,000 + bonus + meaningful stock options

Benefits

• 100% company-paid medical, dental, and vision
• 401(k) with match
• Generous PTO
• Professional development budget
• Company-paid annual retreat

Ready to Engineer the Backbone of Healthcare AI?

Send your résumé and a short note describing:

The most scalable backend system you’ve designed

A production outage you resolved and what you changed afterward

An infrastructure decision that paid off long-term

We read every application.