Health Tech, SaaS, Digital Care Planning, Social Care

Senior Backend Engineer

RemoteRemoteFull TimeSeniorPosted 1 month ago

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Required skills

Senior Backend Engineer
Typescript
Node.js
Prisma
PostgreSQL
AWS
high-performance code
scalable technology

Nice to have

Startup experience
Scale Up experience
Interviewing Experience
Agile

Role summary

Nourish is seeking a Senior Backend Engineer to join their fast-growing team in San Francisco. This role is crucial in shaping the core platform, working closely with cross-functional teams to develop critical features. The engineer will take ownership of codebase sections, set timelines, and lead project deliverables, contributing to both Ops and Platform pods. Responsibilities include designing, building, and shipping products, driving engineering process improvements, and writing high-quality, tested code. The ideal candidate has a Bachelor's or Master's in Computer Science or a related field, 5+ years of backend experience, and 3+ years with their tech stack (Typescript, Node.js, Prisma, PostgreSQL, AWS) or a strong willingness to learn.

About us

Health is the most important thing in life, and the American healthcare system is completely broken - poor outcomes, high cost, bad patient experience. We're building a new system from the ground up.

Our mission is to improve people’s health by making it easy to live a healthy lifestyle.

Nourish is the country's largest dietitian-led metabolic health clinic. We’re an AI-native digital health system matching patients with 10,000+ Registered Dietitians, physicians, medications, lab testing, and AI agents to deliver insurance-covered care across all 50 states. Founded four years ago, we've completed millions of appointments, tripled year-over-year, and partnered with health plans covering 200M+ Americans across 250+ health systems.

In 2026 we raised a $100M Series C, bringing total funding to $215M. The round was led by Menlo Ventures, with participation from Thrive Capital, Index Ventures, J.P. Morgan Growth Equity Partners, Maverick Ventures, Y Combinator, BoxGroup, Atomico, Daybreak, and Operator Partners.

Learn more about our Series C here: Nourish Blog, Bloomberg, Fierce Healthcare, Digital Native, The Pulse Podcast.

This is not a job for everyone. We hold an extremely high bar because we believe talent density is our biggest competitive advantage. We're looking for people who actively choose hard, ambiguous problems, who run toward unglamorous work, give and receive candid feedback, and bring relentless resilience without the ego. Our work is important, but we are not self-important. We do this because we’re solving one of the hardest problems in the world, and the problem matters. If that's you, we disproportionately reward it.

About the Role:

Nourish is looking for talented Senior Backend Engineers to join our fast-growing team! As a key, early member of Nourish’s engineering team, you’ll play a pivotal role in shaping the future of our core platform. Working side-by-side with engineering, product, design, and analytics, you’ll drive the development of critical features that will lay the foundation for years to come.

Reporting to the Engineering Manager of your Pod, you’ll take full ownership of major parts of the codebase, setting ambitious timelines and leading project deliverables. Whether you’re in the Ops or Platform Pod, your contributions will be essential in bringing our product roadmap to life and building scalable technology to transform interactions with patients, dietitians, and insurance companies.

This role is full-time hybrid out of Nourish’s SF office, located in the Financial District. This role also welcomes remote candidacy. Check out ‘Engineering at Nourish’ to learn more about our team and what we’ve already built!

Key responsibilities:

Design, build, and ship cutting-edge products and features at lightning speed without compromising on quality.

Drive continuous improvements in our engineering processes, tools, and systems to scale both our codebase and team productivity.

Collaborate with colleagues across product, design, engineering, and analytics to solve challenging and impactful problems in a data-driven experimentation culture.

Contribute to the estimations, planning and execution of projects, features, and integrations.

Maintain and elevate our existing codebase by developing, releasing, and maintaining backend services and/or infrastructure.

Write clean, fully-tested, high-performance code that sets the standard for excellence.

We’d love to hear from you if you:

Bachelor’s or Master’s in Computer Science, Engineering, or related field.

5+ years as a Backend focused Software Engineer, preferably building high-performance internal platforms to streamline internal business operations, developer experience, or devops.

3+ years utilizing our tech stack (Typescript, Node.js, Prisma, PostgreSQL, AWS) or confidence and excitement about cross-training and up-skilling!

Do your own stunts and ship fast. You like to build and ship new things, can independently take a project from idea through implementation, and run toward hard problems.

Think work should feel like play. You value a very collaborative, close-knit team and care about having fun and making an impact at work.

Want to be deeply involved in product and design. You are not only passionate about engineering but also have a desire to build a product end-to-end, through the design, coding, testing, and deployment phases. We're an early-stage startup where product, design, and engineering are closely intertwined.

Think from first principles. Ask why, challenge assumptions, and value the right answer over being right.

Nice to Haves:

Startup or Scale Up experience. You have that dog in you; you’re resilient and persevere through challenges.

Interviewing Experience. We’re quickly growing our Engineering function and expect our Engineers to help us do so!

Energized by our mission. Our mission defines everything we do, we need engineers hungry to improve people’s health by making it easy to eat well.

More Information

The Nourish Bar

Our Values

Why Nourish Exists

How We Work

Comp Philosophy

Benefits

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