Senior Backend Engineer

Senior Backend Engineer
About Wave Health

Wave Health, powered by Treatment Technologies & Insights, Inc. (TTI), aims to improve treatment experiences and outcomes for patients with cancer and chronic illnesses. We develop custom software and mobile applications to help patients manage their treatment and generate insights on their personal experiences with high-acuity or chronic conditions.

We have aggressive plans to continually enhance our infrastructure, and due to ongoing partnerships and strategic growth, we are seeking to grow our Engineering Team.

The Role

TTI is looking for a
Mid to Senior Backend Engineer

to join our platform team. This team member will play a critical role in designing and building the APIs and services that power the Wave Health platform.

As part of a team providing core system functionality that other engineers build upon, we are looking for someone who can not only tackle tough technical problems but also collaborate and evangelize best practices across teams. We value engineers who bring fresh ideas and are willing to own problems through to a solution. You should be comfortable working in a fast-paced startup culture and have experience architecting complex, production-grade healthcare systems.

Required Qualifications

- BS/BA degree in Computer Science or equivalent practical experience
- Solid understanding of Computer Science fundamentals
- 5+ years of relevant backend engineering experience
- Proficiency in
PHP

and the
Laravel

framework
- Strong experience with
MySQL,

including query optimization, indexing strategies, and database architecture
- Experience designing and building RESTful APIs at scale
- Experience in architecting complex systems with high security, reliability, and scalability requirements
- Familiarity with healthcare data privacy requirements (e.g., HIPAA compliance)
- Experience contributing to architecture decisions in production environments, handling sensitive data
- Ability to mentor and support other engineers through code reviews and technical guidance

Nice to Have

- Experience with
AWS

services (EC2, EKS, RDS, S3, CloudFormation, etc.)
- Knowledge of
HL7 FHIR

standards and healthcare interoperability protocols
- Experience integrating with
Electronic Health Record (EHR) systems
- Experience with containerization and orchestration (Docker, Kubernetes)
- Familiarity with CI/CD pipelines and DevOps practices
- Experience with microservices architecture patterns
- Exposure to mobile API development for iOS and Android platforms

What You Will Do

• Design, build, and maintain backend services and APIs that power the Wave Health platform
• Architect scalable solutions for chronic condition management and patient data workflows
• Collaborate with mobile (iOS and Android) teams to define and optimize API contracts
• Drive technical decisions on system design, data modeling, and service architecture
• Ensure platform security and compliance with healthcare regulations (HIPAA, GDPR)
• Improve system reliability, performance, and observability across the platform
• Participate in code reviews and contribute to engineering best practices and standards

Why Wave Health

• Mission-driven work improving the lives of cancer and chronic illness patients
• Small, collaborative engineering team where your contributions have an outsized impact
• Opportunity to shape the technical direction of a growing healthcare platform
• Work with modern tooling and cloud-native infrastructure
• Fast-paced startup environment with room for growth and leadership

Expected Salary Range:

$130 - 150k