Senior Back-End Engineer

We are looking for a Senior Back-End Developer to join our growing team at Aisthesis Medical. This is a unique opportunity to play a key role in shaping the backend systems of a fast-moving MedTech startup working at the intersection of AI and clinical decision support. You will lead the development of scalable, secure, and high-performance backend infrastructure that supports real-time healthcare data processing and predictive analytics.

Responsibilities

• Architect and implement robust, scalable, and secure backend services and APIs;
• Ensure system performance, reliability, and fault-tolerance;
• Integrate external APIs and ensure interoperability with Electronic Health Record (EHR) systems;
• Contribute to deployment and monitoring of production systems using modern DevOps practices;
• Design, implement, and deploy software components in a microservice architecture that perform biomedical information processing;
• Work closely with product, UX, and clinical teams, analyze customer requirements, and rapidly implement prototypes introducing new functionality;
• Maintain a high standard of code quality through testing, documentation, and peer reviews;
• Collaborate in an agile environment, striking the right balance between rapid iteration with long-term maintainability and well-tested code.

Minimum Qualifications

We are looking for professionals with the following skills and experience:

• BSc/MSc in Computer Science, Electrical and Computer Engineering or similar;
• Strong proficiency in Python with production-grade back-end frameworks such as Django or FastAPI;
• Solid understanding of RESTful API design and microservices architecture;
• Experience on production and DevOps fundamentals
  • Experience with Docker, CI/CD pipelines;
  • Experience on Infrastructure as Code (IaC) using CloudFormation (or Terraform);
  • Experience running production workloads on AWS (or Azure, GCP);
• Familiarity with PostgreSQL or other relational databases;
• Ability to understand business and product requirements and translate them into technical requirements;
• Strong ownership mindset and ability to work in a fast-paced startup environment;
• Comfortable working in a hybrid setup with in-person collaboration when needed;
• Fluent in English with excellent communication, collaboration, and problem-solving skills.

Nice-to-Haves

If you have the following, it's a strong plus:

• Experience working with healthcare data (FHIR, HL7) or clinical systems;
• Experience working under European Medical Device Regulations (ISO13485, IEC62304, ISO14971, etc.)
• Familiarity with event-driven architectures and message queues (e.g., Kafka, RabbitMQ);
• Understanding of data privacy, security, and compliance standards (GDPR, HIPAA);
• Exposure to machine learning pipelines or MLOps;
• Familiarity with UI/UX best practices;
• Passion for writing clean, maintainable, and scalable code;
• Mentality of commit early and often, metrics before models, and shipping high quality production code;
• A love of learning and enjoyment of trying new things;
• Startup experience or interest in working in a high-growth environment.

Team Culture

• We treat each other with respect, humility, and openness;
• We value curiosity, experimentation, and fast learning;
• We embrace flexibility and focus on solving real-world problems that matter;
• We believe in diversity-of background, perspective, and skill set;
• We value open dialogue and brainstorming across multidisciplinary teams;
• We prioritize deep work, async collaboration, and only meet when it matters;
• Work from anywhere in the world (within 3h of GMT), as long as the WiFi's solid.

What We Offer

• Competitive salary tailored to your experience and skills;
• Remote-first work scheme with in-person collaboration when needed;
• A mission-driven, close-knit team working on meaningful problems;
• Opportunities for personal growth through conferences, events, and mentorship.