Senior Software Engineer, Backend, Systems and AI

Job overview

The Senior Software Engineer, Backend, Systems and AI role is onsite in San Francisco, California, five days per week. Base salary is $190,000–$250,000 per year, with equity of 0.1%–0.5% based on seniority. The engineering team builds an AI-powered platform to modernize operational workflows for large healthcare enterprises. The engineer owns backend, systems, or infrastructure work from design through production operation. Building reliable, secure, scalable platform modules and AI-powered workflows helps automate complex healthcare operations and turn customized solutions into reusable products.

What you'll do

• Design and build scalable platform modules for healthcare operations
• own products, services, or infrastructure through deployment and production operations
• build reliable and secure systems
• turn customized solutions into reusable products
• operate AI agents and LLM-powered workflows with evaluations, guardrails, and observability
• lead infrastructure projects
• improve data models, pipelines, and integrations
• support production reliability, troubleshooting, and root-cause analysis.

What we're looking for

Skills & competencies

senior software engineer

backend

systems

ai

san francisco ca

onsite five days per week

$190k–$250k/year

healthcare technology

python

typescript

aws

ai agents

llm workflows

on-call support

Work arrangement

• Weekend coverage required

Benefits & perks

• 0.1%–0.5% equity with four-year vesting and one-year cliff
• medical, dental, and vision coverage
• unlimited PTO
• lunch and dinner at the office
• relocation support may be available.

Why this role

Requires 4–10 years of software engineering experience, backend or systems strength, daily hands-on use of AI coding tools, and ability to work onsite in San Francisco five days weekly; visa sponsorship is unavailable.

About the employer

Morgan Pinnacle Group is hiring for this role. Industry: Software Publishers. Sector: 51.