Job Description

80Twenty is a boutique marketing recruitment agency that connects high-growth companies with exceptional candidates.

Want to build technology that truly moves the needle in healthcare? Join a fast-scaling, profitable healthcare services company — independently grown and not VC-backed — on a mission to make healthcare simpler, smarter, and more human! Our client is a healthcare tech and services company based in San Francisco, combining clinical expertise, operational excellence, and modern engineering to reshape how people experience care. From personalized medication management and transparent pharmacy pricing to community-based chronic care support, we’re building a system that empowers both patients and providers.

This is a fully onsite role based in San Francisco, CA. Candidates must be located within 30 miles of San Francisco. The standard schedule is Monday-Friday, 9am-7pm and may vary depending on business needs and role responsibilities.

In this role, you will:

• Design, build, and scale backend services that power pharmacy, telehealth, and patient-facing workflows.
• Collaborate cross-functionally with product, operations, and pharmacy teams to deliver seamless integrations and reliable systems.
• Lead architectural design discussions and set long-term technical direction for the backend stack.
• Implement best practices for system reliability, observability, security, and scalability.
• Drive operational excellence through CI/CD pipelines, cloud infrastructure (AWS), and container orchestration (Kubernetes).
• Mentor fellow engineers and help shape our backend engineering culture.
• Optimize system performance and streamline complex data flows across distributed services.
• Influence and define standards for how we build, test, and deploy software across the company.

Who You Are

• 7+ years of backend engineering experience, ideally in fast-moving production environments.
• Strong experience with Node.js (TypeScript / JavaScript) and modern backend frameworks.
• Deep familiarity with AWS, Kubernetes, CI/CD, and distributed system design .
• Adept at owning code from design through deployment — you care about maintainability, reliability, and long-term scalability.
• Excellent communicator who enjoys collaborating across disciplines.
• Motivated by solving complex real-world problems in healthcare and improving patient outcomes.
• Bonus points for experience in healthcare, pharmacy systems, inventory/fulfillment flows, or regulated environments.

Why This Role Stands Out

• You’ll own high-impact systems that directly affect patient and provider experiences.
• You’ll shape backend architecture and engineering best practices in a growing company.
• You’ll join a profitable, non-VC-backed organization focused on long-term sustainability.
• You’ll work in-person with an ambitious, mission-driven team in downtown San Francisco.
• Competitive compensation, equity opportunities, and strong benefits designed to help you thrive.

This is a great opportunity to be a key member of the engineering team, taking technical ownership of our pharmacy platform’s core backend systems. Your work will directly power real-time healthcare operations and improve access to care. If you’re excited to apply your engineering expertise to meaningful healthcare infrastructure — and want to join a company that values autonomy, sustainability, and impact — we want to hear from you!

Base salary: $250k-300k DOE + generous equity and benefits

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