Sr. Backend Engineer - Integrations

Who Are We?

Prolaio believes that continuous learning and collaboration can make a significant difference in how heart care is administered. We are creating smarter ways to address heart disease and heart risks by integrating a connected platform enabled by smart data science to help patients access the care and attention that will inform better treatments and outcomes.

We envision a future where care teams and hospitals can be more effective the healthcare system can be more efficient and patients have a better care experience and more fulfilling lives.

This is precision cardiology and we know it’s within reach.

What Will You Do?

The Overview

We are seeking an experienced Senior Backend Developer to join our Integrations team. In this role you will own the design development and maintenance of backend services that connect our platform to external healthcare systems partner APIs ERP systems and analytics tools. You will be a key technical contributor on a small high-impact team responsible for ensuring that clinical and operational data flows securely and reliably across our ecosystem.

This is a senior individual contributor role with real architectural influence. You will work closely with the Integrations Lead to shape technical direction mentor teammates and make decisions that directly affect how our platform connects to the broader healthcare landscape. You will also collaborate cross-functionally with our Cloud Data Mobile and Web teams.

This is a remote position reporting to the Lead Integrations Engineer.

The Specifics

• Integration Architecture: Design and implement integration patterns for connecting external healthcare systems ERP platforms and analytics tools to our internal services. You will own the technical approach for new partner integrations end-to-end
• Backend Development: Build and maintain scalable backend services using Kotlin and/or Python with a focus on reliability security and clean API contracts.
• API Design & Collaboration: Design document and maintain RESTful APIs. Work directly with external partners and internal teams to negotiate data contracts troubleshoot integration issues and ensure interoperability.
• Cloud & Containerization: Deploy and manage containerized services on Google Cloud Platform (GCP) or similar using Docker/Kubernetes (k8s).
• Data Pipeline & Warehouse Awareness: Collaborate with the Data Engineering team to ensure integrations feed cleanly into and from data pipelines the data warehouse (BigQuery) and orchestration systems (Dagster). 
• Monitoring & Reliability: Implement monitoring logging and alerting for cloud services using tools like Datadog or similar. Own the reliability of the integration layer when data stops flowing you are the first responder
• Security & Compliance: Ensure all integrations meet security best practices and regulatory requirements particularly around sensitive healthcare data (SOC2 HIPAA 21 CFR Part 11).
• Mentorship: Support the growth of more junior engineers on the team through code review pairing and architectural guidance.

Why Prolaio?

• Impactful Work: You will join in the fight to eradicate the world’s #1 killer by extending and saving the lives of our patients while also being at the forefront of changing the healthcare industry through technology. 
• Innovative Environment: You will be part of an organization doing something that’s never been done before.
• Professional Growth: You will join a growing team and have a substantial impact on our daily and future operations with the opportunity to continuously learn and grow.
• Collaborative Team: You will be part of a team of collaborative curious and committed individuals focused on the collective good inclusiveness scientific excellence and advancing digital health for cardiology.

Who You Are

Experience and Education

• Bachelor’s degree in Computer Science Engineering or a related technical field.
• 5-7+ years of experience as a Backend Engineer Software Integration Engineer Cloud Software Engineer or similar role with at least 2 years focused on system integrations or API-heavy environments.

Technical Skills and Practice

• Backend Development: Strong proficiency in Kotlin and/or Python for building production-grade services and integrations.
• Integration Patterns: Deep experience with integration architecture RESTful APIs webhooks message queues ETL/ELT patterns and data transformation.
• API Expertise: Experience designing versioning and securing APIs. Comfortable writing and maintaining API documentation. Familiar with authentication patterns.
• Cloud & Containers: Hands-on experience deploying and managing services on Google Cloud Platform (GCP) or similar using Docker/Kubernetes (k8s).
• Databases: Comfortable working with both relational and NoSQL databases. Understands data modeling trade-offs in integration contexts.
• CI/CD & Testing: Hands-on experience implementing and maintaining CI/CD pipelines along with unit integration and regression tests
• Monitoring and Debugging: Proficient with observability tools (Datadog Prometheus Grafana or similar). Able to diagnose issues in distributed systems across service boundaries.
• Security & Compliance: Working knowledge of security best practices and compliance frameworks (SOC2 HIPAA). Experience handling PHI or PII is a strong plus.
• Communication: Clear communicator who can explain technical decisions to non-technical stakeholders. Comfortable working directly with external partners.
• Remote Work Ability: Proven ability to work effectively in a remote distributed team across time zones.
• Language Proficiency: Fluent in English.

Additional Qualifications (Nice to Haves)

• Experience with healthcare data standards (HL7 FHIR DICOM).
• Familiarity with ERP integrations (NetSuite SAP or similar).
• Experience with data orchestration tools (Dagster Airflow Prefect).
• Prior experience in a healthcare or regulated industry (FDA GxP).
• Familiarity with reporting and analytics platforms (Superset Looker or similar).

Why You’ll Love Working Here

• Meaningful Compensation: Competitive salary performance bonus and equity so you can share in what we build.
• Great Health Coverage: Medical dental and vision plans with multiple options and strong company contributions.
• Flexible Spending Perks: HSA FSA commuter benefits and a $1200 annual Lifestyle Spending Account to support wellness commuting family needs and more.
• Time to Recharge: Generous paid time off sick leave and company holidays.
• Family-First Benefits: Paid parental leave caregiver leave and support for growing families.
• Security & Peace of Mind: Company-paid life insurance and short- and long-term disability coverage.
• Plan for the Future: 401(k) plan to help you build long-term financial security.
• Care When You Need It: Easy access to telehealth and optional supplemental coverage for life’s unexpected moments.

Starting Salary is at $153000.00 (Exact Compensation may vary based on skills experience and location)

What We Do

Prolaio is a clinical intelligence company dedicated to unlocking continuous predictive and shareable heart data to liberate patients from hospital-based reactive care and accelerate every new therapy. The company was created by cardiologists cardiovascular practitioners and data scientists specifically to address the world’s number one cause of death — cardiovascular disease. By combining scientific rigor with cutting‑edge technology Prolaio aims to transform real‑world heart data into faster discovery today and precision care for functional cures tomorrow.

Why Work With Us

Kardigan and Prolaio were both founded to challenge the status quo in cardiology. If we have any shot at radically reducing the time and cost to develop meaningful new medicines and provide better healthcare access and outcomes for patients we need to fundamentally embrace real-world data and AI-based tools in a way that is fully integrated across

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