Top Benefits
About the role
We are seeking a highly experienced Technical Lead/Principal Backend Engineer to help build the technical foundation for a next-generation healthcare platform. This is a hands-on leadership role with significant ownership, where you will define the platform architecture, establish engineering best practices, and build scalable, secure integration layers connecting critical healthcare and business systems. The ideal candidate has deep backend engineering expertise, experience designing API-first distributed systems, and a strong background in regulated healthcare or HIPAA-compliant environments. This role is best suited for someone who thrives in fast-paced startup environments and enjoys building platforms that will support future product growth, AI-enabled capabilities, analytics, and digital patient experiences.
Key Responsibilities
Define and own the overall platform architecture for a modern healthcare platform. Lead the design and implementation of the integration and service layer connecting systems such as Healthie (EHR), Evexia (labs), Shopify, Thinkific, and GoHighLevel. Establish engineering best practices, including CI/CD pipelines, release management, and scalable development processes. Design secure, scalable, API-first backend systems and distributed architectures. Build the technical foundation for future patient portals, internal workflows, AI-enabled features, analytics, and product expansion. Collaborate across teams to ensure the platform can support additional healthcare systems and integrations over time. Provide technical leadership while remaining deeply involved in hands-on development.
Core Requirements
10+ years of professional software engineering experience, including extensive backend development. Proven technical leadership building modern web platforms. Experience building secure, scalable systems within healthcare or other HIPAA-regulated environments. Deep expertise in API-first architecture, distributed systems, and third-party integrations. Experience with EHRs, patient portals, healthcare workflows, or other regulated healthcare technologies. Strong experience establishing engineering best practices, CI/CD pipelines, and release management processes. Strong backend development experience with two or more modern technologies such as Python, TypeScript/Node.js (NestJS), Go, Ruby on Rails, or similar. Experience with relational and/or NoSQL databases, including PostgreSQL, MySQL, Redis, or MongoDB. Experience designing and deploying secure cloud infrastructure using AWS and/or GCP. Comfortable working in fast-moving, ambiguous startup environments. Experience leveraging AI tools to improve engineering productivity and effectiveness. Excellent written and verbal communication skills in English. Ability to work independently in a remote, fast-paced environment.
Nice-to-Have
Experience with the Shopify ecosystem. Experience building healthcare integrations or middleware platforms. Experience designing internal service layers or integration platforms connecting multiple SaaS products. Experience building scalable platforms that support multiple products and engineering teams. Experience with authentication, SSO, and identity architecture in regulated environments. Experience with event-driven architectures, messaging systems, or workflow orchestration. Experience working in modern monorepo environments (e.g., Nx or Turborepo). Experience with Infrastructure as Code (Terraform or similar).
Additional
US Timezone Overlap: Required
Why Join Kake? Kake is a remote-first company with a global community, fully believing that it’s not where your table is, but what you bring to the table that matters. We provide top-tier engineering teams to support some of the world’s most innovative companies, and we’ve built a culture where great people stay, grow, and thrive. We’re proud to be more than just a stop along the way in your career - we’re the destination. The icing on the Kake:
The icing on the Kake: 💵 Competitive Pay in USD – Work globally, get paid globally. 🏡 Fully Remote – Simply put, we trust you. 🌱 Better Me Fund – We invest in your personal growth and passions. ❤️ Compassion is Badass – Join a community that invests in social good.
Please Note: Due to the high volume of applications, only shortlisted candidates will be contacted.
Not the right fit? Search for Technical Lead / Founding Engineering Lead jobs in Canada
About Kake
Life is Better with Kake!
Kake offers premier teams of software engineers to support some of the world's most prominent and innovative brands. Whatever layer of development support you need, we’ve got you covered.
Kake is a remote-first company with a community spanning the globe, fully believing that - it’s not where your table is but what you bring to the table. Our approach and feedback have proven that we are not simply a stop along the way in an engineer’s career but the destination.
We are proud to have fostered an environment that supports and retains high-caliber engineers & team members through our defined culture, initiatives, and investment in each individual. We truly believe that sharing our core values of growth, collaboration, and social impact is just as important as technical ability and acumen. Our community is comprised of individuals who have made substantial contributions in their fields of expertise, while also showcasing the characteristics of a strong teammate and an ideal culture fit.
The real icing on the Kake and what sets us apart is our core belief that lifting others up is one of the most important and rewarding things we can do. Through initiatives like Compassion is Badass (supporting boots-on-the-ground social impact causes in our local communities) and our Better Me fund (an annual stipend to use to better oneself both personally and professionally), Kake aspires to inspire.
Kake’s approach: Our Team is Your Team. Kake team members are ready to integrate seamlessly into yours and accelerate any project. We are 100% dedicated and committed to our partners’ long-term success and ready to support their needs to quickly scale in a broad spectrum of backgrounds and skill sets.
Kake is ideally positioned to actively shape how companies can foster their business growth in the digital age and provide valuable support to ensure they do so effectively with the right team.
Similar Jobs
Top Benefits
About the role
We are seeking a highly experienced Technical Lead/Principal Backend Engineer to help build the technical foundation for a next-generation healthcare platform. This is a hands-on leadership role with significant ownership, where you will define the platform architecture, establish engineering best practices, and build scalable, secure integration layers connecting critical healthcare and business systems. The ideal candidate has deep backend engineering expertise, experience designing API-first distributed systems, and a strong background in regulated healthcare or HIPAA-compliant environments. This role is best suited for someone who thrives in fast-paced startup environments and enjoys building platforms that will support future product growth, AI-enabled capabilities, analytics, and digital patient experiences.
Key Responsibilities
Define and own the overall platform architecture for a modern healthcare platform. Lead the design and implementation of the integration and service layer connecting systems such as Healthie (EHR), Evexia (labs), Shopify, Thinkific, and GoHighLevel. Establish engineering best practices, including CI/CD pipelines, release management, and scalable development processes. Design secure, scalable, API-first backend systems and distributed architectures. Build the technical foundation for future patient portals, internal workflows, AI-enabled features, analytics, and product expansion. Collaborate across teams to ensure the platform can support additional healthcare systems and integrations over time. Provide technical leadership while remaining deeply involved in hands-on development.
Core Requirements
10+ years of professional software engineering experience, including extensive backend development. Proven technical leadership building modern web platforms. Experience building secure, scalable systems within healthcare or other HIPAA-regulated environments. Deep expertise in API-first architecture, distributed systems, and third-party integrations. Experience with EHRs, patient portals, healthcare workflows, or other regulated healthcare technologies. Strong experience establishing engineering best practices, CI/CD pipelines, and release management processes. Strong backend development experience with two or more modern technologies such as Python, TypeScript/Node.js (NestJS), Go, Ruby on Rails, or similar. Experience with relational and/or NoSQL databases, including PostgreSQL, MySQL, Redis, or MongoDB. Experience designing and deploying secure cloud infrastructure using AWS and/or GCP. Comfortable working in fast-moving, ambiguous startup environments. Experience leveraging AI tools to improve engineering productivity and effectiveness. Excellent written and verbal communication skills in English. Ability to work independently in a remote, fast-paced environment.
Nice-to-Have
Experience with the Shopify ecosystem. Experience building healthcare integrations or middleware platforms. Experience designing internal service layers or integration platforms connecting multiple SaaS products. Experience building scalable platforms that support multiple products and engineering teams. Experience with authentication, SSO, and identity architecture in regulated environments. Experience with event-driven architectures, messaging systems, or workflow orchestration. Experience working in modern monorepo environments (e.g., Nx or Turborepo). Experience with Infrastructure as Code (Terraform or similar).
Additional
US Timezone Overlap: Required
Why Join Kake? Kake is a remote-first company with a global community, fully believing that it’s not where your table is, but what you bring to the table that matters. We provide top-tier engineering teams to support some of the world’s most innovative companies, and we’ve built a culture where great people stay, grow, and thrive. We’re proud to be more than just a stop along the way in your career - we’re the destination. The icing on the Kake:
The icing on the Kake: 💵 Competitive Pay in USD – Work globally, get paid globally. 🏡 Fully Remote – Simply put, we trust you. 🌱 Better Me Fund – We invest in your personal growth and passions. ❤️ Compassion is Badass – Join a community that invests in social good.
Please Note: Due to the high volume of applications, only shortlisted candidates will be contacted.
Not the right fit? Search for Technical Lead / Founding Engineering Lead jobs in Canada
About Kake
Life is Better with Kake!
Kake offers premier teams of software engineers to support some of the world's most prominent and innovative brands. Whatever layer of development support you need, we’ve got you covered.
Kake is a remote-first company with a community spanning the globe, fully believing that - it’s not where your table is but what you bring to the table. Our approach and feedback have proven that we are not simply a stop along the way in an engineer’s career but the destination.
We are proud to have fostered an environment that supports and retains high-caliber engineers & team members through our defined culture, initiatives, and investment in each individual. We truly believe that sharing our core values of growth, collaboration, and social impact is just as important as technical ability and acumen. Our community is comprised of individuals who have made substantial contributions in their fields of expertise, while also showcasing the characteristics of a strong teammate and an ideal culture fit.
The real icing on the Kake and what sets us apart is our core belief that lifting others up is one of the most important and rewarding things we can do. Through initiatives like Compassion is Badass (supporting boots-on-the-ground social impact causes in our local communities) and our Better Me fund (an annual stipend to use to better oneself both personally and professionally), Kake aspires to inspire.
Kake’s approach: Our Team is Your Team. Kake team members are ready to integrate seamlessly into yours and accelerate any project. We are 100% dedicated and committed to our partners’ long-term success and ready to support their needs to quickly scale in a broad spectrum of backgrounds and skill sets.
Kake is ideally positioned to actively shape how companies can foster their business growth in the digital age and provide valuable support to ensure they do so effectively with the right team.