GSD Search, LLC

Compensation

Full Description

Backend Software Engineer (Hybrid - Nashville, TN) We are seeking an experienced Backend Software Engineer to help architect and build a next-generation healthcare platform. This is a rare opportunity to join an early engineering team and play a defining role in the technical foundation and culture of a fast-growing technology company. If you thrive in high-ownership environments, enjoy building from the ground up, and care deeply about quality and performance, this role offers a true 0→1 impact opportunity. What You'll Do • Design and build core backend systems including APIs, database architecture, infrastructure, and data pipelines. • Own features end-to-end—from requirement gathering and technical spec creation through deployment and iteration. • Collaborate closely with product and engineering leadership to shape technical decisions and long-term platform direction. • Work in a fast-moving environment that values experimentation, rapid release cycles, and constant learning. • Contribute to a platform designed to improve clinical workflows and enhance the healthcare experience for providers and patients. Must-Have Qualifications • 5+ years of experience building and shipping backend production systems. • Strong background with modern backend technologies, such as: • Cloud platforms: AWS or GCP • Databases: Postgres, MySQL, DynamoDB, Spanner, etc. • APIs: REST/gRPC/GraphQL • Data pipelines: Airflow, Dagster, or similar • Languages: Python, Golang, Java/Kotlin, or similar • Experience building something meaningful from scratch—whether at a startup, as a technical lead, or through side projects. • Ability to thrive in ambiguity, move quickly, and make thoughtful technical trade-offs. • Strong communication skills and the ability to articulate technical decisions clearly. Nice-to-Have Experience • Experience with BaaS platforms like Supabase, Firebase, Railway, or Hasura. • Familiarity with AI-native coding tools (e.g., Cursor, Claude Code). • Exposure to healthcare systems (HIPAA, EPCS, PDMP, EHR/EMR workflows). • Basic front-end skills with React, TypeScript, or Next.js. Compensation & Benefits Compensation is competitive and based on experience and location. Total rewards may include base salary, performance incentives, benefits, and equity participation. Work Environment • Hybrid role based in Nashville, TN • High-impact engineering organization building mission-critical technology • Opportunity to shape architecture, engineering processes, and team culture from the earliest stages