Senior Backend Engineer, Care Platform & EMR

About Bask Health

Bask Health is a software platform that enables entrepreneurs, doctors, and healthcare businesses to launch, manage, and grow direct-to-consumer telehealth businesses.

Our platform brings together patient experiences, clinical workflows, pharmacy operations, and commerce tools in one place.

We're an entrepreneurial, product-focused engineering team that values ownership, technical excellence, and building software that solves real problems. Engineers work closely with product teams and company leadership, take features from idea to production, and have a direct role in shaping the platform.

Engineering at Bask is AI-first and builder-led. We use tools like Cursor and Claude Code throughout development while maintaining high standards for reliability, testing, and software quality.

About the Role

We're looking for a Senior Backend Engineer, Care Platform & EMR to help build and scale the backend systems powering Bask Health's clinical workflows and electronic medical record (EMR) capabilities.

You'll work on the services, APIs, databases, and workflows that support patient records, clinical encounters, provider review queues, prescribing, and the movement of information throughout the care process.

This is a hands-on engineering role for someone who can independently design complex backend systems, make sound architectural decisions, and take ownership of features from initial requirements through production.

Our platform uses a multi-tenant architecture with TypeScript, Node.js, SST, AWS, and SQL databases. We also use technologies including tRPC, Prisma, and Drizzle across our published engineering stack.

You'll work closely with product managers, engineers, and clinical operations teams to build systems that are reliable, secure, and practical for real healthcare workflows.

We're looking for an experienced engineer who enjoys solving difficult technical problems, works comfortably across the stack when needed, and takes responsibility for the quality of what they ship.

What You'll Do

• Design, develop, and maintain backend services supporting Bask's care platform and EMR workflows.
• Build and improve systems for patient records, clinical encounters, provider review queues, and prescribing workflows.
• Develop reliable APIs and backend services that connect patient-facing applications with internal clinical tools.
• Design database schemas, data models, and application logic for complex healthcare workflows.
• Build scalable services using TypeScript, Node.js, SST, AWS, and SQL databases.
• Work with serverless AWS services, including Lambda, SQS, and EventBridge, to support asynchronous processing and event-driven workflows.
• Improve the performance, reliability, and maintainability of existing backend systems.
• Design workflows that handle changes in patient and clinical records accurately and consistently.
• Help ensure sensitive patient information is handled with appropriate security, access controls, and auditability.
• Build and maintain integrations between clinical workflows and other parts of Bask's platform.
• Collaborate with product managers and clinical operations teams to understand requirements and translate them into technical solutions.
• Take ownership of complex backend projects from architecture and implementation through testing, deployment, and production monitoring.
• Write clean, maintainable, well-tested code and contribute to engineering standards.
• Investigate production issues, identify root causes, and implement durable fixes.
• Review code, provide technical guidance, and help improve engineering practices across the team.
• Use AI-assisted development tools such as Cursor and Claude Code to investigate problems, prototype solutions, and accelerate development while applying independent technical judgment.
• Work across the stack when necessary to understand how backend changes affect frontend experiences and operational workflows.
• Help design reusable services and architectural patterns that support future product development.
• Participate in technical planning, architecture discussions, and product development decisions.
• Continuously improve system performance, observability, testing, and deployment practices.