About the Role
We are looking for a Back End Developer to sit at the critical intersection of our product, our platform, and our customers.
You will occupy the central spot in the Venn diagram between Backend Software Engineer, Platform Engineer / SRE, and Solutions Architect. While our core feature development happens globally, you will own the production environment and its successful delivery to our customers. You will dive deep into the codebase to understand, triage, and delegate or fix critical bugs. You will architect tools to improve platform stability and contribute directly to the core product to prevent issues from happening in the first place. You will meet with customers to understand their needs and adapt existing tech or develop new tech to meet those needs.
A Day in the Life
- Solve Customer Issues: You are the first line of defense for complex technical escalations. You will triage reported issues, reproduce them in safe environments, and often fix them yourself. Where the fixes require more work, you will translate production data into reproducible test cases, unblocking the offshore team and keeping our velocity high. You aren't just closing tickets; you are solving the root cause of customer pain.
- Ship Core Product Code: You are a builder. You will contribute to our TypeScript/Node.js backend, writing features and refactoring legacy code. You will ensure that "support" issues translate into permanent engineering fixes.
- Scale & Optimize: You own the health of the US production environment. You will optimize slow Postgres queries, manage database locking strategies, and build internal tools (like data de-identification pipelines) that allow our global team to ship faster and safer.
- Be Flexible: You will alternate between solving for high-impact customer needs, core development, and ensuring production health and quality.
What You Need
- 5+ Years of Engineering Experience: You are a strong backend engineer (TypeScript/Node.js) who prefers "getting your hands dirty" with real-world problems over pure theory.
- The "Forward Deployed" Mindset: You enjoy the dopamine hit of solving a burning customer issue. You are comfortable navigating uncertainty, reading logs, and tracing a bug from a customer report down to a specific line of code. You own these issues, taking responsibility for their delivery and customer communication.
- Operational Fluency: You are at home in a production environment. You understand Postgres internals, inside and out. You can analyze query plans, debug concurrency issues (locking, contention), and optimize data access patterns for scale. You build new metrics and optimize existing ones, you dig into the logs, you optimize for efficiency and reliability.
Why This Role
- High Impact: You aren't just a cog in the machine. You are the engineer who keeps the lights on and the customers happy.
- Full Stack Context: You will see every part of the business—from how customers actually use the app, to how the database processes their requests.
- Autonomy: As the US-based anchor, you will have significant freedom to choose the right tools and strategies to solve problems.
- Remote First Culture: We’re a globally distributed team and know it takes a lot to make remote work. We have a strong remote-first culture, working asynchronously and making decisions in the open. Although we have US-based hubs in SF and AZ, you won’t be missing out if you’re not a
We offer competitive benefits to set you up for success in and outside of work.
Here’s What We Offer
- Generous Paid Time Off:
Recharge and relax with 22 days of fixed time off per year, in addition to company holidays—because we believe work-life balance fuels performance.
- Best-in-Class Parental Leave:
Spend quality time with your growing family. We offer one of the industry’s most generous parental leave policies to support you during life’s most important moments.
- Recognition & Rewards:
We celebrate wins—big and small. Get rewarded with monetary incentives and company-wide recognition for your impact and dedication. Your hard work won’t go unnoticed.
- Comprehensive Insurance Coverage:
Stay covered with medical, dental, and vision insurance, plus 100% company-paid short- and long-term disability and basic life insurance. Optional perks include discounted legal aid and pet insurance.
Innovaccer Inc. is an equal opportunity employer. We celebrate diversity and are committed to fostering an inclusive workplace where all employees feel valued and empowered regardless of any characteristic protected by federal, state or local law including, without limitation, race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, medical condition, disability, age, marital status, or veteran status. Innovaccer Inc. participates in the E-Verify program to confirm employment eligibility of all newly hired employees based outside the U.S. and employed by Innovaccer Inc.
For any additional information, please visit the websites below:
E-Verify
Right to Work (English)
Right to Work (Spanish)
Disclaimer:
Innovaccer does not charge fees or require payment from individuals or agencies for securing employment with us. We do not guarantee job spots or engage in any financial transactions related to employment. If you encounter any posts or requests asking for payment or personal information, we strongly advise you to report them immediately to our HR department at px@innovaccer.com. Additionally, please exercise caution and verify the authenticity of any requests before disclosing personal and confidential information, including bank account details.
About Innovaccer
Innovaccer activates the flow of healthcare data, empowering providers, payers, and government organizations to deliver intelligent and connected experiences that advance health outcomes. The Healthcare Intelligence Cloud equips every stakeholder in the patient journey to turn fragmented data into proactive, coordinated actions that elevate the quality of care and drive operational performance. Leading healthcare organizations like CommonSpirit Health, Atlantic Health, and Banner Health trust Innovaccer to integrate a system of intelligence into their existing infrastructure, extending the human touch in healthcare. For more information, visit www.innovaccer.com.
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