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Senior Backend Engineer
Senior Backend Engineer

Senior Backend Engineer at Adia Health · Bengaluru (Bangalore) · 4 - 12 years · ₹35L - ₹60L / yr (ESOP available) · Bootstrapped · Posted 7 Mar 2025

Adia Health's logo

Senior Backend Engineer

Kavita Singh's profile picture
Posted by Kavita Singh
4 - 12 yrs
₹35L - ₹60L / yr (ESOP available)
Bengaluru (Bangalore)
Skills
skill iconNodeJS (Node.js)
TypeScript
skill iconAngularJS (1.x)
skill iconAngular (2+)
skill iconReact.js
SQL
skill iconAmazon Web Services (AWS)
skill iconJavascript
skill iconMongoDB


About the company

Adia makes clinicians better diagnosticians. Adia Health revolutionizes clinical decision support by enhancing diagnostic accuracy and personalizing care. It modernizes the diagnostic process by automating optimal lab test selection and interpretation, utilizing a combination of expert medical insights, real-world data, and artificial intelligence. This approach not only streamlines the diagnostic journey but also ensures precise, individualized patient care by integrating comprehensive medical histories and collective platform knowledge. 



Position Overview 

We are seeking a highly skilled backend engineer specializing in integrations and platform development to join our dynamic team. The ideal candidate will have a background working in a complex domain and have a proven track record of success. This role requires a deep understanding of backend technologies, strong problem-solving skills, and the ability to collaborate effectively with cross-functional teams. 

 


Key Responsibilities 

  1. Design, implement, and maintain scalable and secure integrations with third-party systems and APIs to enable seamless data exchange and functionality. 
  2. Develop and maintain internal platform services and APIs to support various product features and business requirements. 
  3. Collaborate with cross-functional teams to ensure smooth integration of backend services with user-facing applications. 
  4. Work closely with product managers and stakeholders to understand integration requirements and translate them into technical solutions. 
  5. Identify opportunities for performance optimization, scalability improvements, and system enhancements within the integration and platform infrastructure. 
  6. Implement monitoring, logging, and alerting solutions to ensure the reliability and availability of integration services and platform components. 
  7. Experience with HL7/FHIR is a huge plus. 


 

Qualifications 

  • Bachlor's degree in Computer Science, Engineering, or a related field 
  • Proven experience (5+ years) in backend development with expertise in building integrations and platform services 
  • Proficiency in Node.js, JavaScript, TypeScript, MongoDB, SQL, noSQL, AWS (or other cloud providers like GCP or Azure) 
  • Strong problem-solving skills and the ability to collaborate effectively with cross-functional teams in an agile environment 
  • Experience working in a complex domain, ideally U.S. Healthcare 
  • English fluency required 
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About Adia Health

Founded :
2024
Type :
Services
Size :
20-100
Stage :
Bootstrapped

About

Adia is transforming healthcare by combining proprietary clinical AI with instant provider payments, solving both the diagnostic accuracy crisis and the financial barriers that plague medical providers. In an era where traditional clinical decision support systems add complexity to clinicians' workflows, our platform orchestrates and automates the entire diagnostic journey while ensuring providers are paid the moment care is delivered.


Adia's breakthrough lies in seamlessly integrating AI decision automation with instant payment solutions. This combination transforms the diagnostic process from a complex maze into a streamlined experience for both providers and patients. Clinicians can finally practice medicine without administrative constraints, improving diagnostic accuracy while boosting provider profitability.


Our platform increases provider revenue through AI-powered diagnostic recommendations. Adia's clinical intelligence identifies over 40% more medically appropriate tests than traditional practice patterns by analyzing patient data and applying clinically validated protocols. This proactive approach ensures comprehensive patient care while substantially increasing revenue per visit. Combined with instant payments, providers realize immediate financial benefits while delivering superior patient outcomes.

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Preferred Tech Stack

(Experience in some or most of the following is preferred)

  • Node.js
  • TypeScript
  • MongoDB
  • Express.js
  • React / Next.js
  • REST APIs
  • Cloud deployment & modern dev tooling

Experience with AI-assisted coding tools and workflows is a strong plus.


Location: Remote



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  • An eye on infrastructure cost. Knowing roughly what your service costs to run, spotting the query, log stream or API call pattern that is quietly expensive, and factoring that into design decisions.
  • You are comfortable with ambiguity and will go and resolve it often by asking the ops or product team directly.
  • You share status without being prompted, including when the news is not good.
  • You care whether the change worked for the business, not only whether the story was closed.
  • Understand the problem first-hand. Spend time with the product owner or the ops team that has the problem, and see how the work happens today rather than working from a requirements document alone.
  • Design, build and ship end to end. API and data model through to the screen the user touches. Backend and frontend are both yours.
  • Take it to production and keep it healthy. Deploy it, monitor it, and act on what the monitoring tells you. Errors, latency, failed jobs and data quality are yours to watch and ideally you spot the issue before someone reports it.
  • Be mindful of what it costs to run. Every service you deploy carries an infrastructure bill. Think about instance sizing, storage, query patterns, log volume and the cost of third-party API calls before you ship, and raise it early when something is likely to get expensive.
  • Integrate cleanly with vendors and partners. A large part of our platform is third-party: bureaus, banks, KYC providers, payment rails, co-lenders. Working well with vendor teams, reading their documentation carefully and handling their failure modes gracefully is core to the job, not a distraction from it.
  • Be accountable for what you commit to. Give estimates you believe in, flag slippage early, and keep the status visible.
  • Leave it documented. A runbook, an API contract, and a short note on any non-obvious decision, so the next engineer or the next agent can pick it up without you.
  • Build securely by default. We are a regulated lender. Customer and credit data handling, access control, audit trails and PII discipline are part of the definition of done, not a later hardening pass

Skills Required:


JavaScript , TypeScript , Node.js , API Design , Relational Data Modelling , SQL , Indexing , Query Optimization , Transactions , Database Migrations , Vendor Integration , Authentication , Retries , Idempotency , Webhooks , Rate Limiting , Queues , Background Jobs , Scheduled Work , React , Component Design , State Management , Forms , CSS , Layout Design , Performance Optimization , Error Handling , Testing , Git , CI/CD , DevOps , Containers , Environment Configuration , Pipelines , Deployments , Rollbacks , AWS , Monitoring , Logging , Metrics , Alerting , Cost Awareness , Problem Solving , Communication , Accountability , Documentation , Security , Data Handling , Access Control , Audit Trails , PII Discipline


Candidate Attributes:

  • Passion and hunger to make a dent in the MSME ecosystem
  • AI-first in how you build
  • Comfortable on either side of the API boundary
  • Comfort working directly with a vendor's technical team to get an integration over the line
  • Enough CSS and layout sense to build a clean screen without a pixel-perfect design handed to you
  • Comfortable with ambiguity and will go and resolve it often by asking the ops or product team directly
  • Share status without being prompted, including when the news is not good
  • Care whether the change worked for the business, not only whether the story was closed
  • Service or a customer journey, designs across services
  • Sets patterns others follow and embeds with a business function
  • Shapes what gets built
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Sneha Singh
Posted by Sneha Singh
Gurugram
3 - 5 yrs
Best in industry
skill iconNodeJS (Node.js)
skill iconNextJs (Next.js)
skill iconPostgreSQL
skill iconMongoDB
skill iconGo Programming (Golang)

Why This Role Matters

Our backend is what keeps checkout, RTO, and payments fast and reliable at ~$2B GMV across 15,000+ merchants. As an SDE 2 you own services end to end, make the architecture calls that keep them performant, and set the technical bar for the engineers around you. The trade-offs you pick show up directly in merchant conversions and platform reliability - this is a builder's seat with real ownership.

What You'll Own

  • Design and build backend services primarily in Node.js/NestJS, with Go for select services, backed by Postgres, Mongo, and Redis.
  • Own event-driven flows on Kafka - throughput, ordering, and failure handling.
  • Make and document the architecture and trade-off decisions for systems you lead.
  • Ship features end to end, dropping into the frontend (React/Svelte) when it's the fastest path.
  • Strengthen CI/CD, observability, and deployments on AWS.
  • Review code, mentor SDE 1s and AEs, and raise the quality bar on the team.
  • Take ambiguous problems and drive them to delivery with minimal hand-holding.

Who You Are

  • Strong backend engineer in JavaScript/TypeScript on Node.js/NestJS (our primary stack); working knowledge of Go, or ready to pick it up.
  • Solid at data modelling across Postgres and Mongo, and knows when Redis earns its place.
  • Has built and scaled event-driven systems (Kafka or equivalent).
  • At home on the backend but happy to work across the stack in React/Svelte.
  • Thinks in systems - scalability, reliability, maintainability - not just features.
  • Has mentored engineers and owns code quality and delivery, not just their own tickets.
  • Communicates clearly and does well with ambiguity in a fast-moving team.
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Shubham Vishwakarma's profile image

Shubham Vishwakarma

Full Stack Developer - Averlon
I had an amazing experience. It was a delight getting interviewed via Cutshort. The entire end to end process was amazing. I would like to mention Reshika, she was just amazing wrt guiding me through the process. Thank you team.
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