Senior Backend Engineer
60 Degrees
About the role
THE OPPORTUNITY THAT AWAITS YOU
We're partnering with a health-tech consultancy delivering agentic AI systems into the US healthcare market. These are production platforms solving real operational challenges at scale — turning AI capability into practical healthcare outcomes.
We're looking for a Senior Backend Engineer with strong Python expertise and Rails exposure to build the systems that power these products behind the scenes.
This is a high-impact role for an engineer who enjoys solving hard backend problems, scaling modern services, and integrating AI into real workflows. If you care about architecture, performance, and meaningful product impact, this is a serious opportunity.
WHAT YOU WILL BE BUILDING
- Advanced Python backend services using modern async and production-ready patterns
- Integration with Ruby on Rails product systems and existing platforms
- Scalable APIs powering customer-facing products and AI workflows
- PostgreSQL optimisation, query performance, and data reliability systems
- Logging, monitoring, observability, and incident readiness practices
- GCP-native deployment pipelines, infrastructure scaling, and cloud operations
- Backend systems that operationalise AI into dependable real-world products
OUR REQUIRED EXPERTISE
- 10+ years Software engineering experience with advanced Python experience building production backend systems
- Strong understanding of async patterns, concurrency, and scalable architecture
- Exposure to Ruby on Rails for product integration and service interoperability
- Strong PostgreSQL skills including tuning and performance optimisation
- Experience designing APIs and integrating distributed systems
- Experience deploying and operating systems in GCP environments
- Strong engineering judgment with a focus on reliability and maintainability
- Master's Degree or PhD in Computer Science, Engineering, Artificial Intelligence, Data Science, or a related technical field
YOUR REWARD
- Build the core systems that turn AI into real healthcare impact.
- Your work will directly shape how clinicians reduce administrative burden, improve efficiency, and access tools they can trust.
- Join a fast-moving environment with meaningful ownership, modern technical challenges, and products already making a difference in the US market.
- This is an opportunity to solve serious backend problems where the outcome genuinely matters.
- Remote working based out of Stellenbosch Western Cape
- Competitive salary + Perks
Skills
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