Senior Full-Stack Engineer (MLOps and Backend)
New York City
Technology – Engineering /
Full-Time /
Hybrid
About Kouper Health:
Kouper is leading the charge in transforming transitions of care. We are backed by General Catalyst, CVS Health Ventures, 25m Health, and leading health system partners. Our mission is to bridge the care transition gap and fundamentally improve the patient experience to help people live longer and better.
Why This Role Is Exciting:
As a full stack engineer, you’ll play a critical part in building our culture: you will foster collaboration, innovation, empathy, and trust while leveraging your technical expertise to execute on the product vision.
You will be working directly with the Chief Technology Officer (CTO) and collaborating closely with product, operations, and clinical teams to create robust backend systems and ML infrastructure that supports real-time patient engagement and helps improve healthcare outcomes. You will be the architect behind scalable backend services and ML deployment pipelines that integrate disparate data sources to create a seamless patient experience. In this fast-paced, dynamic startup environment, you'll see the direct results of your work on the lives of patients, while helping to build a mission-driven culture focused on healthcare transformation.
Responsibilities
- Design, develop, and maintain scalable backend services, and APIs that support our AI-driven patient engagement platform
- Build and maintain the infrastructure for deploying, monitoring, and LLM-driven applications in production environments
- Collaborate closely with AI/ML engineers to architect systems that seamlessly integrate conversational AI and predictive models into our platform
- Lead the design of scalable, extensible backend architectures that can evolve with our product capabilities and growing data requirements
- Implement CI/CD pipelines for our application, including automated testing, versioning, and deployment strategies
- Build reusable code libraries, components, and frameworks to improve development speed and quality
- Implement engineering best practices for secure, scalable, and maintainable code
- Leverage cloud services (GCP, Azure, AWS) to build cost-effective, scalable infrastructure for both traditional web services and ML workloads
- Participate in code reviews and help establish development standards
- Troubleshoot, debug, and resolve issues, ensuring high availability and performance
- Work with product, operations, and clinical teams to translate business requirements into technical solutions
Qualifications
- 5+ years of experience in full stack development, with at least 2 years in a senior level role
- Early-stage product experience building from 0 to 1, and rebuilding that 1 into N
- Proficiency in Node/Python stack, RDBMS, ReactJS, Express
- Strong interest in AI with hands-on experience integrating LLMs into production systems, or strong willingness to learn
- Excellent system architecture skills with experience designing extensible, scalable backend systems
- Disciplined approach to design and engineering: Clean Code, TDD, CI/CD
- Experience working with cross-functional and non-technical business stakeholders and partners
- A portfolio of projects where you led engineering efforts
Preferred Qualifications
- Experience in healthcare tech or related industries
- Familiarity with DevOps practices, containerization (e.g., Docker), and orchestration (e.g., Kubernetes)
- Experience with AI model deployment platforms, A/B testing, and monitoring tools
- Background in mentoring and coaching engineering teams
What We Offer
- Competitive salary and equity package
- Flexible work environment and remote options
- Comprehensive health, dental, and retirement benefits
- The chance to make a significant impact in a mission-driven startup focused on transforming patient care
- Location: NYC, SF, or Remote
- Expected Start Date: July / August 2025
$160,000 - $175,000 a year
