Middle+ / Senior Python Backend Engineer

  • engineering
  • remote
  • Clutch
  • Goodfirms
  • Upwork

About the Role: 

We’re seeking an experienced Middle+/Senior Python Backend Engineer to participate in architecting, building, and maintaining the core backend systems and integration platform for our AI-driven healthcare platform.

This role will focus on developing scalable, secure, and high-performance APIs and services that power our aesthetic medicine solutions.

An engineer will collaborate with a team of engineers, data scientists, frontend developers, and product managers to deliver technical solutions that seamlessly connect healthcare providers’ existing workflows with our innovative AI platform.

Why This Role Matters

A backend engineer supports the development of an AI-powered healthcare platform that is reshaping workflows in aesthetic medicine. The role includes contributing to backend systems that are secure, scalable, and well-integrated with electronic health and CRM systems, ensuring that providers can work efficiently while maintaining high data security standards.

By enabling the seamless integration of AI-powered tools into real-world clinical environments, this position plays a meaningful part in modernizing how aesthetic care is delivered.

This role offers the unique opportunity to work at the intersection of cutting-edge AI technology and practical healthcare workflow automation, directly impacting how thousands of healthcare providers deliver patient care.

Key Responsibilities

  • Core Backend Development;
  • Participate in the design and development of our backend architecture using AWS serverless services, Python, and FastAPI;
  • Design and implement secure, scalable RESTful APIs for both internal and external consumption;
  • Develop and optimize data models and database schemas using Aurora Serverless (PostgreSQL);
  • Provide technical leadership to the backend engineering team, including mentorship, code reviews, and technical guidance;
  • Integration Platform Development;
  • Design and implement a comprehensive integration platform supporting major EHR systems, including Epic (FHIR), Cerner/Oracle Health, and aesthetic medicine-specific platforms like Zenoti;
  • Build robust CRM integrations with platforms like GoHighLevel, enabling seamless patient data synchronization and workflow automation;
  • Architect event-driven integration patterns using AWS EventBridge API Destinations with Python CDK for reliable, scalable third-party connectivity;
  • Implement HL7 FHIR-compliant data exchange mechanisms ensuring healthcare interoperability standards;
  • Develop webhook management systems and API rate-limiting strategies for external platform integrations;
  • Healthcare Compliance & Security;
  • Ensure adherence to HIPAA compliance and healthcare security best practices across all integration touchpoints;
  • Implement comprehensive data governance and privacy controls for multi-tenant healthcare data;
  • Design secure authentication and authorization mechanisms for external system connections;
  • Collaborate with data scientists to integrate and deploy AI models into production systems while maintaining data security;
  • Technical Leadership & Innovation;
  • Lead the implementation of CI/CD pipelines and deployment strategies AWS CDK (on Python);
  • Develop and maintain technical documentation and integration specifications;
  • Work closely with product and design teams to translate business requirements into technical solutions;
  • Drive architectural decisions that support rapid scaling across multiple healthcare organizations.

Required Qualifications

  • 4+ years of experience in backend development with Python and web frameworks (FastAPI, Django, or Flask);
  • 3+ years of experience with AWS services and cloud architecture, particularly EventBridge, Aurora Serverless, Cognito, Lambda, DynamoDB, optional Bedrock, and CDK;
  • Experience with event-driven architectures and message queuing systems, particularly AWS EventBridge API Destinations;
  • Strong knowledge of RESTful API design and implementation;
  • Proficiency with relational databases, particularly PostgreSQL/Aurora Serverless;
  • Strong understanding of software development best practices, design patterns, and architecture;
  • Experience with CI/CD, testing, and deployment automation using Infrastructure as Code – AWS CDK on Python is mandatory;
  • Excellent problem-solving abilities and communication skills.

Preferred Qualifications

  • Hands-on experience with CRM platform integrations (GoHighLevel, HubSpot, Salesforce Health Cloud);
  • Experience with healthcare or HIPAA-compliant applications in production environments;
  • Knowledge of AI/ML integration in production systems, particularly in healthcare contexts;
  • Experience with OAuth 2.0, SMART on FHIR, and healthcare authentication standards;
  • Familiarity with containerization and orchestration (Docker, Kubernetes);
  • Background in building secure, multi-tenant SaaS applications;
  • Experience with GraphQL;
  • Direct experience with aesthetic medicine or dermatology practice management systems (Zenoti, ModMed, NextTech);
  • Experience with healthcare integrations, specifically EHR systems (Epic, Cerner, Allscripts) and healthcare data standards (HL7 FHIR, USCDI).

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