Thrive Backend Engineer

Senior Backend / Infrastructure Engineer — Healthcare Tech (Hybrid NYC)

We're a mission-driven healthcare technology company backed by leading healthcare-focused VCs, partnering with health plans and state governments to help Medicaid and Medicare members stay connected to their care and benefits.

The Role

We're looking for a Senior Backend/Infrastructure Engineer (5–8+ years) to own backend architecture across our member engagement platform, web onboarding flows, and the integration layer connecting health plan partners and internal systems.

Our stack

JavaScript/TypeScript on AWS, Next.js, Supabase, Snowflake, and Postgres. You'll also help deploy pragmatic AI agents across the member experience.

As one of our first in-house senior engineers, you'll shape architecture, engineering practices, and hiring standards as we grow — with real autonomy and scope.

What You'll Do

• Own core backend services (AWS Lambda/ECS/Fargate/API Gateway, Supabase, Postgres, Snowflake)
• Harden workflows currently on low-code tools into production-grade services with proper observability and testing
• Drive architecture for personalization, AI enablement, and a unified member hub
• Lead vendor integrations and migrations; write ADRs and runbooks
• Partner cross-functionally with product, design, ops, and compliance
• Set the bar for API design, testing, observability, and on-call practices

About You

• 5–8+ years owning production backend systems end-to-end
• Strong API design fundamentals (REST/event-driven), regardless of framework
• Proficient in JS/TS, Python, or Kotlin; AWS infrastructure; Postgres/Supabase; Snowflake or similar
• Experience integrating with underdocumented vendor APIs and handling production edge cases
• Observability-first mindset; solid data modeling instincts
• Nice to have: NestJS, Terraform, Auth0, HIPAA/SOC 2 experience, LLM-powered workflow deployment

Compensation & Benefits

$185,000–$200,000 base + up to 10% bonus + meaningful equity

Hybrid (NYC)

• Unlimited PTO
• $2,000 L&D budget
• 12-week paid parental leave
• 401(k) match
• Health/dental/vision
• 5-week sabbatical at 5 years
• And more

Compensation

The base pay range for this role is $185,000 – $200,000 per year.