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Senior Backend Software Engineer

Nirvana Health

Nirvana Health

Software Engineering
New York, NY, USA
USD 150k-180k / year + Equity
Posted on Nov 18, 2025

About Nirvana

At Nirvana, we are revolutionizing the way benefit verification is handled. Recognizing its convoluted and opaque nature, we’re dedicated to bringing transparency to the costs and coverage of healthcare. By leveraging machine learning and AI, we’ve developed tools that enable care providers across various specialties to seamlessly check coverage-from patient intake through continuous monitoring, saving significant time and resources.

Our mission extends beyond facilitating access to care; we aim to alleviate the financial anxiety felt by both patients and providers. Backed by leading investors such as Inspired Capital, Eniac Ventures, and Surface Ventures, Nirvana is on a rapid growth trajectory. Over the past year, we’ve supported some of the largest clients in healthcare, including Lifestance Health, Modern Health, and Headspace.

Join us as we continue transforming healthcare by making it more transparent and accessible for everyone.

About the Role

We’re looking for individuals passionate about addressing issues in healthcare. As a Senior Backend Software Engineer at Nirvana, you will play a crucial role in building and enhancing our backend systems that power eligibility and benefits verification, helping providers and patients navigate healthcare coverage more transparently. Working closely with our engineering team and product managers, you will contribute to the development of new features, optimize existing functionalities, and ensure scalability to accommodate our growing user base. Because the data we handle is highly sensitive, we have a preference for individuals comfortable working within regulatory requirements. This role is ideal for someone driven by a sense of purpose, eager to tackle challenging problems, and thriving in a fast-paced startup environment.

Location: NYC or Austin, TX (In office 3 days per week)

What You’ll Do
(Minimum Qualifications)

  • Own the design and development of backend services that power Nirvana’s eligibility and benefits verification engine.

  • Partner with Data Scientists and ML Engineers to shape data pipelines and improve the precision of our predictive and classification models.

  • Work closely with partners and payers to integrate new data sources and expand eligibility and benefits coverage.

  • Ensure data accuracy, integrity, and security across ingestion, transformation, and verification workflows.

  • Build systems that meet HIPAA, SOC2, and other relevant compliance and data privacy standards.

  • Collaborate with Product and Operations teams to turn complex real-world requirements into reliable, scalable engineering solutions

  • Help shape architectural decisions, contribute to engineering standards, and mentor teammates to elevate technical quality across the team.

What We’re Seeking

  • Strong experience with backend systems and Python programming.

  • Solid understanding of microservices architecture and RESTful API design.

  • Hands-on experience with containerization and orchestration tools (Docker, Kubernetes).

  • Proficiency in SQL and familiarity with NoSQL databases(e.g.MongoDB).

  • Experience owning end-to-end delivery of features or projects, including design, implementation, and rollout.

  • Comfortable working in a fast-paced, iterative startup environment.

  • Passion for solving complex challenges within the healthcare sector.

  • Undergraduate degree in Computer Science or equivalent experience.

Preferred Qualifications

  • Experience leading scoped engineering projects or initiatives.

  • Experience mentoring peers, providing thoughtful code reviews, or contributing to architectural discussions.

  • Experience working in regulated industries, particularly healthcare.

How We Support You

  • Medical, dental, vision, and 401(k)

  • Hybrid, dog-friendly office (3 days a week)

  • Unlimited PTO

  • $1000/year Mental Health Wellness Benefit

  • Stocked office kitchen

  • Remote home office support

  • Equity compensation packages

  • Open-door policy & collaborative culture

    Please note: We are unable to offer visa sponsorship for this position. The estimated base salary range for this role is $150,000–$180,000 depending on experience and location (Austin, TX or New York, NY). Compensation also includes a meaningful equity grant and comprehensive benefits. Final offers are determined based on a candidate’s skills, experience, and alignment with our team’s needs.