Founding Engineer – Backend

About the Role

A fast\-growing, Y Combinator–backed healthtech SaaS startup is hiring a Founding Backend Engineer to shape the core of their platform. You will be one of the earliest engineers, with direct ownership over backend services and cloud infrastructure powering an AI\-native product used by leading pharmaceutical companies worldwide. This is a high\-impact, high\-autonomy role for someone who thrives at the intersection of scalable systems and real\-world product impact.

What You'll Do

• Design and implement robust, scalable, and secure backend services and APIs.


• Own cloud infrastructure end\-to\-end: automate deployments, set up and maintain CI/CD pipelines, and ensure high availability across environments.


• Monitor system health and implement observability best practices across all environments.


• Apply security best practices and threat modeling to backend systems.


• Model and manage relational data using PostgreSQL or similar databases.


• Containerize services with Docker and apply orchestration concepts in production.


• Collaborate closely with founders and the product team to define and build the technical foundation of the platform.

What We're Looking For

Must\-have:

• 2\+ years of software engineering experience.


• Proficiency in Python and/or Node.js for backend development.


• Proven experience designing and implementing scalable backend services and APIs.


• Experience with PostgreSQL or other relational databases for data modeling and querying.


• Cloud infrastructure automation using Terraform and Azure.


• Experience setting up and maintaining CI/CD pipelines and automated testing workflows.


• Containerization with Docker (and familiarity with orchestration concepts).


• Implementation of security best practices and threat modeling for backend systems.


• Ability to design for high availability, monitoring, and observability.


• Strong computer science fundamentals.

• Experience in healthtech, pharma\-tech, or regulated data environments.


• Familiarity with agentic AI workflows or LLM\-integrated systems.


• Background at a high\-growth startup or in a founding engineer capacity.

Compensation \& Benefits

• Competitive compensation package.


• Visa sponsorship available.


• Opportunity to join as a founding team member with significant scope and ownership.

Location

This role is based on\-site in Munich, Germany. Candidates must be willing to work from the Munich office full\-time.

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