Python Backend Engineer - Remote
Welcome to dexter health!
At dexter health, we build AI-powered software for care teams. Our mission is to reduce administrative workload in healthcare so caregivers can spend more time with patients.
We are looking for a high-agency Backend Python Engineer to help us improve and scale the backend systems behind our products. The role focuses on Python, databases, external APIs, cloud infrastructure, testing, validation, and production reliability.
You will work on backend systems that connect dexter health with third-party healthcare software providers. These systems synchronize and validate operational data used in real care workflows.
External APIs are inconsistent, data models are messy, and edge cases are common. We need someone who is fast, sharp, and ownership-driven: someone who reads unfamiliar code, debugs production issues, finds root causes, and ships robust fixes quickly without waiting for detailed instructions.
This is a shared-ownership role, not a ticket-taking role. You will work closely with the existing team, but we expect you to take real responsibility for improving backend stability and delivery speed.
You will work daily with AI development tools such as Claude Code, Codex, Cursor, Copilot, or similar. We expect you to use these tools seriously, not casually.
Tasks
As our Python Backend Engineer, you will:
Develop and maintain backend systems written in Python
Work heavily with databases, data models, and external APIs
Build and improve integrations with third-party healthcare software providers
Work with REST APIs, authentication, webhooks, pagination, retries, rate limits, and edge cases
Maintain data transformation, validation, and synchronization logic
Debug production issues, data inconsistencies, sync failures, and API problems
Improve testing, validation, monitoring, health checks, and failure handling
Work with cloud technologies such as GCP, AWS, Azure, or comparable platforms
Work with serverless functions, background jobs, schedulers, async workflows, or similar backend infrastructure
Use AI development tools as a core part of your daily workflow
Write clean, maintainable, testable backend code
Requirements
We care less about formal seniority and more about speed, intelligence, ownership, and reliability. We like people who operate with founder-like urgency: they figure things out, make progress under ambiguity, and care about outcomes more than titles.
Must-have
Strong Python backend experience in production environments
Experience with databases, data models, and API integrations
Solid understanding of REST APIs, authentication, retries, rate limits, and error handling
Experience with cloud technologies such as GCP, AWS, Azure, or similar
Experience with background jobs, schedulers, serverless functions, async workflows, or comparable backend infrastructure
Strong debugging instincts across logs, cloud services, databases, and external APIs
Experience writing tests and validating backend behavior before shipping
Ability to work with typed Python, structured data models, and validation frameworks
Serious experience using AI development tools such as Claude Code, Codex, Cursor, Copilot, or similar
High intelligence, fast learning speed, bias to action, and ownership mindset
Comfortable with ambiguity, fast decisions, and a high-trust startup environment
Clear written and spoken English
Nice-to-have
Experience with healthcare software, healthcare data, or integration middleware
Experience with async Python and concurrent API calls
Familiarity with GraphQL clients
Experience with document databases, NoSQL systems, or event-driven backend systems
Experience with Docker, CI/CD, secrets management, or observability tooling
Experience working around AI features in production systems
German language skills
Knowledge of nursing homes or elderly care workflows
This role is probably not for you if
You need detailed specifications before making progress
You prefer slow, highly structured corporate environments
You are mainly looking for management, not hands-on building
You dislike debugging messy APIs and production edge cases
You want to use AI tools only occasionally instead of as part of your daily workflow
You optimize for perfect process over fast, reliable execution
Benefits
Remote work
Fair compensation based on skills, experience, and location
Ownership of important backend systems
Work on software used in real healthcare workflows
Modern AI-native development workflow
Room to grow with the company
Why?
Caregivers spend too much time on documentation, coordination, and administrative work. We build technology that reduces this burden.
Reliable backend systems are the foundation for everything we build. If our integrations, databases, and APIs work well, our product can create real value for care teams.
If you want to work on complex backend systems with real-world impact, move fast, use AI tools every day, and take real ownership, we would like to hear from you.
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