Senior Backend Engineer (Python)

Neru Health uses AI to tackle one of chronic care’s toughest challenges: helping patients start and stick with treatment, beginning with sleep care. Our conversational AI platform is already live with 3,000+ patients, improving patient outcomes and reducing clinic workload by 45%. We recently closed our oversubscribed seed round, backed by senior tech leaders from Netflix and Google, leading sleep experts, and digital health VCs. Clinics are onboarding quickly, and we’re hiring founding engineers to help scale from 3,000 to 30,000 patients in the months ahead.

• Own the evolution and scaling of our HIPAA-compliant backend infrastructure
• Design and deploy health data pipelines and services that integrate with electronic health record (EHR) systems using FHIR and HL7 communication standards
• Optimize database performance and query efficiency
• Continuously improve reliability and observability through enhanced monitoring and alerting
• Collaborate with experts in biomedical AI, machine learning, and infrastructure to build robust healthcare solutions

Tech stack: PostgreSQL, Python, FastAPI, GCP, Leaping AI, Terraform

Your background looks something like:

• Background in engineering at product-driven, early-stage tech companies
• Strong proficiency in Python (incl. async programming)
• Experience designing and optimizing backend systems, not just implementing others’ specs
• Hands-on experience with cloud infrastructure and infrastructure as code (we build on GCP using Terraform)
• Strong background in robust API design (Flask/FastAPI) and CI/CD pipelines
• Deep knowledge of relational databases (we use PostgreSQL)
• Familiarity with serverless architectures
• Solid understanding of security best practices

As a person, you’re:

• A tinkerer/hacker - you explore, test, and iterate rapidly
• Automate everything - from dev environments to personal workflows
• Communicate clearly and thrive in a fast-paced, hybrid/remote startup team
• Value working with people who are kind, ambitious, and pragmatic
• Excited about AI/ML, even if your experience is still growing
• Love working in a startup environment - you either have experience working in a startup or are really drawn to the zero-to-one phase

Bonus points

• Experience working with health data, EHR systems (e.g., HL7, FHIR), and health IT standards
• Built LLM-powered applications end-to-end and understand concepts like RAG, open-source models, and agent architectures
• Passion for sleep science, digital health, or behavioral change

• Competitive salary (€90K - €110K) and generous equity. We believe in rewarding great talent fairly. Our approach is slightly above market on salary, and above market on equity - because we want you to grow with us.
• A fast-moving team shipping to real patients every week
• Direct mentorship and collaboration with senior advisors from Netflix Games, Google AI, Harvard Medical School
• Global lean team with offices in Munich Urban Colab and Pagliuca Harvard Life Labs.
• Flexible working hours and remote work options
• Location: Munich, Boston, Remote