Senior Backend Engineer (Python)

Neru Health uses Conversational AI to tackle one of chronic care’s toughest challenges: helping patients start and stick with treatment, beginning with sleep care and diabetes.

Our product is live with 15,000+ patients today, improving outcomes while reducing clinic workload by ~45%.

We recently closed our oversubscribed seed round, backed by senior tech leaders from Netflix and Google, leading digital health investors and clinical experts.

We’re a small team building AI-native healthcare products, shipping to real patients every week.

• Own the evolution and scaling of our HIPAA-compliant backend infrastructure
• Build infrastructure to support conversational AI in production
• Design and implement performant APIs and services
• Improve reliability and observability through monitoring and alerting
• Set patterns and standards that other engineers will build on
• Work closely with clinical and customer-facing teams to understand real patient needs
• Ship pragmatic solutions quickly, then iterate based on real-world feedback

Tech stack: PostgreSQL, Python, FastAPI, GCP, Terraform, Temporal, Langfuse

Your background looks something like:

• Engineering experience in tech and product-driven environments
• Strong proficiency in Python, with production experience
• Designed event-driven or workflow-based architectures
• Hands-on experience with cloud infrastructure and infrastructure as code (we build on GCP using Terraform)
• Deep knowledge of relational databases (we use PostgreSQL)
• Familiarity with serverless architectures

• Solid understanding of security best practices and performance optimization

As a person, you’re:

• Are first and foremost a builder
• Are excited to work in-person from our office in Munich or Boston (most of the time)
• Communicate clearly and thrive in a fast-paced, hybrid/remote startup team
• Value working with people who are kind, ambitious, and pragmatic
• Have an interest in infrastructure for AI/ML (direct experience is a bonus, but not required)

Bonus points

• Experience with healthcare, digital health, or regulated environments
• Experience with Voice AI / Conversational AI tech
• Passion for sleep science, digital health, or behavioral change

• Competitive salary and meaningful 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.
• Direct mentorship and collaboration with senior advisors from Netflix Games, Google AI, Harvard Medical School
• A lean, global team with offices in Munich Urban Colab
• We can support relocation within Europe or the United States.