Senior Backend Engineer - Platform

Company: Mochi Health
Location: San Francisco
Posted on: February 22, 2026

Job Description:

Job Description Job Description Healthcare is broken at the first step: patients can't find the right care, understand what it costs, or access the medications they need. Mochi Health is fixing this. We're building an AI-driven marketplace that makes healthcare discoverable—connecting patients to the right providers, transparent pharmacy pricing, and affordable medications. Over the past few years, we've grown rapidly by combining clinical expertise with technology that actually works for real people, not just hospital systems. Our platform does what legacy healthcare can't: it gives patients transparent pricing before they pay, personalized medication management that follows them across providers, and long-term access to their own medical records. We're proving that healthcare can be more affordable, more human, and far more intuitive than what exists today. Join a team that's rebuilding healthcare from the patient up. At Mochi Health, you'll work alongside people who value bold thinking, inclusive collaboration, and getting meaningful work into the world. If you want to do the most impactful work of your career, this is where to do it. $250,000 - $300,000 Full-time / Onsite (5 days/week) About The Role We are looking for a Senior Backend Engineer - Platform , to create interfaces and flows for new verticals at Mochi Health. You will work directly with ex-founders, high-frequency traders, rocket engineers in the "skunkworks project" within Mochi to take Mochi from an obesity health platform to a world-class health platform . You'll play a key role in crafting best-in-class web and mobile experiences that delight both customers and providers. From launching bold new features to rapidly experimenting with fresh verticals, you'll help shape what's next for Mochi Health. This role is perfect for someone who is able to be scrappy in the world of Web and Mobile development, while having good architectural and design sense to build effectively. What You'll Do Lead the development, optimization and expansion of our core backend services. (Typescript/Python) Drive best practices in performance, security, and scalability as we scale rapidly over the next 6/12 months. Collaborate closely with Product, Design and Frontend teams to deliver seamless, intuitive user experiences. Own key architectural decisions, mentoring engineers, and elevating back-end excellence across the company. Build out data-driven services and systems to bolster the customer experience. Influence engineering culture, fostering innovation and technical ownership within the team. Who You Are Startup mindset: you thrive in fast-moving environments, take ownership, and love solving problems at scale. 7 years of back-end development experience, with deep expertise with Typescript/Python. Experience leading technical initiatives and shipping scalable, high-performance systems to support web and mobile applications. Strong knowledge of modern back-end tooling. (ESLint, CI/CD pipelines) Fluent in bash scripting and linux/unix commands A passion for creating fast, optimised and elegant solutions to difficult problems. Expertise with AI code generation tools Bonus: Experience with WebSockets, real-time data, compiled code languages, or healthcare-related applications. Our Core Technologies Include: Typescript, Javascript, Node.js, Next.js, React, React Native, SQL, Redis, Redux, New Relic, Kubernetes, CSS, AWS, Cypress, Docker, Express Life at Mochi At Mochi, we believe your best work happens when you feel your best—so we've designed an environment that fuels your creativity, supports your growth, and makes every day exciting. Daily Meals and Espresso Bar - Breakfast, lunch, and dinner every weekday. Our on-site barista keeps the espresso and matcha flowing all day Pre-Tax Commuter Perks - Save on transit and parking through pre-tax commuter benefits Top-of-Market Compensation - We offer competitive salaries along with generous equity packages so you can share in the success you help create Profitable and Rapid Growth - We're scaling fast, with financial discipline and long-term vision. No VC constraints, just sustainable momentum and smart decisions High-Impact Work - Help shape the future of digital healthcare. Your work here directly improves lives and scales nationwide ?? World-Class Team - Collaborate with teammates from Tesla, SpaceX, Citadel, Harvard, IIT, and more. We value excellence, humility, and empathy in equal measure ? Comprehensive Benefits - 401(k) with match, generous time off, life insurance, and high-quality medical, dental, and vision plans Mochi Health Membership – We cover your monthly subscription fee so you can experience the same care as our patients (medications not included) Time to Recharge – Enjoy unlimited PTO, generous company holidays, and true flexibility. We trust you to take the time you need to rest, reset, and thrive Wellness First – From weekly mindfulness sessions to group workouts and fitness perks, your physical and mental health are top priority Team Socials and Community - We make time to connect through regular socials, happy hours, and spontaneous events. Our stocked kitchen doesn't hurt either Downtown SF HQ - Our San Francisco office is just steps from BART, Muni, and great food. It's designed for deep work and casual collaboration The base salary for this full-time position ranges from $250,000 to $300,000, in addition to equity and benefits. The salary range listed in each job posting represents the minimum and maximum targets for new hire salaries across all locations. Actual compensation within this range is determined by various factors, such as job-related skills, experience, relevant education or training, and location. LI-Onsite LI-AK1 Workplace Policy Mochi Health is an in-person company based in San Francisco, CA. Our team works together in person five days a week to foster collaboration, innovation, and strong connections. We believe that face-to-face interaction builds a culture of excellence and allows us to deliver the best outcomes for the patients and providers we serve. Equal Opportunity Mochi Health is an Equal Opportunity Employer. We make all employment decisions based solely on merit. We provide equal employment opportunities to all applicants and employees without discrimination on the basis of race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, disability status, or any other applicable legally protected characteristic. We prohibit any form of discrimination or harassment. This policy applies to all terms and conditions of employment, including hiring. Candidate Privacy Notice Please review Mochi Health's Candidate Privacy Notice here. Accommodations Mochi Health complies with the Americans with Disabilities Act (ADA), as amended by the ADA Amendments Act, and all applicable state or local laws. We will reasonably accommodate qualified individuals with a disability during the application process and throughout employment as required by law. If you need any assistance or accommodations due to a disability, please contact us at hr@joinmochi.com .

Keywords: Mochi Health, Pittsburg , Senior Backend Engineer - Platform, IT / Software / Systems , San Francisco, California