Backend Engineer (Node.js / NestJS)

Outlive is a company focused on improving long-term health through an evidence-based product. The Backend Engineer will be responsible for designing and evolving core services for the health intelligence platform, including user identity and data integration.

Responsibilities:

• Design and implement backend services using NestJS (v11) and TypeScript
• Build secure, well-validated REST APIs using zod, class-validator, and OpenAPI
• Implement role-based access control and JWT validation using Google Identity
• Model and manage relational data using Prisma and Postgres
• Implement background jobs and async workflows using Cloud Tasks
• Integrate with external services (OCR, scheduling APIs, third-party data sources)
• Ensure observability through structured logging, metrics, and Sentry
• Write unit and integration tests using Jest
• Collaborate closely with frontend and infra engineers on system design and deployment

Requirements:

• 5+ years of backend engineering experience
• Strong experience with Node.js and TypeScript
• Production experience with NestJS or similar structured backend frameworks
• Experience designing APIs and data models for complex domains
• Familiarity with relational databases and ORMs
• Strong security mindset, especially around auth and data access
• Experience optimizing Postgres data interactions
• Strong familiarity with building distributed systems, related practical design considerations, and patterns for scaling such systems in the cloud
• Experience with Google Cloud Platform
• Experience in healthcare, fintech, or other regulated domains
• Familiarity with OCR pipelines or document processing
• Experience with event-driven or task-based architectures