Senior Backend Engineer, Agent Systems (Claude / LLM)

Healiom is building an innovative Agentic Staffing Agency for Medicine, leveraging AI agents to improve healthcare staffing. The Senior Backend Engineer will focus on developing a graph layer for agent reasoning, integrating LLMs, and ensuring safety in AI applications within healthcare.

Responsibilities:

• Graph layer for agent reasoning
• Build a probabilistic medical graph
• Integrate LLM-driven reasoning across retrieval, planning, and execution
• Ensure safety at scale for AI mistakes in healthcare
• Own event-driven architecture with Kafka pipelines
• Implement ReBAC permissions for clinicians and AI

Requirements:

• 7+ years of experience
• Deep distributed systems experience — years of doing this, not reading about it
• Shipped with AI-assisted workflows and can show how you actually work now
• Event-driven architecture depth — Kafka, not 'or similar'
• Strong opinions about architecture decisions compounding when implementation is cheap
• Healthcare/HIPAA experience
• Graph database or graph RAG experience
• Been a founder or early-stage engineer
• Been paged at 2am and have opinions about why