Flagler Health is building the clinical operating system for contemporary musculoskeletal care.

We partner with MSK provider groups and specialty clinics to help them grow, operate more efficiently, and deliver better longitudinal care across patient acquisition, clinical workflows, and ongoing patient engagement. Our platform sits at the intersection of care delivery and clinic operations, helping providers capture more value across the full patient lifecycle.

We’ve recently raised our Series B and are entering our next phase of growth.

Key Responsibilities
Design, build, and maintain backend services and web applications
Work on real-time web applications for audio and SMS communications with users (patients)
Implement and operate fault-tolerant, long-running workflows for asynchronous and background processing
Collaborate with frontend, product, and infrastructure teams to deliver reliable, compliant systems

Required Qualifications
Proven experience building highly available backend applications in a regulated environment (e.g., healthcare, finance, compliance-driven SaaS)
Proficiency in Type Script and/or Python for backend service development
Experience interacting with backend APIs built using Node.js, Express, Mongoose, Twilio or similar frameworks




Experience with Temporal or similar distributed workflow orchestration systems (e.g., Cadence, AWS Step Functions, Conductor)
Solid understanding of distributed systems fundamentals, including retries, idempotency, and failure handling

Preferred Qualifications
Experience in healthcare technology or SaaS platforms at a medium-sized startup
Familiarity with HL7, FHIR, or EHR integrations
Experience with cloud platforms such as AWS, Azure, or GCP
Hands-on experience with CI/CD pipelines, infrastructure automation, and version control systems (e.g., Git)
Experience working in a monorepo setup (e.g., Turborepo, Nx)
Nice to have: Experience with distributed data or batch processing frameworks (e.g., Apache Spark, Databricks, or similar)
Nice to have: Exposure to Dev Ops practices, including containerization, observability, and deployment automation

Work Workplace
The team is distributed remotely, with regional hybrid offices in NYC and Vancouver, Canada.
Hybrid. Regular and consistent in office presence is required for this position.
We have video on for our weekly team syncs and pair-coding/tech discussions. Camera is required to be on during meetings.
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📌 Senior Software Engineer Backend Vancouver
🏢 Flagler-Health-1
📍 Vancouver