Role description

Senior Software Engineer

UpDoc

Zero to one

TypeFull-time

WorkplaceRemote

SenioritySenior

LocationUnited States

Posted7/22/2026

Engineering

About UpDoc

At UpDoc, we are building the first clinically validated, physician-supervised AI agent that manages chronic diseases. We are an early-stage startup founded by Stanford physicians.

We are seeking a talented and motivated senior engineer to join our team. You will primarily work on our backend services. This is a fully remote position.

Who You Are

You're an experienced senior engineer with strong backend expertise. You're a pragmatic, thoughtful engineer with experience owning projects end-to-end. You're excited to build the technical foundation for AI-powered healthcare and apply solid engineering principles to deliver reliability when it matters most.

What You'll Do

Develop and maintain high-quality backend systems in Python.
Work with frontend, product and other engineering team members to scope and define backend functionality for the product.
Design internal and external APIs that power the UpDoc platform.
Develop and maintain integrations with third-party healthcare services.
Help with aspects of the end-to-end engineering stack such as DevOps, CI/CD and observability.
Participate in day-to-day engineering tasks such as code review and troubleshooting production issues.
Collaborate with clinical experts to ensure our services are accurate, reliable and trustworthy.

What You’ll Need

5+ years of professional backend development experience.
Comfortable working with type-hinted, modern Python.
Ability to deliver reliable, maintainable systems in a fast-paced environment where safety matters.
Knowledge of backend-relevant software engineering fundamentals, e.g. networking basics, HTTP, caching, database design, RPC, etc.
Experience with cloud platforms (especially Azure), DevOps/IaC practices and containerization.
Experience in designing and implementing RESTful APIs.
Extensive experience with software testing methodologies and practices.
Experience troubleshooting complex technical issues in production environments.
Demonstrated ability to learn continuously, work independently and communicate effectively.
Experience owning projects end-to-end.

Highly Desired

Extensive experience with Python and knowledge of the Python ecosystem.
Experience with FastAPI and Pydantic.
Experience with healthcare industry standards, such as FHIR, and regulations, including HIPAA and SOC 2.
Experience in an early stage (< 20 employees) startup environment.
Experience building applications with LLMs.

Relevant archetypes

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Company info

UpDoc

A New Era of Clinical AI | Pioneering Remote Patient Intervention

🌐 Unveiling a New Era of Clinical AI 🚀 At UpDoc, we are redefining Clinical AI: from software that informs clinicians to software that can perform clinical actions historically carried out by licensed clinicians, like physicians, nurse practitioners and physician assistants. We are pioneering a new care delivery model built around this capability: Remote Patient Intervention (RPI), defined as Clinical AI acting on Remote Patient Monitoring data to deliver clinical care. RPI was first conducted in patients in a Stanford clinical trial published in JAMA Network Open, where the term was coined. Through RPI, our goal is to transform how care is delivered by accompanying traditional clinical visits with physician-supervised “AI encounters” between visits. Rather than simply making clinicians more efficient, Clinical AI can expand the capacity of the healthcare system to deliver more frequent, proactive, and continuous care while keeping physicians at the center of the patient's care.

Private company

HQPalo Alto, United States

Size11–50 employees