Role Overview

We are building the world’s first clinically intelligent, end-to-end AI platform that unifies patient engagement, provider workflows, and medical intelligence at scale. Our work sits at the intersection of artificial intelligence, healthcare delivery, and real-world clinical impact—and we’re just getting started.

As an Architect / Lead Developer, you will own the technical direction, system architecture, and delivery of major platform capabilities across both patient-facing and provider-facing workflows. You will play a hands-on leadership role in designing scalable systems, guiding engineering teams, and ensuring high standards of performance, security, and reliability. This role is ideal for a senior engineer who enjoys both architectural ownership and hands-on execution, and who is excited to build ML/AI-enabled healthcare products at scale.

Key Responsibilities

• Define, evolve, and document system architecture, including services, APIs, data flows, integrations, and security boundaries
• Translate architectural decisions into clear engineering plans and implementation roadmaps
• Own and guide technical decisions for complex initiatives such as:
  • Authentication and role-based access control
  • Real-time communication systems
  • Document generation and workflow orchestration
  • Analytics and reporting platforms
• Lead hands-on implementation of high-impact and complex features
• Design and enforce coding standards, architectural patterns, and best practices
• Establish and maintain CI/CD pipelines, quality gates, and automated testing strategies
• Continuously improve system performance, scalability, and maintainability
• Mentor engineers through design reviews, technical coaching, and knowledge sharing
• Collaborate closely with Product, Clinical, and Operations teams to align technical solutions with business needs
• Own non-functional requirements including:
  • Availability, latency, and observability
  • Monitoring and system reliability
  • Data privacy, security, and compliance readiness

Must-Have

• 7+ years of professional software engineering experience
• 2+ years in a technical leadership role (Lead Developer, Tech Lead, or Architect)
• 2+ years of experience shipping ML/AI-enabled products
• Strong experience designing scalable web architectures, including REST and/or GraphQL APIs
• Experience with background jobs, queues, and caching strategies
• Proficiency in TypeScript/JavaScript and at least one backend stack (Node.js preferred)
• Strong experience with relational databases
• Hands-on experience with cloud platforms (Azure preferred), infrastructure-as-code, and containerization
• Proven track record of improving engineering velocity and code quality

Nice-to-Have

• Healthcare domain experience, including FHIR, HL7, and secure handling of PHI/PII
• Experience with real-time systems (e.g., WebRTC, LiveKit)
• Experience with event-driven architectures
• Background in building multi-tenant SaaS platforms with complex permission models
• Familiarity with agent-enabled streaming frameworks

Why Join Boston Health AI?

• Make a direct impact by helping transform healthcare globally
• Work across three dynamic markets: US, UAE, and Pakistan
• Join a fast-scaling team where your role grows with the company
• Enjoy high autonomy—we trust our leaders to own and execute
• Be part of a mission-driven organization bringing intelligent clinical AI to healthcare systems that need it most