
Software Development · 138 people
Backend Engineer
Posted 12 Oct
What’s this role about? Build and maintain backend features, APIs, integrations, and PostgreSQL data systems, while improving performance, reliability, testing, and maintainability. Contribute to frontend work when needed, respond to operational issues, and collaborate with customers and cross-functional teams to shape and deliver product features.
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Company
About Ketryx Ketryx transforms the product lifecycle of regulated teams to deliver safer products, faster. Trusted by four of the world’s top five medical device manufacturers, its AI-native continuous compliance platform overlays existing tools to automate documentation, create traceability, and accelerate release cycles—without disrupting existing workflows. Ketryx reduces manual work by 90 percent and closes compliance gaps, elevating speed and quality across the entire product lifecycle. Available on AWS Marketplace.
Ketryx
Develop fast. Stay compliant.

Responsibilities
- Build features end to end — API design, business logic, and integrations between the Ketryx platform and external systems and workflows. Contribute to improving latency, throughput, and fault tolerance across the backend stack.
- Design and evolve PostgreSQL schemas, write efficient queries, and apply indexing strategies to keep the database performant as the product grows.
- Write clean, well-tested code and contribute to standards around migrations, documentation, and testing.
- Participate in monitoring, debugging, and incident response. Help identify performance bottlenecks and reliability issues, and contribute fixes.
- Take features across the finish line in our React/Next.js frontend — you won't own the design system, but you should be comfortable building the UI for the backend work you ship.
- Engage directly with customers, collect feedback, and shape product features with designers, product managers, and the Boston team (Pre-Sales, Sales, Post-Sales, Marketing). Provide technical support to customers alongside Client Operations.
Qualification
Required
- The ideal candidate is someone who possesses a deep passion for software and a profound desire to contribute to enhancing patient treatments through technological innovation. Your innate inquisitiveness, coupled with an unwavering enthusiasm for challenging assumptions, sets you apart. With excellent communication skills in both spoken and written English, you thrive in collaborative environments, where the exchange of ideas is paramount.
- As a self-starter, you relish the opportunity to excel in a fast-paced startup environment, taking ownership of technology decisions and roadmaps. Your commitment to driving innovation aligns seamlessly with the ethos of our team, making you an invaluable asset in shaping the future of software at Ketryx. You are driven by a genuine love for software, a desire to improve patient outcomes, and the excitement of navigating cutting-edge challenges.
- Ability to work in a fast-moving startup environment, taking ownership of features and pushing them forward
- 3+ years of full-time industry experience building production web applications, with a focus on backend development
- Solid skills in TypeScript
- Experience with PostgreSQL or a comparable relational database: schema design, writing efficient queries, and basic performance tuning
- Working knowledge of React, enough to build and modify UI for the features you own
- Solid understanding of backend maintainability, including refactoring and managing technical debt
- Comfortable collaborating across teams in English and participating in technical discussions and design review.
Preferred
- Experience with Prisma and Next.js
- Experience with GraphQL (urql or Apollo)
- Familiarity with AWS services like S3, RDS, and ECS
- Familiarity with Docker in production or near-production environments
- Strong testing habits (Vitest, Playwright, Cucumber)
- Prior experience with logging and observability tools such as Datadog, AWS CloudWatch, or Sentry
- Experience building AI-related features, particularly for large language models
- Experience working in regulated industries like healthcare or finance.
- Our Tech Stack
- Frontend: TypeScript, React, Next.js, Tailwind
- Backend: PostgreSQL, Redis, GraphQL, Prisma
- Testing: Vitest, Playwright, Cucumber
- Infrastructure: AWS (e.g. S3, RDS, ECS), Datadog
- Collaboration: Slack, GitHub, Figma, Jira, Confluence
Benefits
- Ketryx is an AI software platform that enables healthcare life sciences companies to ship life-saving regulated products in weeks instead of years.
- Exploding product complexity is burying companies in compliance paperwork and blocking innovation. Our AI software removes this friction, dissolving the historical tradeoff between innovation and compliance, and enables regulated industries to innovate at the pace of modern software.
- Since launch, Ketryx already touches the lives of 100M patients and powers all of the world's top five medical device manufacturers. Backed by Lightspeed Ventures, our founders are the former Head of AI at Amgen and CTO of Wolfram Cloud.
- Healthcare and life sciences is just the beginning for us. Automotive, aerospace, energy — if it's regulated, it's because society decided it matters. These products move humanity, shape our future, and are safety-critical. Come join us and help build the AI platform to power safe innovation.
- Generous stock options possible
- Work in an exciting field with a positive impact on the world
- Opportunity to learn and grow as part of a global team
- Generous PTO for full-time
- Ketryx is saving and improving lives by making medical software safe and reliable. We empower software teams building medical applications to create safe, secure, and compliant products used by patients and providers worldwide. We believe that, by automating much of the documentation and quality processes, teams will be able to produce safer and more innovative medical software faster.
- Ketryx is at the forefront of helping teams incorporate AI/ML into medical software and that’s why we need you!
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