Senior Software Engineer

About Rhythm Rhythm powers remote cardiac care for over 100 000 patients across the United States Our flagship product Rhythm Synergy is a mission critical clinical platform used daily by electrophysiology practices to manage implantable cardiac devices We build software that enables timely accurate and potentially life saving interventions As we expand our platform into new clinical and data heavy modalities we are strengthening our backend engineering team in Hyderabad This role will be central to scaling our services improving reliability and evolving our architecture for the next decade Role Overview We are looking for a Senior Backend Engineer with deep experience in TypeScript Node js and ideally Nest js to join our hybrid Hyderabad team This engineer will work across our backend services help drive architectural evolution and support our high velocity multi deploy per week delivery cadence This is a high ownership role where you ll contribute directly to a HIPAA regulated production environment You ll have broad autonomy strong influence over technical standards and the opportunity to help shape the team as we scale What You ll Achieve 30 Days Ship a customer visible feature using Node js Nest js Complete a production support rotation and learn our reliability practices Contribute to PR reviews and internal technical discussions 90 Days Own a major service or subsystem within the Rhythm backend Refactor and improve core domain modules in alignment with architectural guardrails Help strengthen automated testing observability and reliability patterns 6 Months Lead backend design for feature work Improve performance reliability and incident response across key services Mentor other engineers and contribute to long term architectural evolution Your Responsibilities Design build and maintain backend services in Node js TypeScript and Nest js Contribute to backend architecture API design domain modeling and data flows Collaborate with Product Design and QA to shape scope and sequencing Write clean well tested production ready code Improve reliability observability and CI CD pipelines Participate in on call rotation with clear runbooks and strong operational discipline Review PRs across the backend and mentor junior engineers Contribute to introducing and improving AI assisted development workflows Our Environment Backend Node js Nest js TypeScript Frontend React Redux TypeScript Data PostgreSQL AWS RDS Infra AWS ECS Terraform GitHub Actions Security HIPAA SOC 2 HITRUST Dev Cadence Multi deploys per week trunk based development when practical What You Bring 6-10 years of strong backend engineering experience Deep expertise in TypeScript Node js and modern backend patterns Experience building scalable services using Nest js or similar frameworks Strong grounding in system design distributed systems and reliability engineering Comfortable working in high ownership environments with production accountability Experience with Postgres or similar relational databases Familiarity with AWS or similar cloud platforms Clear written and verbal communication including comfort working with US based teams Experience building or using AI assisted developer tooling is a plus Ways of Working Hybrid Hyderabad In office days are every Tuesday and Wednesday 3-4 hours day overlap with US Engineers own outcomes not just tasks with local autonomy when US teams are offline Highlights Compensation 25 lakh- 40 lakh base depending on experience Opportunities for accelerated growth as the Hyderabad team expands Employment Type Full-time Why Join Us Work on meaningful software that directly impacts patient care Join a team that ships fast values strong engineering fundamentals and invests heavily in observability and reliability High visibility role with influence over backend architecture Career path toward Staff Engineer or Backend Lead as we scale If you want to build reliable high impact systems and grow with a team that values craftsmanship and execution we d love to meet you