Job Description

_Backend and infrastructure focused engineer that can own complex health-data
pipelines and core infrastructure in a HIPAA-regulated environment._

### About Blue

Blue is a complete operating system for your personal health and longevity.
Integrate _all_ your health data & records into one place. Share access with
any doctor. When a doctor logs in, it morphs into a fullstack next-gen EHR.
You, and only you, own and control all your data. We envision a WAY better
healthcare system.

### About the Team

We're a small team of builders who care about craft and impact. Blue is a
product we want for ourselves, our loved ones, and humanity. Everyone has high
ownership, strong judgement, and a bias to ship. We work with high trust, high
standards, and no ego.

### Unicorn candidate

Engineer that loves building and operating complex cloud systems, designs
elegant architecture with pristine APIs/data models, ships rock-solid
implementations, and wants full end-to-end ownership—turning messy real-world
healthcare data into a technical and architectural work of art.

### Universal Engineering Qualities

* Software engineer and generalist first. You'll be an internal domain expert, but can still pitch in across the stack when needed. No silos. No precious boundaries.
* Responsible approach to AI. We don't purely "vibe". We use AI to gain productivity everywhere we can, and own the outcomes as if they were our own.
* Strong bias for ownership and end-to-end delivery. Take a seed of an idea and make it reality.
* Able to work in a fast-moving early-stage environment where requirements evolve and ambiguity is normal.
* Prior health-tech, digital health, or regulated-data experience is a major advantage (HIPAA, FHIR, wearable data, EHR integrations, etc.).

### Core Responsibilities

* Own the core health-data ingestion and processing layer — integrating wearable APIs, EHR/FHIR data, PDF extraction outputs, and other structured/semistructured inputs into clean, queryable domain objects.
* Design and maintain data APIs consumed by web and mobile clients, as well as AI agents and subsystems.
* Continue development of the existing Python app or guide a deliberate reboot if a different stack proves more strategic.
* Lead infrastructure strategy across IaC, build+release, observability, HIPAA-aligned security posture, and scaling strategy.

### Preferred Experience

* Expertise in at least one server-side language, and willingness to work across others as needed. The current base stack is Python (FastAPI), Postgres in AWS via Terraform.
* Prior work with FHIR/HL7 and EHR integrations, wearables (Apple Health, Oura, Withings, etc.), or data-modeling in healthcare.
* Comfortable navigating early-stage infra balancing product development efficiency while establishing the right long-term patterns and hardened security.

### What we evaluate

* _Architecture + API/Data Design_ — You make strong architectural tradeoffs and craft clean, durable APIs and data models that are easy to evolve and operate.
* _Implementation Quality_ — You ship high-quality code that’s readable, tested, observable, and resilient to edge cases and failure modes.
* _Impact, Ownership & Autonomy_ — You take ambiguous problems end-to-end, drive decisions, and deliver meaningful outcomes with high independence.
* _Infra, Security & Ops_ — You can run production cloud infrastructure with IaC/CI/observability, and you default to strong privacy/security instincts in design and operations.
* _Domain Experience Bonus_ — Bonus points for deep healthcare domain familiarity: healthcare data systems and interoperability (EHR workflows, FHIR/HL7, integration patterns, identity/matching, terminology/normalization).

### Interview Process

1. Meet with the team across 3 separate video calls up to one hour
2. _Paid_ mini-project where we can actually work together on a real business/product problem. We'll work with you on how and when this can be accomplished based on your schedule and availability.

**Compensation:** $150,000-$200,000 based on experience, with flexibility for
more advanced individuals. Plus additional equity.

**International Candidates:** Employment possible via EOR. Not currently
supporting Visa Sponsorships.

**_PLEASE DO NOT EMAIL ANY OF THE TEAM DIRECTLY. TO BE CONSIDERED WE WILL ONLY
REVIEW CANDIDATES WHO HAVE APPLIED THROUGH OFFICIAL CHANNELS._**