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Healthcare is in crisis and the people behind the results deserve better. With more and more data coming from wearables, lab tests, and patient–doctor interactions, we’re entering an era where data is abundant. Junction is building the infrastructure layer for diagnostic healthcare, making patient data accessible, actionable, and automated across labs and devices. Our mission is simple but ambitious: use health data to unlock unprecedented insight into human health and disease. If you're passionate about how technology can supercharge healthcare, you’ll fit right in. Backed by Creandum, Point Nine, 20VC, YC, and leading angels, we’re working to solve one of the biggest challenges of our time: making healthcare personalized, proactive, and affordable. We’re already connecting millions and scaling fast.
Job Responsibility:
Building and scaling our health & fitness device integrations and the Junction Continuous Query system: Designing reliable, well-structured backend services that ingest, process, and serve high-volume medical, health, and wearable data
Improving reliability, performance, and fault tolerance: Work with backend service infrastructure, data pipeline and durable workflows for a wide variety of use cases
Owning full-stack features: Taking rough problems, shaping the approach, and shipping robust backend solutions
Tackling ambitious problems: You’ll be breaking down technical challenges that haven’t been done before in healthcare, we need you to be extremely product minded with every line of code you write
Iterating quickly: ship → learn → refine with a strong backend engineering mindset
Requirements:
Startup engineering experience where you influenced what to build, not just how to build it
Strong backend engineering experience: Designing and building APIs
Working with distributed systems, queues, services
Debugging complex production issues
Ability to turn messy or unclear problems into a clear plan
Comfortable working primarily on backend, with some full-stack work when needed
Strong product judgment - within a clear product direction
Fast iteration based on feedback and metrics
Comfortable working in a domain with hard constraints and complex real-world edge cases
Nice to have:
Bonus: you’ve built something from 0 → 1
What we offer:
Generous early stage options (extended exercise post 2 years employment)
Regular in person offsites, last were in Morocco and Tenerife
Bi-weekly team happy hours & events remotely
Monthly learning budget of $300 for personal development/productivity
Flexible, remote-first working - including $1K for home office equipment