About Rhythm
Rhythm powers remote cardiac care for over 100,000 patients across the United States. Our flagship product,
Rhythm Synergy, is a missioncritical clinical platform used daily by electrophysiology practices to manage implantable cardiac devices. We build software that enables timely, accurate, and potentially lifesaving interventions.
As we expand our platform into new clinical and dataheavy 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 highvelocity, multideployperweek delivery cadence.
This is a highownership role where you'll contribute directly to a HIPAAregulated 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 customervisible 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 longterm 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, welltested, productionready code.
- Improve reliability, observability, and CI/CD pipelines.
- Participate in oncall rotation with clear runbooks and strong operational discipline.
- Review PRs across the backend and mentor junior engineers.
- Contribute to introducing and improving AIassisted 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: Multideploys per week, trunkbased development when practical
What You Bring
- 610 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 highownership 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 USbased teams.
- Experience building or using AIassisted developer tooling is a plus.
Ways of Working
- Hybrid Hyderabad. In office days are every Tuesday and Wednesday.
- 34 hours/day overlap with US.
- Engineers own outcomes, not just tasks, with local autonomy when US teams are offline.
Highlights
- Compensation: 25 lakh40 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.
- Highvisibility role with influence over backend architecture.
- Career path toward Staff Engineer or Backend Lead as we scale.
If you want to build reliable, highimpact systems and grow with a team that values craftsmanship and execution, we'd love to meet you!
