Kinstead is hiring a Senior Backend Engineer to build and own core backend systems and application logic.

You’ll design and build the services that power reliable clinical and operational workflows, including APIs, background processing, and system behavior under real-world conditions. This role focuses on reliability, correctness, and predictable execution as the product grows.

You do not need prior healthcare or FHIR experience. They care more about strong backend fundamentals, sound engineering judgment, and the ability to ramp quickly on a complex domain.

You’ll work closely with the CTO on system design while maintaining ownership of implementation and operational correctness.

About the Company

Kinstead is building the AI-native operating system for independent healthcare, enabling nurse practitioners to launch and run their own clinics. They replace the fragmented, manual infrastructure behind healthcare with a single, intelligent system so clinicians can spend their time on care, not paperwork.

This creates a new model of care, one where clinicians practice on their terms and patients get consistent, community-rooted care. They’re backed by Wisdom Ventures and founders and executives from Pomelo Care, Flatiron Health, Roivant, and PathAI on their mission to deliver better care.

Responsibilities:

Requirements:

Nice to Have:

Tech Stack:

What It's Like to Work with Kinstead:

We’re building something ambitious, and we care deeply about how we show up while we do it.

🤝 We stay close to clinicians

We spend time with the people we serve, in their practices and in their communities. The best ideas come from understanding their reality and building alongside them.

⚡ We take responsibility and move things forward

If something matters, we don’t wait for perfect clarity. We step in, make progress, and figure it out together.

🧩 We turn what works into something that lasts

We solve problems in real time, then step back and build the systems that make it easier for the next clinician.

🤖 We use AI thoughtfully

We look for ways to reduce manual work so clinicians can focus on care. If something feels repetitive, we treat it as an opportunity to improve how we operate.

🌱 We care about building something meaningful

We’re here to help clinicians create independent, community-rooted practices. That responsibility shapes how we make decisions and how we grow.

💛 We are kind, direct, and low ego

We support each other, give honest feedback, and focus on getting to the right answer. We take the work seriously, but not ourselves.

Benefits:

• Competitive salary and generous, early-stage equity (4-year grant)
• Health, vision, and dental benefits
• 401(k)
• Unlimited PTO
• Prime office in Columbus Circle with weekly team lunches
• Fun team events and offsites