Job Description

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!

Skills Required