About Cleerly We’re Cleerly – a healthcare company that’s revolutionizing how heart disease is diagnosed, treated, and tracked. We were founded in 2017 by one of the world’s leading cardiologists and are a growing team of world-class engineering, operations, medical affairs, marketing, and sales leaders. We raised $223M in Series C funding in 2022 which has enabled rapid growth and continued support of our mission. In December 2024 we received an additional $106M in a Series C extension funding. Most of our teams work remotely and have access to our offices in Denver, Colorado, New, York, New York, Dallas, Texas, and Lisbon, Portugal with some roles requiring you to be on-site in a location.

Cleerly has created a new standard of care for heart disease through value-based, AI-driven precision diagnostic solutions with the goal of helping prevent heart attacks. Our technology goes beyond traditional measures of heart disease by enabling comprehensive quantification and characterization of atherosclerosis, or plaque buildup, in each of the heart arteries. Cleerly’s solutions are supported by more than a decade of performing some of the world’s largest clinical trials to identify important findings beyond symptoms that increase a person’s risk of heart attacks.

At Cleerly, we collaborate digitally and use a wide variety of systems. Our people use Google Workspace (GMail, Drive, Docs, Sheets, Slides), Slack, Confluence/Jira, and Zoom Video, prior experience in these areas is a plus. Role or department specific technology needs may vary and will be listed as requirements in the job description.

While we are mostly a remote company, travel is required for some team meetings and cross function projects typically once per month or once per quarter, for some roles like sales or external facing roles travel could be up to 90% of the time.

About The Opportunity We are seeking an experienced Platform Backend Lead Engineer to join the core technical team of our growing next-generation enterprise-level imaging platform. This individual will serve as the Technical Lead for the platform backend, driving the end-to-end delivery of the Hub orchestration layer and its critical integrations with third-party AI engines and reporting vendors.

Key responsibilities include defining the backend architecture, specifically:

• Service boundaries and API contracts.
• Data flows and reliability patterns.

The Lead Engineer will collaborate closely with Product, Program, SRE, SQA, and Software Engineers, as well as development partners, to build the next generation product for heart disease diagnosis. The ideal candidate is a highly motivated, hands-on self-starter who thrives in a fast-paced environment. We are looking for a candidate who is:

• A strong team player and highly accountable.
• Committed to producing high-quality deliverables.
• Possesses strong communication skills and a genuine interest in collaborating with third-party development teams.

Key Responsibilities

• Platform Ownership & Architecture

• Own Core Services: Be the technical owner for the platform's core orchestration and integration services, including case/job lifecycle management, routing policies, third-party integration endpoints, and results ingestion/normalization.

• Define Architectural Standards: Set architecture standards, define service contracts and error semantics, and ensure the platform is observable, resilient, and prepared to meet production SLAs.

• Design & Document Solutions: Design, document, and demonstrate technical solutions by creating necessary flowcharts, layouts, diagrams, and clear code comments.

Development & Quality Focus

• Full Cycle Participation: Participate actively in the full software development life cycle (SDLC) from requirements analysis through testing, release, and maintenance.
• Drive Code Quality: Perform rigorous code reviews, ensure excellent unit test coverage, and actively drive bug triage and resolution.
• Development Contribution: Participate in developing and maintaining the necessary APIs, integrations, and libraries that support the platform.

Observability

• Implement Observability: Integrate logging, metrics, and tracing tools to effectively meet and maintain the platform's observability goals.

Required Qualifications & Skills

• Core Backend Expertise

• Experience & Scale: 8–12+ years building complex backend platforms, including microservices, APIs, and distributed systems.

• API Design Mastery: Strong proficiency in API design (REST/gRPC), including critical concepts like versioning and backward compatibility.

• Asynchronous Architecture: Expertise in event-driven architectures (queues/streams) and implementing robust workflow orchestration patterns.

Reliability and Security

• Reliability Ownership: Proven ownership of critical reliability features (e.g., idempotency, retries, Dead Letter Queues (DLQ), and circuit breakers).
• Security Fundamentals: Strong knowledge of security fundamentals, including authN/authZ (authentication/authorization), service-to-service mTLS, and the principle of least privilege.
• Performance Engineering: Experience with performance engineering techniques, including setting latency budgets, p95/p99 tuning, and extensive load testing.

Cloud & Architecture

• Cloud Operations: Deep experience building and operating backend services in a cloud environment (AWS preferred).
• AWS Services: Comfortable working with key AWS services (VPC, IAM, KMS, CloudWatch).
• Containerization & ML: Familiarity with container orchestration (EKS/ECS) and AWS Machine Learning services (e.g., SageMaker).
• Multi-Tenancy: Experience designing and implementing multi-tenant systems (including tenant isolation, quotas, and entitlements).

Leadership & Delivery

• Technical Leadership: Able to lead small teams, set technical standards, and deliver incrementally with tight production timelines.

Nice-to-have

• Senior Domain Experience: Previous experience as a Principal Software Engineer or equivalent in the Medical Imaging or Medical Device industry.
• Imaging Domain Expertise: Deep exposure to the Healthcare Imaging domain, including DICOM/DICOMweb standards and PACS workflows.
• Clinical Reporting Standards: Experience with modern healthcare data standards like FHIR/HL7 and systems requiring structured clinical reporting.
• Regulated Software (SaMD): Practical experience with SaMD/regulated software requirements, including robust traceability, strict change control processes, and a strong validation mindset.

Education

• Bachelor’s degree in Computer Science, Engineering, or other advanced technical degree preferred.

Impress us more

• Prior experience of setting up DICOM services like Store, Storage commitment, Query/Retrieve, and Modality Worklist
• Prior experience in designing cloud solutions and supporting production projects on AWS
• Knowledge of API standards including REST or GraphQL

TTC*: $212k - $258k

• Total Target Compensation (TTC): Total Cash Compensation (including base pay, variable pay, commission, bonuses, etc.).

Each role at Cleerly has a defined salary range based on market data and company stage. We typically hire at the lower to mid-point of the range, with the top end reserved for internal growth and exceptional performance. Actual pay depends on factors like experience, technical depth, geographic location, and alignment with internal peers. Working at Cleerly takes HEART. Discover our Core Values:

• H: Humility- be a servant leader
• E: Excellence- deliver world-changing results
• A: Accountability- do what you say; expect the same from others
• R: Remarkable- inspire & innovate with impact
• T: Teamwork- together we win

Don’t meet 100 percent of the qualifications? Apply anyway and help us diversify our candidate pool and workforce. We value experience, whether gained formally or informally on the job or through other experiences. Job duties, activities and responsibilities are subject to change by our company. OUR COMPANY IS AN EQUAL OPPORTUNITY EMPLOYER. We do not discriminate on the basis of race, color, national origin, ancestry, citizenship status, protected veteran status, religion, physical or mental disability, marital status, sex, sexual orientation, gender identity or expression, age, or any other basis protected by law, ordinance, or regulation. By submitting your application, you agree to receive SMS messages from Cleerly recruiters throughout the interview process. Message frequency may vary. Message and data rates may apply. You can STOP messaging by sending STOP and get more help by sending HELP. For more information see our Privacy Policy (https://cleerlyhealth.com/privacy-policy). All official emails will come from @cleerlyhealth.com email accounts.

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