Senior Backend Engineer @ Mochi Health

Mochi Health’s mission is to be the discovery layer of healthcare. We are building a platform that makes it easier for patients to find the right providers, access the right medications, and take control of their health with transparency and trust.

Over the past few years, we have experienced rapid growth by combining operational excellence, clinical expertise, and innovative technology to deliver care that is more human, intuitive, and effective. From pharmacy pricing transparency and personalized medication management, to long-term medical record access and community-based chronic illness support, Mochi is creating a new model of care that empowers patients, providers, and pharmacies alike.

We believe the future of healthcare is personal, and we are building the technology to power it. At Mochi Health, you will join a team that values inclusivity, collaboration, and bold thinking, and you will have the opportunity to do the most meaningful work of your career.

$250,000 - $300,000
Full-time / Onsite (5 days/week)

About The Role

As a Senior Backend Engineer at Mochi Health, you’ll be responsible for the core systems and data channels that facilitate a world-class experience for our customers, pharmacy technicians and many more team members who interface with our proprietary platform each and every day. You will work with talented engineers, building out cutting-edge systems from Machine Learning path finding algorithms to hand-crafted video encoding protocols, all in service of providing deeper capabilities and insights to the customer experience. Take advantage of developments in artificial intelligence to bring innovative and exciting new features to our customers. These are just a few of the intriguing challenges you might be faced with at Mochi Health.

What You’ll Do

Lead the development, optimization and expansion of our core backend services. (Typescript/Python)
Drive best practices in performance, security, and scalability as we scale rapidly over the next 6/12 months.
Collaborate closely with Product, Design and Frontend teams to deliver seamless, intuitive user experiences.
Own key architectural decisions, mentoring engineers, and elevating back-end excellence across the company.
Build out data-driven services and systems to bolster the customer experience.
Influence engineering culture, fostering innovation and technical ownership within the team.

Who You Are

Startup mindset: you thrive in fast-moving environments, take ownership, and love solving problems at scale.
7+ years of back-end development experience, with deep expertise with Typescript/Python.
Experience leading technical initiatives and shipping scalable, high-performance systems to support web and mobile applications.
Strong knowledge of modern back-end tooling. (ESLint, CI/CD pipelines)
Fluent in bash scripting and linux/unix commands
A passion for creating fast, optimised and elegant solutions to difficult problems.
Expertise with AI code generation tools
Bonus: Experience with WebSockets, real-time data, compiled code languages, or healthcare-related applications.

Our Core Technologies Include: Typescript, Javascript, Node.js, Next.js, React, React Native, SQL, Redis, Redux, New Relic, Kubernetes, CSS, AWS, Cypress, Docker, Express

Life at Mochi

At Mochi, we believe your best work happens when you feel your best—so we’ve designed an environment that fuels your creativity, supports your growth, and makes every day exciting.

🥗 Daily Meals and Espresso Bar - Breakfast, lunch, and dinner every weekday. Our on-site barista keeps the espresso and matcha flowing all day

💰 Pre-Tax Commuter Perks - Save on transit and parking through pre-tax commuter benefits

💸 Top-of-Market Compensation - We offer competitive salaries along with generous equity packages so you can share in the success you help create

💣 Profitable and Rapid Growth - We’re scaling fast, with financial discipline and long-term vision. No VC constraints, just sustainable momentum and smart decisions

🚀 High-Impact Work - Help shape the future of digital healthcare. Your work here directly improves lives and scales nationwide

👩‍💻 World-Class Team - Collaborate with teammates from Tesla, SpaceX, Citadel, Harvard, IIT, and more. We value excellence, humility, and empathy in equal measure

✨ Comprehensive Benefits - 401(k) with match, generous time off, life insurance, and high-quality medical, dental, and vision plans

💊 Mochi Health Membership – We cover your monthly subscription fee so you can experience the same care as our patients (medications not included)

🌴 Time to Recharge –Enjoy unlimited PTO, generous company holidays, and true flexibility. We trust you to take the time you need to rest, reset, and thrive

🧘 Wellness First –From weekly mindfulness sessions to group workouts and fitness perks, your physical and mental health are top priority

🎉 Team Socials and Community - We make time to connect through regular socials, happy hours, and spontaneous events. Our stocked kitchen doesn’t hurt either

📍 Downtown SF HQ - Our San Francisco office is just steps from BART, Muni, and great food. It’s designed for deep work and casual collaboration

The base salary for this full-time position ranges from $250,000 to $300,000, in addition to equity and benefits. The salary range listed in each job posting represents the minimum and maximum targets for new hire salaries across all locations. Actual compensation within this range is determined by various factors, such as job-related skills, experience, relevant education or training, and location.

#LI-Onsite #LI-AK1

Workplace Policy

Mochi Health is an in-person company based in San Francisco, CA. Our team works together in person five days a week to foster collaboration, innovation, and strong connections. We believe that face-to-face interaction builds a culture of excellence and allows us to deliver the best outcomes for the patients and providers we serve.

For office-based roles, the standard schedule is Monday through Friday, 9:00 a.m. to 7:00 p.m. Actual hours may vary depending on business needs and role responsibilities. All employees receive meal and rest breaks in accordance with applicable state and local laws.

For designated remote roles, this in-person policy does not apply.

Equal Opportunity

Mochi Health is an Equal Opportunity Employer. We make all employment decisions based solely on merit. We provide equal employment opportunities to all applicants and employees without discrimination on the basis of race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, disability status, or any other applicable legally protected characteristic. We prohibit any form of discrimination or harassment. This policy applies to all terms and conditions of employment, including hiring.

Candidate Privacy Notice

Please review Mochi Health's Candidate Privacy Notice here.

Accommodations

Mochi Health complies with the Americans with Disabilities Act (ADA), as amended by the ADA Amendments Act, and all applicable state or local laws. We will reasonably accommodate qualified individuals with a disability during the application process and throughout employment as required by law.

If you need any assistance or accommodations due to a disability, please contact us at [email protected].

Senior Backend Engineer

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Mochi Health

Compensation Overview

About The Role

What You’ll Do

Who You Are

Life at Mochi

Workplace Policy

Equal Opportunity

Candidate Privacy Notice

Accommodations

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