Full-Time

Staff Backend Engineer

Applied AI, Detect

Posted on 10/6/2025

Sage

Sage

51-200 employees

Care platform for senior living communities

Compensation Overview

$190k - $245k/yr

New York, NY, USA

In Person

Category
Software Engineering (1)
Requirements
  • 3+ years of professional backend development experience
  • Strong proficiency in Kotlin, Java, or similar JVM languages
  • Experience building and maintaining distributed systems and RESTful APIs
  • Demonstrated ability to debug complex production issues and optimize system performance
  • Experience with cloud platforms (AWS or GCP) and containerized deployments
Responsibilities
  • Design, build, and optimize real-time video processing pipelines that handle hundreds of concurrent streams, implementing fault tolerance and auto-recovery mechanisms
  • Debug and resolve complex distributed systems challenges including VPN connectivity, memory optimization, concurrency issues, and stream processing failures across multiple facilities
  • Improve system scalability and stability by architecting service separations, implementing proper monitoring and alerting, and ensuring 99.9% uptime
  • Experiment with AI model integration, including prompt engineering for multi-modal models and implementing cost-optimization strategies like intelligent gating and caching
  • Develop features and tools that surface actionable insights about resident activities, helping caregivers provide more timely and effective care
  • Architect privacy-preserving video storage and replay systems, including de-identification pipelines for building long-term datasets
  • Work cross-functionally with product and engineering teams to expand the platform's capabilities from acute event detection to long-term health insights
Desired Qualifications
  • Experience with video processing, streaming protocols (RTSP/RTMP), or FFmpeg
  • Hands-on experience with prompt engineering, multi-modal foundational models, and LLM/VLM optimization techniques
  • Familiarity with advanced AI patterns like RAG, few-shot learning, chain-of-thought prompting, and prompt chaining
  • Experience building privacy-preserving systems or working with healthcare/sensitive data
  • Knowledge of cost optimization strategies for cloud-based AI services
  • Experience with Dropwizard, Spring Boot, or similar JVM frameworks
  • Background in building dashboards or real-time monitoring systems
  • Experience with event-driven architectures and scalable data pipelines

Sage is a care platform for senior living communities designed to support care teams and improve resident outcomes. It works by collecting high-value data from day-to-day caregiving activities and using that data to generate actionable insights and track key business metrics. The platform is delivered via a subscription service, providing tools that measure care quality, monitor resident well-being, and boost operational efficiency within the community. Sage differentiates itself by tailoring its data-driven workflow to the needs of caregivers and community managers, focusing on both caregiver performance and overall resident welfare rather than generic health tech features. The goal is to elevate the quality of care and the efficiency of operations in senior living communities, delivering ongoing value through regular platform use.

Company Size

51-200

Company Stage

Series C

Total Funding

$124M

Headquarters

New York City, New York

Founded

2020

Simplify Jobs

Simplify's Take

What believers are saying

  • $65M Series C from Goldman Sachs in 2026 fuels AI expansion.
  • Communities gain $275 extra NOI per resident monthly.
  • 20% staff turnover drop supports caregiver retention.

What critics are saying

  • PointClickCare captures Sage's share with established EHR in 12 months.
  • CMS audits Sage Detect false positives, fines hit in 6 months.
  • Eldermark's analytics halt Sage expansion within 24 months.

What makes Sage unique

  • Sage Detect launched June 9, 2025, enables AI-powered fall detection.
  • First cloud-based OS integrates sensors, EHRs for real-time alerts.
  • Unified workflows reduce response times 55% below industry average.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Stock Options

Unlimited Paid Time Off

Paid Holidays

Flexible Work Hours

Growth & Insights and Company News

Headcount

6 month growth

2%

1 year growth

0%

2 year growth

0%
Sage Health
Mar 6th, 2026
A Letter from our CEO: Sage Raises $65M in Series C Funding | Sage

Sage is proud to share that we’ve closed our $65 million Series C funding round, led by Goldman Sachs with continued support from IVP and Goldcrest.

Surperformance
Mar 5th, 2026
Sage raises $65M Series C led by Goldman Sachs to tackle US senior care crisis with AI

Sage, a care platform for senior living and skilled nursing, has raised $65 million in a Series C round led by Growth Equity at Goldman Sachs Alternatives, with participation from existing investors IVP and Goldcrest. The funding brings total capital raised to $124 million. The company is developing an AI-powered platform to shift senior care from reactive to preventive, addressing falls, declines and avoidable hospitalisations. With one in five Americans reaching retirement age by 2030 and the industry facing a shortage of 1.8 million licensed caregivers, Sage aims to reduce caregiver burden through predictive AI, unified workflows and enhanced skilled nursing capabilities. Sage-powered communities have reported a $275 increase in net operating income per resident monthly, alongside 50% reductions in falls and faster response times. The company will host its inaugural Caregiver Summit in autumn 2026.

Hello Sage
Jul 11th, 2025
Adam Zhao on Revolutionizing Fall Detection with AI

hellosage.com recently launched Sage Detect - and it's had an immediate impact.

intelligence360
Dec 23rd, 2024
Sage Health Raises $35M for Expansion

Sage, a senior living operations platform, raised $35 million in Series B funding led by IVP, with participation from Friends Family Capital and PLUS Capital. Existing investors also joined. This funding will help Sage expand its reach and develop advanced features. Sage's platform reduces staff turnover by 20% and response times from 20 to under 8 minutes, improving care and efficiency. The total capital raised by Sage is now $59 million.

PR Newswire
Dec 5th, 2024
Sage Secures $35 Million in Series B Funding to Transform Senior Living Operations Across the U.S. and Beyond

/PRNewswire/ -- Sage, the leading operations management platform for senior living, has raised $35 million in Series B funding led by IVP, with participation...

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