Hybrid Senior Full-Stack Engineer, MLOps, Backend

at Koupah

• Job title: Senior Full-Stack Engineer, MLOps, Backend
• Job type: Full Time
• Experience level: Senior
• Salary: $170,000 - $190,000 per year
• Degree requirement: Bachelor's Degree
• Tech skills: AWS, Azure, Cloud, Google Cloud Platform, Node.js, Python, RDBMS, React
• Location requirements: Hybrid, New York City, United States

About the role

• Full Stack Engineer specializing in MLOps and backend systems at Kouper Health. Redefining care transitions and improving patient experience through innovative technology solutions.

Responsibilities

• Design, develop, and maintain scalable backend services, and APIs that support our AI-driven patient engagement platform
• Build and maintain the infrastructure for deploying, monitoring, and LLM-driven applications in production environments
• Collaborate closely with AI/ML engineers to architect systems that seamlessly integrate conversational AI and predictive models into our platform
• Lead the design of scalable, extensible backend architectures that can evolve with our product capabilities and growing data requirements
• Implement CI/CD pipelines for our application, including automated testing, versioning, and deployment strategies
• Build reusable code libraries, components, and frameworks to improve development speed and quality
• Implement engineering best practices for secure, scalable, and maintainable code
• Leverage cloud services (GCP, Azure, AWS) to build cost-effective, scalable infrastructure for both traditional web services and ML workloads
• Participate in code reviews and help establish development standards
• Troubleshoot, debug, and resolve issues, ensuring high availability and performance
• Work with product, operations, and clinical teams to translate business requirements into technical solutions

Requirements

• 5+ years of experience in full stack development, with at least 2 years in a senior level role
• Early-stage product experience building from 0 to 1, and rebuilding that 1 into N
• Proficiency in Node/Python stack, RDBMS, ReactJS, Express
• Strong interest in AI with hands-on experience integrating LLMs into production systems, or strong willingness to learn
• Excellent system architecture skills with experience designing extensible, scalable backend systems
• Disciplined approach to design and engineering: Clean Code, TDD, CI/CD
• Experience working with cross-functional and non-technical business stakeholders and partners
• A portfolio of projects where you led engineering efforts

Benefits

• Competitive salary and equity package
• Flexible work environment and remote options
• Comprehensive health, dental, and retirement benefits
• The chance to make a significant impact in a mission-driven startup focused on transforming patient care
• Location: NYC, SF, or Remote
• Expected Start Date: Oct/Nov 2025