Senior Backend Software Engineer (New York City, Los Angeles, or San Francisco)

Company: Regard
Location: Los Angeles
Posted on: February 17, 2026

Job Description:

Job Description Job Description As a Senior Backend Software Engineer at Regard, you’ll play a leading role in building our products. You’ll be responsible for designing and developing critical backend services and driving them end-to-end through the full product lifecycle: ideation, planning, design, execution, deployment, and iteration. We expect our senior engineers to be true technical leaders by driving architectural decisions, mentoring teammates, and leading major projects that help set the bar for engineering excellence. You'll collaborate closely with product, design, and fellow engineers to ship high-quality solutions that empower physicians and improve patient care. About Regard Our mission is to bring world-class healthcare to everyone. Regard is the world’s first comprehensive, automated diagnosis tool. Regard streamlines clinical and revenue cycle efforts to dramatically improve hospital finances, patient safety, and physician happiness. We are excited by challenges, mission-oriented work, and meaningful relationships. We work closely with some of the top health systems in the country and are leading the change that healthcare - one of the largest and most inefficient industries in the world - needs. We want you to join us. Our Tech Stack: Frontend: TypeScript, React, Tiptap Backend: Python (FastAPI, Flask), PostgreSQL, Redis, Celery Infrastructure & DevOps: Docker, Kubernetes, AWS (SQS, SNS), GitLab CI/CD APIs & AI: OpenAPI, OpenAI (GPT models) Responsibilities: Collaborate with product and design team members to best design medium to large projects balancing speed to market, user experience, business goals, and technical architecture quality Own medium to large backend services and drive improvements across system design, observability, testing, performance, and support. Drive backend development practices, patterns, and processes along with the other Regard backend experts Mentor and review code from less experienced developers in our backend services across backend job processing, API, and other services Maintain and improve the quality of the codebase and tooling in your area of responsibility by proactive fixes and improvements and through identifying and proposing projects to improve the overall backend codebase Participate in operational activities supporting product areas you own including on-call, monitoring, and production support Contribute as necessary across the stack (front end, infrastructure, AWS, etc) in order to unblock projects Minimum Qualifications: BS in Computer Science 6 years of experience with software development in one or more programming languages Proficient in Python with demonstrated ability to write and maintain production-quality code Able to participate in on-call operational support for their areas of responsibility Able to travel up to 4 weeks a year for company co-working and/or retreat weeks Practical experience leveraging AI coding tools in day-to-day software development (e.g., Cursor, Claude Code, Codex) Preferred Qualifications: Experience with k8s, AWS services (serverless, etc), OpenAI services Experience working on a mature enterprise SaaS technology product Exposure to startup and/or high growth environments Experience working with health technology Strong verbal and written communication skills Hybrid Work \u007C Location \u007C Work Authorization For this role, Regard is currently only considering candidates who are authorized to work in the US without visa sponsorship, and are within the New York City metro area, San Francisco Bay Area, or Los Angeles We expect our Engineers to be in the office on Tuesdays and Thursdays. We may request more frequent in-office work during the onboarding period We will provide relocation assistance to anyone who does not already reside in the NYC metro area We prefer hiring people within commuting distance of our offices because we value getting together in person regularly For those who enjoy working from the office on a more regular basis, we offer catered lunches and other fun perks Additionally, hybrid employees have the flexibility to work from locations outside of their home office from up to 6 weeks per year Comp \u007C Perks \u007C Benefits Eligible for equity 99% employer paid health benefits (Medical, Dental, and Vision) One Medical subscription 18 PTO days/yr 1 week holiday break Monthly health & wellness budget Company-sponsored team retreat social events A sabbatical program At Regard, we carefully consider a wide range of factors when determining compensation, including your skills, qualifications, location, and experience. We expect the base salary range for this position to be $165,000 to $220,000. This is subject to change and may be modified in the future. We encourage all interested candidates to apply. Our goal at Regard is to provide and maintain a work environment that fosters mutual respect, professionalism and cooperation. Regard is proud to be an equal opportunity employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, national origin, ancestry, alienage or citizenship status, age, disability or handicap, sex, gender identity, marital status, familial status, veteran status, sexual orientation or any other characteristic protected by applicable federal, state or local laws. We celebrate diversity and are proud of our supportive, inclusive workplace. All candidates must successfully complete a background check as part of the hiring process.

Keywords: Regard, Lake Elsinore , Senior Backend Software Engineer (New York City, Los Angeles, or San Francisco), IT / Software / Systems , Los Angeles, California