Senior Backend Engineer - Pharmacy

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

We’re looking for a Senior Backend Engineer to help build the next generation of Mochi’s pharmacy software platform. This is a rare opportunity to work at the intersection of telehealth and pharmacy operations, where the backend systems you design will not just support pharmacies, they will set the standard for how they operate.

As a senior member of the engineering team, you will own the design and development of scalable, reliable backend systems that power critical pharmacy workflows. You will architect distributed systems, manage high-volume integrations, and ensure our infrastructure supports real-time interactions between patients, providers, and pharmacies.

This role goes beyond writing code. You will be driving backend architecture, influencing technical direction, and collaborating across teams to ensure our platform remains performant and secure as we scale. Your work will directly impact how pharmacies deliver care and how patients experience healthcare.

What You’ll Do

• Lead the development and optimization of backend services, APIs, and data pipelines that power pharmacy operations at scale.


• Architect and manage systems supporting high webhook traffic, third-party integrations, real-time scheduling, provider and patient management, and compliance workflows.


• Drive best practices in performance, security, observability, and scalability as we rapidly expand pharmacy operations.


• Collaborate closely with Product, Frontend, and Pharmacy Operations teams to build seamless workflows that meet complex healthcare needs.


• Own key architectural decisions, mentor engineers, and set backend engineering standards across the company.


• Ensure system reliability and resilience in distributed environments, with a focus on patient safety and operational efficiency.


• Influence engineering culture, fostering technical ownership and innovation within the team.

Who You Are

• 7+ years of backend development experience, with deep expertise in Node.js (TypeScript/JavaScript) and modern backend frameworks.


• Proven experience architecting and deploying distributed systems in production at scale.


• Strong knowledge of cloud infrastructure (AWS preferred), container orchestration (Kubernetes), and CI/CD pipelines.


• Skilled in building products end to end, from design to deployment, and improving maintainability and performance in large codebases.


• Strong collaborator with excellent written and verbal communication skills, able to work cross-functionally with both technical and non-technical teams.


• Thrive in a startup environment, adaptable, resourceful, and driven to solve complex problems with real-world impact.


• Excited to work in-person with our team in San Francisco.

Nice to Haves

• Experience with healthcare software, pharmacy systems, or regulated environments.


• Familiarity with real-time messaging, inventory and fulfillment systems, or enterprise SaaS platforms.

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

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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] .