Senior Backend Software Engineer

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Haven is building the future of migraine care for the 40 million Americans who suffer from this debilitating neurological condition. Backed by Precursor Ventures and 1843 Capital, we're transforming how migraine is treated through an innovative combination of telemedicine, AI-enabled monitoring, and personalized care plans. Our early results are exceptional – our initial patient cohort is seeing a 70% improvement rate with days impacted by headache reduced by half.

As an early member of the engineering team, you'll have an outsized impact on both our technology and culture. You'll work directly with our founding team – including our Stanford‑trained Chief Medical Officer and experienced founders from Collective Health – to build technology that meaningfully improves people's lives. We're tackling a $112 B market opportunity where only 8% of patients currently receive adequate care.

We've built our platform using Elixir, Phoenix and Live View on AWS, with infrastructure as code managed through Terraform and CI/CD via Git Hub Actions. We leverage Postgre

SQL for a variety of purposes. Our philosophy emphasizes simplicity and pragmatism. While our immediate focus is on scaling our core platform, we have ambitious plans to leverage AI for patient care optimization, clinical decision support, and automated care routing.

The codebase is only a year old, so there's a lot to build but that also means there's not much cruft or legacy code.

Your primary focus will be building and scaling our care delivery platform, working closely with our clinical and operations teams to translate patient and provider needs into elegant technical solutions. As an early employee, you'll also help shape our engineering culture and technical strategy.

• Build and own key features of our care delivery platform.
• Full delivery ownership: understand the requirements with our design and operations team, architect, build, automate any necessary testing, deploy to production.
• Help guide, design and implement stage‑appropriate AI/ML infrastructure as we scale.

Early startup employees often wear many hats, too many to list in a concise set of bullets. While the primary responsibilities are building out the platform, you may occasionally touch areas across the broader scope of the company goals.

• Mid‑to‑senior‑level engineering experience with modern web frameworks (Phoenix, Rails, Django, etc.).
• Strong product intuition and ability to balance speed vs. scalability tradeoffs.
• Comfort with early‑stage startup ambiguity, collaboration and wearing multiple hats.

You're likely a strong fit if you get things done, are a good communicator and have empathy for yourself, our patients and all of your co‑workers across the org. Other skills that are helpful but can be learned on the job include experience integrating with healthcare APIs, working with HIPAA‑compliant systems, and an interest in AI/ML applications in healthcare.

As an early employee, you'll have a significant opportunity for career growth as we scale. This role supports career track development in both individual contributor or management tracks.

At Haven, we offer a unique opportunity to work directly with experienced founders who have built and scaled successful healthcare companies. You'll receive meaningful equity in a venture‑backed company tackling a massive problem, along with comprehensive healthcare benefits. Our hybrid work environment, with 1‑2 days per week in our San Francisco office, provides flexibility while maintaining strong team collaboration.

Diversity is built into our DNA with a founding team representing POC, female, disabled, and LGBTQ+ founders. We strongly encourage candidates from all backgrounds to apply – many successful candidates may not meet every requirement. Studies show under‑represented candidates often only apply when meeting 100% of qualifications; we'd love to hear from you even if you don't check every box.

Haven Headache and Migraine Center is proud to be an equal‑opportunity employer. All aspects of employment, including hiring, promotion, discipline, and termination are based solely on merit, performance, and business needs. We do not discriminate on the basis of any legally protected status.

Mid‑Senior level

Full‑time

Engineering and Information Technology

Hospitals and Health Care