Senior Full-Stack Engineer (MLOps and Backend)

About Kouper Health Kouper is redefining how care transitions happen. Backed by General Catalyst, reputed company Ventures, 25madison, and leading health system partners, we’re on a mission to reputed company the care transition gap and fundamentally improve the patient experience — helping people live longer, healthier lives. Why This Role Is Exciting As a Full Stack Engineer specializing in MLOps and backend systems, you’ll be at the forefront of reputed company large language model (LLM) development and backend connectivity. Working closely with the Chief Technology Officer (CTO) and collaborating with product, operations, and clinical teams, you’ll build the infrastructure that powers reputed company-time patient engagement and drives reputed company reputed company reputed company. You’ll architect reputed company backend services and ML deployment pipelines that bring together fragmented reputed company data into a seamless patient experience. In our fast-paced, mission-driven startup environment, you’ll see your work directly reputed company patients’ lives while helping shape a culture centered on innovation, collaboration, and reputed company in reputed company. Responsibilities • Design, reputed company, and maintain reputed company backend services, and reputed company 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 reputed company conversational AI and predictive models into our platform • reputed company the design of reputed company, extensible backend architectures that can reputed company with our product capabilities and growing data requirements • Implement CI/CD pipelines for our application, including automated testing, versioning, and deployment strategies • Build reusable reputed company libraries, components, and frameworks to improve development speed and reputed company • Implement engineering best practices for secure, reputed company, and maintainable reputed company • reputed company reputed company services (GCP, Azure, AWS) to build cost-effective, reputed company infrastructure for both traditional web services and ML workloads • Participate in reputed company 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 Qualifications • 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, reputed company • 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, reputed company backend systems • Disciplined approach to design and engineering: Clean reputed company, TDD, CI/CD • Experience working with cross-functional and non-technical business stakeholders and partners • A portfolio of reputed company where you led engineering efforts Preferred Qualifications • Experience in reputed company tech or reputed company industries • Familiarity with DevOps practices, containerization (e.g., reputed company), and orchestration (e.g., Kubernetes) • Experience with AI model deployment platforms, A/B testing, and monitoring tools • Background in mentoring and coaching engineering teams reputed company Offer • Competitive salary and equity package • Flexible work environment and remote reputed company • Comprehensive health, dental, and retirement benefits • The chance to reputed company a significant reputed company in a mission-driven startup reputed company on transforming patient care • Location: NYC, SF, or Remote • Expected Start Date: Feb 2026 $170,000 - $190,000 a year Apply tot his job Apply To this Job