Senior Back End Engineer (Agentic Systems Engineer), Cape Town

Job Description

THE OPPORTUNITY THAT AWAITS YOU

We're partnering with an innovative health-tech company building advanced Agentic AI systems that are transforming healthcare administration in the United States. Their mission is clear: reduce the administrative burden on doctors through safe, reliable, and clinically accurate AI — giving healthcare professionals more time to focus on patient care.

We're looking for a Senior Back End Engineer / Agentic Systems Engineer to help architect and scale the backend intelligence powering these systems. This is a high-impact opportunity for someone who thrives at the intersection of AI engineering, backend systems, and real-world healthcare outcomes.

If you want to build production AI that solves meaningful problems at scale, this deserves your attention.

WHAT YOU WILL BE BUILDING

Production-grade LLM agent runtimes built for scale, resilience, and secure execution Platform observability including logging, tracing, latency analysis, usage, and cost monitoring EHR integrations with systems such as OpenEMR, Epic, and other healthcare platforms Speech-to-text pipelines supporting clinical and operational workflows Shadow deployments, canary releases, rollback strategies, and production hardening controls Secure cloud environments supporting healthcare-grade compliance expectations Integration architecture connecting AI systems to real-world product workflows Technical standards, delivery priorities, and engineering direction for platform growth

OUR REQUIRED EXPERTISE

Strong Python backend engineering expertise Hands-on experience with LLMs, prompt engineering, and AI system evaluation Experience building APIs, distributed systems, and scalable backend services Strong understanding of async runtimes and production reliability Exposure to Docker, Kubernetes, and cloud environments (GCP preferred) Ability to design benchmarks, testing frameworks, and quality controls Strong communication skills with the ability to work cross-functionally Healthcare, medical coding, or clinical informatics exposure highly advantageous PhD / advanced research background in AI, NLP, or related field strongly preferred

YOUR REWARD

Build systems that directly reduce clinician burnout and improve healthcare delivery Your work will shape how AI is deployed safely and effectively inside one of the world’s most complex industries Join a fast-moving, high-calibre team solving hard technical problems with real commercial and social impact Hybrid/Flexible working based out of Stellenbosch Western Cape Lucrative salary based on experience with additional company perks