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What we're looking for
- 5+ years of hands-on backend engineering experience
- Strong backend fundamentals (queues, async patterns, error handling, observability)
- Experience with PostgreSQL and MongoDB
- Comfortable with ambiguity and direct communication
- Intellectually curious about the Node.js and Python ecosystems
About the role
ABOUT THE ROLE
We're looking for an Integration Engineer to design, build, and own the complex integration systems that connect our platform to healthcare infrastructure. This is not an execution role — you'll shape how the team thinks and builds, work from first principles on undocumented systems, and take genuine ownership of production.
You'll move with high agency, document decisions, mentor through code reviews, and engage seriously with open source. The expectation is that you stand behind your work — from design through to incident response.
WHAT YOU'LL WORK ON
Integration system design and ownership
Design, build, and own complex integration systems where reliability directly impacts clinical workflows. You're not just building features — you're building infrastructure other systems depend on.
First-principles system mapping
Map complex, undocumented systems and build a clear mental model from scratch. You'll regularly encounter systems with no spec — your job is to figure them out.
High-agency execution
Find ways around obstacles, document decisions clearly, and keep the team informed. You don't wait for permission or perfect information — you move and communicate.
Production ownership
Write runbooks, follow up on incidents, and stand behind your work in production. Reliability isn't someone else's problem — it's yours.
Mentorship and code reviews
Actively mentor the team through meaningful code reviews — not just flagging issues, but explaining the reasoning behind decisions so everyone gets better.
Open source engagement
Read source code to debug issues, contribute patches where appropriate, and build thoughtfully on top of open-source software — not just consume it.
WHAT WE LOOK FOR
5+ years of backend engineering experience
Solid hands-on experience building and operating backend systems in production environments — with the depth that comes from owning things, not just shipping them.
Strong backend fundamentals
Deep understanding of queues, async patterns, error handling, and observability. You know why these things matter and how to apply them under pressure.
PostgreSQL and MongoDB
Comfortable with both — schema design, query optimisation, and understanding the trade-offs between the two in real-world contexts.
Comfort with ambiguity
You don't need a complete spec to start. You figure out what questions to ask, make reasonable assumptions, document them, and move.
Node.js and Python
Intellectually curious about both ecosystems — not just able to use them, but interested in how they work and what's happening in the community around them.
Direct communication
You say what you think, flag problems early, and communicate clearly with the team — especially when things aren't going to plan.
THE TEAM
A small, senior engineering team building real-time AI infrastructure for healthcare. The work is technically hard, the domain is consequential, and the team operates with high trust and high standards. Remote-first, based across Latin America.
We're looking for an Integration Engineer to design, build, and own the complex integration systems that connect our platform to healthcare infrastructure. This is not an execution role — you'll shape how the team thinks and builds, work from first principles on undocumented systems, and take genuine ownership of production.
You'll move with high agency, document decisions, mentor through code reviews, and engage seriously with open source. The expectation is that you stand behind your work — from design through to incident response.
WHAT YOU'LL WORK ON
Integration system design and ownership
Design, build, and own complex integration systems where reliability directly impacts clinical workflows. You're not just building features — you're building infrastructure other systems depend on.
First-principles system mapping
Map complex, undocumented systems and build a clear mental model from scratch. You'll regularly encounter systems with no spec — your job is to figure them out.
High-agency execution
Find ways around obstacles, document decisions clearly, and keep the team informed. You don't wait for permission or perfect information — you move and communicate.
Production ownership
Write runbooks, follow up on incidents, and stand behind your work in production. Reliability isn't someone else's problem — it's yours.
Mentorship and code reviews
Actively mentor the team through meaningful code reviews — not just flagging issues, but explaining the reasoning behind decisions so everyone gets better.
Open source engagement
Read source code to debug issues, contribute patches where appropriate, and build thoughtfully on top of open-source software — not just consume it.
WHAT WE LOOK FOR
5+ years of backend engineering experience
Solid hands-on experience building and operating backend systems in production environments — with the depth that comes from owning things, not just shipping them.
Strong backend fundamentals
Deep understanding of queues, async patterns, error handling, and observability. You know why these things matter and how to apply them under pressure.
PostgreSQL and MongoDB
Comfortable with both — schema design, query optimisation, and understanding the trade-offs between the two in real-world contexts.
Comfort with ambiguity
You don't need a complete spec to start. You figure out what questions to ask, make reasonable assumptions, document them, and move.
Node.js and Python
Intellectually curious about both ecosystems — not just able to use them, but interested in how they work and what's happening in the community around them.
Direct communication
You say what you think, flag problems early, and communicate clearly with the team — especially when things aren't going to plan.
THE TEAM
A small, senior engineering team building real-time AI infrastructure for healthcare. The work is technically hard, the domain is consequential, and the team operates with high trust and high standards. Remote-first, based across Latin America.
About Telepatia
We build real-time AI products for healthcare — medical transcription, clinical record generation, and EHR integrations across Brazil and Colombia. Our integrations layer is the nervous system connecting hospitals, clinics, and electronic health record systems to our platform. The work is technically demanding and the stakes are real: reliability here directly impacts clinical workflows.