Lead Backend Engineer

About usLifeMD is a leading digital healthcare company committed to expanding access to virtual care, pharmacy services, and diagnostics by making them more affordable and convenient for all.Focused on both treatment and prevention, our unique care model is designed to optimize the patient experience and improve outcomes across more than 200 health concerns.To support our expanding patient base, LifeMD leverages a vertically-integrated, proprietary digital care platform, a 50-state affiliated medical group, a 22,500-square-foot affiliated pharmacy, and a U.S.-based patient care center.Our company with offices in New York City; Greenville, SC; and Huntington Beach, CA is powered by a dynamic team of passionate professionals. From clinicians and technologists to creatives and analysts, we're united by a shared mission to revolutionize healthcare.Employees enjoy a collaborative and inclusive work environment, hybrid work culture, and numerous opportunities for growth. Want your work to matter? Join us in building a future of accessible, innovative, and compassionate care.About the roleWe re looking for a Lead Backend Engineer to help evolve and scale our VPC platform. You ll lead by example in designing and implementing reliable, secure, and well-structured backend systems, while mentoring developers and partnering closely with product, QA, and operations teams. You ll also play a key role in defining and enforcing our software development lifecycle (SDLC) ensuring all engineering work is delivered through clear requirements, peer review, testing, and release management practices. Over time, you ll take end-to-end ownership of core system components such as scheduling, task management, notifications, and workflow orchestration. Make sure they remain performant, maintainable, and compliant as we grow.Responsibilities:Architect, build, and optimize backend services that power scheduling, task management, and provider-patient workflowsDefine and evolve platform APIs, data models, and service boundaries across our Node.js-based servicesCollaborate with product, QA, and front-end teams to deliver features that directly impact patient and provider experienceChampion and continuously improve the company-wide SDLC from requirements gathering and code review to automated testing, deployment, and post-release monitoringMentor developers on design patterns, code quality, testing, and observability best practicesPartner with DevOps and Security to ensure high availability, resilience, and SOC-2/HIPAA compliance across the stackLead technical reviews and help shape the roadmap for core backend domainsImprove internal documentation, migration strategies, and coding standards for the next generation of LifeMD s backend systemsRequirementsBasic Qualifications:7+ years of professional software engineering experience 5+ years of experience in backend developmentStrong proficiency in Node.js/TypeScript, MongoDB (or similar RDBMS), and Redis / message queues (BullMQ, SQS, etc.)Deep understanding of distributed systems, asynchronous processing, and API designHands-on experience building event-driven architectures and integrating with third-party services (EHRs, pharmacies, telehealth APIs)Familiarity with cloud infrastructure (AWS preferred) and container orchestration (ECS, Docker, or Kubernetes)Comfortable balancing strategic architecture decisions with hands-on coding and code reviewsPreferred Qualifications: Experience working in regulated or healthcare-adjacent environments (SOC-2, HIPAA) Background experience with GraphQL, gRPC, or service federationExperience leading migrations from monoliths to microservicesBackground in workflow engines or job scheduling systemsInterest in mentoring, process improvement, and helping to build an engineering culture of excellenceExcellent communication and leadership skills able to partner cross-functionally and influence without authorityBenefitsSalary Range: $180,000-$200,000Health Care Plan (Medical, Dental & Vision)Retirement Plan (401k, IRA)Life Insurance (Basic, Voluntary & AD&D)Unlimited PTO PolicyPaid HolidaysShort Term & Long Term DisabilityTraining & DevelopmentAbout the companyLifeMD is an emerging leader in technology-driven healthcare. We're applying our direct-to-consumer marketing expertise to make access to quality care and medication convenient, cost-effective, and simple. Our brands are intensely focused on our patients, constantly striving to deliver a better end-to-end healthcare experience through technology. Our mission is to improve the health and happiness of our patients through Telehealth.