Software Engineer, Backend

The Role

We are hiring exceptional backend software engineers to architect and build our platform. You'll be among our first engineers, working directly with our Head of Product & Engineering and the CEO to design and implement the core architecture that everything else will be built on.

This is a true 0-to-1 opportunity. You'll have enormous influence over our technical decisions, own significant parts of the product, and help define our engineering culture as we grow the team. This role is ideal for someone who loves moving quickly, cares deeply about product quality, and thrives in high-ownership environments.

What You’ll Do

• Greenfield architecture: You'll design and build our core systems – APIs, database architecture, infrastructure, and data pipelines – while optimizing for performance and maintainability.

• Real ownership: You'll own entire features end-to-end, from talking to users and stakeholders to writing specs, understanding our strategy, and shipping to production.

• Healthcare impact: You’ll work on real-world problems that directly improve patient care.

• Fast iteration: We move quickly, ship constantly, and learn from real users.

What You Bring

• 5+ years experience building and shipping production systems with modern backend technologies: cloud platforms (AWS/GCP), databases (Postgres/MySQL, DynamoDB, Spanner, or similar), APIs, data pipelines (Airflow, Dagster, or similar), and modern languages (Python, Golang, Java/Kotlin, or similar)

• Track record of taking ownership and startup mentality: You've built something meaningful from scratch – led projects, started a company, built a side project, or worked at an early-stage startup. You thrive in ambiguity, move fast, and care about solving real problems with unfailing attention to detail.

• Strong communication skills: You can write clearly and make persuasive technical arguments.

Preferred

• Experience with BaaS platforms (Supabase, Firebase, Railway, Hasura, or similar)

• Familiarity with AI-native coding tools (Claude Code, Cursor)

• Healthcare domain knowledge (HIPAA, EPCS, PDMP, EHR/EMR systems)

• Front-end expertise (React, TypeScript, Next.js, or similar)

Compensation

The base salary range for this role is competitive and will be determined based on the candidate’s relevant skills, experience, and geographic location. In addition to base pay, total compensation may include performance-based incentives, benefits and company options.

Security, Privacy & Compliance

This role may handle PHI/PII and must follow HIPAA, company privacy policies, and least-privilege access practices.

EEO & Inclusion

VITL is an Equal Opportunity Employer. We consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other legally protected characteristics. If you meet most—but not all—requirements, we encourage you to apply.

About VITL

VITL is a Nashville-based healthtech company providing beautifully simple e-prescribing infrastructure for cash-pay medical practices. Through its open pharmacy marketplace, VITL connects clinics with verified 503A compounding pharmacies nationwide, enabling real-time price comparison, multi-pharmacy ordering, and Amazon-style patient tracking, all through a single, elegant interface. Founded in 2024, VITL serves nearly 500 clinics representing 125,000 patients across the United States.