Staff Engineer - Backend & Data

Trial Library is an AI-native enrollment and care navigation platform that accelerates access to precision medicine. The company enables clinical trials as a standard care option through collaboration with biopharmaceutical manufacturers, payers, and health systems. Its platform is currently deployed in 840+ clinics and 3,000+ providers nationwide.

We are hiring a second Staff Engineer to own key parts of the backend and data platform. You will take technical leadership of critical systems during a massive architectural shift from narrow human-assisted data pulls to robust automated EMR integrations. This change will enable ingestion of complete patient records at scale.

Our engineering culture values direct communication, strong ownership, and low-ego collaboration. We make decisions quickly, give open feedback, and maintain a strong bias toward action while using AI tools throughout the SDLC for coding, testing, and iteration. The team laughs a lot and relies heavily on Slack for day-to-day coordination.

The backend is primarily Python and actively moving toward Typescript, with infrastructure on AWS using Lambda, Bedrock, Fargate, SQS, and RDS managed via Terraform. The data layer centers on PostgreSQL and Drizzle. This role offers the chance to pair strong engineering fundamentals with AI tooling to reinvent patient-trial matching workflows.