Lead architecture and development of large-scale backend systems for video visits, mentoring engineers and collaborating across teams to enhance digital care technology.
Job Summary:
The Visit Experience team builds and scales the technology that powers our virtual care platform—ensuring that every patient and provider interaction is seamless, reliable, and high-quality. We own the experience of live video visits, messaging, scheduling, and real-time collaboration, and we're expanding the boundaries of what digital care can be.
Reporting to Director of Engineering, you will have deep experience in video platforms to lead the design and scaling of our next-generation visit experience. You'll guide architectural decisions, mentor engineers, and partner with product, design, and clinical partners to deliver reliable, secure, and low-latency solutions.
This is a hands-on technical leadership role: you'll set direction, make high-use decisions, and ship code that impacts millions of patient–provider interactions.
Responsibilities:
- Lead architecture and development for large-scale, distributed backend systems supporting live video and virtual visit workflows.
- Design APIs, services, and infrastructure that ensure high availability, resilience, and low latency in video conferencing environments.
- Partner with product, design, and frontend/mobile teams to deliver seamless visit experiences across devices.
- Guide innovation in video quality, reliability, and integrations (e.g., scheduling, EMR, messaging, and real-time transcription).
- Mentor and coach engineers, raising the technical bar.
- Evaluate latest technologies in WebRTC, video streaming, and real-time communication to influence our roadmap.
- Collaborate with Security and Compliance teams to ensure HIPAA and SOC2 compliance in sensitive video workflows.
Qualifications:
- 10+ years of backend engineering experience
- Proven expertise designing and scaling video platforms (e.g., WebRTC, SFU/MCU architectures, streaming protocols, TURN/STUN, real-time QoS optimizations).
- Strong distributed systems background, including microservices, APIs, cloud infrastructure (AWS/GCP), and event-driven architectures.
- Proficiency in one or more backend languages (e.g., Go, Java, Scala, and Python).
- Experience building systems that require real-time reliability and fault tolerance.
- Experience setting long-term technical vision, influencing cross-team strategy, and leading complex projects.
- Experience communicating updates and resolutions to customers and other partners with an ability to partner across product, design, and clinical teams.
Pay:
The United States new hire base salary target ranges for this full-time position are:
Zone A: $174,320-$246,230 + equity + benefits
Zone B: $191,752-$270,853 + equity + benefits
Zone C: $209,184-$295,476 + equity + benefits
Zone D: $226,616-$288,938 + equity + benefits
This range reflects the minimum and maximum target for new hire salaries for candidates based on their respective Zone. Below is additional information on Included Health's commitment to maintaining transparent and equitable compensation practices across our distinct geographic zones.
Starting base salary for you will depend on several job-related factors, unique to each candidate, which may include education; training; skills; years and depth of experience; certifications and licensure; our needs; internal peer equity; organizational considerations; and understanding of geographic and market data. Compensation structures and ranges are tailored to each zone's unique market conditions to ensure that all employees receive fair and great compensation package based on their roles and locations. Your Recruiter can share your geographic zone upon inquiry.
Benefits & Perks:
In addition to receiving a great compensation package, the compensation package may include, depending on the role, the following and more:
Remote-first culture
401(k) savings plan through Fidelity
Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)
Paid Time Off ("PTO") and Discretionary Time Off ("DTO")
12 weeks of 100% Paid Parental leave
Family Building & Compassionate Leave: Fertility coverage, $25,000 for surrogacy/adoption, and paid leave for failed treatments, adoption or pregnancies.
Work-From-Home reimbursement to support team collaboration home office work
Your recruiter will share more about the salary range and benefits package for your role during the hiring process.
About Included Health:
Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We're on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community — no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It's all included. Learn more at includedhealth.com.
Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all qualified applicants with arrest or conviction records in accordance with the San Francisco Fair Chance Ordinance, the Los Angeles County Fair Chance Ordinance, and California law.
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Top Skills
AWS
GCP
Go
Java
Python
Scala
Webrtc
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