Lead Backend Engineer

Our Story

Complex conditions like COPD and congestive heart failure (CHF) are incredibly challenging to manage. People who are already struggling with isolation and the burden of these conditions become increasingly frustrated and disengaged, eventually falling through the cracks and landing in the ER. This cycle perpetuates poor health outcomes and excessive medical costs.

At NuvoAir we believe people deserve a better healthcare experience.

Our team embraces the challenges that others can’t or won’t - by integrating our clinical team with technology, NuvoAir creates a highly empathetic and personalized experience for each patient. This model not only helps patients in their homes, it also supports patients through our clinical trial partners.

Living our Company Values

• Patient obsessed: Every decision is made with our main focus in mind - improving the lives of patients
• Act like an owner: Ownership means we speak up, share ideas, give feedback, and are all accountable for growth
• Focus on what matters: Creating meaningful solutions to challenging healthcare problems requires simplicity, clarity, and using our unique leverage
• Build to learn: Failing courageously is a virtue that drives learning and stems from an innovative spirit
• Practice confident humility: We aim to hold ourselves to the highest standards of humility, curiosity, transparency, and personal development

Where you’ll see your impact

NuvoAir Medical is looking for a Lead Backend Engineer to help shape and scale the next generation of our digital health platform. This is a high-impact role for someone who not only brings strong software engineering fundamentals and deep backend expertise, but also a genuine passion for improving healthcare outcomes globally.

You’ll collaborate closely with product and engineering teams to build scalable, secure, and high-performing backend services that power our virtual care solutions across chronic respiratory and cardiovascular conditions.

What you’ll be responsible for

• Design, develop, and deploy backend services and features in partnership with product teams
• Continuously improve and maintain the quality, performance, and reliability of Nuvoair's backend systems
• Ensure robust security and adherence to regulatory standards (e.g., HIPAA)
• Contribute to scaling our service-oriented architecture to support a growing global user base
• Provide technical leadership, mentorship, and best practices in system design and implementation
• Take ownership of the services you build, including ensuring their ongoing operational health, reliability, and support

This may be a fit if you have

• 10+ years of backend engineering experience
• Strong proficiency in Java or Kotlin, Spring framework, ORM tools, and relational databases
• Proven experience building and maintaining service-oriented and event-driven systems including experience with tools like Kafka
• Demonstrated ability to ship and support high-traffic production systems
• Experience deploying services in Kubernetes environments

It’s an added bonus if you have

• Experience with DevOps practices and infrastructure automation
• Familiarity with Azure or other cloud platforms.Knowledge of Domain-Driven Design (DDD) principles
• Background in the healthcare industry or regulated environments
• Full-stack or web development skills (JavaScript, React, etc.)

You’ll love us because:

• Mission driven culture that’s recognized by “Best Places to Work” awards
• A global, diverse team that works hard without taking ourselves too seriously
• Competitive salary - an annual market rate review ensures our compensation bands align with Series A market salaries
• Flexible work environment
• Unlimited PTO - take time to recharge when you need it
• Equity that’s venture-backed by top, global VCs - when we win, we win together
• Medical, Dental, and Vision benefits - so you can take care of yourself and your family
• Retirement plan + company match
• Annual Learning & Development stipend - your professional growth is important!

Building a diverse team is critical to our success:

At NuvoAir, building a diverse team isn't a lofty statement or goal, it's a necessity, and it's something we actively practice and talk about. We do not tolerate discrimination or harassment based on race, color, age, religion, sex, gender, disability status, sexual orientation, gender identity or expression, or any other basis covered by appropriate law. NuvoAir will provide reasonable accommodations for qualified individuals with documented disabilities.

What to expect from our interview process:

Our team’s impact is felt globally as we help patients with cardiopulmonary diseases better understand and manage their health. Every member of our team adds value as we work towards a better healthcare experience for all. Because of this, it’s not enough that we hire mission-oriented people who are self motivated. We also need to grow a team that aligns with our company values (listed above!) and who will be successful in startup life… it’s not for everyone and that’s okay!