Senior Engineer
Senior Engineer at Perspectives Health — Chicago, IL, US
- Company: Perspectives Health
- Location: Chicago, IL, US
- Employment type: FULL_TIME
- Salary: USD 140–250 / year
- Posted: 2026-07-17
About this role
Perspectives Health is building an AI system that fights insurance denials in behavioral health. We work with some of the best addiction-treatment and mental health programs around the country to protect their revenue and keep patients from losing access to life-saving care.
We are growing quickly, approaching profitability, and our backend needs to move from a scrappy early setup into something more mature without adding unnecessary process or complexity. We want someone who can make good infrastructure decisions for our stage.
You would be the fifth member on our team.
What you will own
Production and staging backend infrastructure
Deploys, rollbacks, environment management, and release safety
Database operations, migrations, backups, restores, and performance
Background jobs, queues, retries, worker health, and failure recovery
Security: secrets, access control, infrastructure hardening, auditability, and sensitive data handling
Monitoring, logging, alerts, and incident response
Runbooks and operational documentation
What we are looking for
Strong experience operating production backend systems
Solid fundamentals in Linux, containers, networking, cloud infrastructure, and databases
Good judgment around security, especially for systems handling sensitive customer data
Experience with background jobs, queues, schedulers, and long-running workloads
Fun to work with
Nice to have
Startup experience, especially during a rapid growth phase
Experience in healthcare. An interest or background in behavioral health is a huge plus.
Experience with infrastructure-as-code, CI/CD, observability, and incident response
Experience scaling systems from early-stage infrastructure to a more mature production platform
Likes to lift
Details
Our team works in person from our office in River North, Chicago, though we'll consider remote or hybrid arrangements for the right candidate. We offer fully covered health, dental, and vision insurance, along with competitive compensation and meaningful equity.
More details here: perspectiveshealth.ai/careers