Backend Engineer - AI Care Platform (Remote/Hybrid, Portugal)

About Sword Health

Sword Health is transforming healthcare through AI-first innovation. The company's AI Care platform makes world-class healthcare accessible anytime, anywhere while significantly reducing costs for payers, self-insured employers, national health systems, and healthcare organizations globally. Since 2020, over 700,000 members across three continents have completed 10 million AI-powered sessions, helping 1,000+ enterprise clients avoid more than $1 billion in unnecessary healthcare costs.

Backed by leading investors including Khosla Ventures, General Catalyst, Transformation Capital, and Founders Fund, Sword Health has raised over $500 million. The company's innovation is grounded in evidence: 42 clinical studies and 44+ patents support its AI-driven approach to pain care, women's health, movement health, and mental health.

The Role

As a Backend Engineer on the AI Team, you will play a critical role in building, scaling, and optimizing the infrastructure that powers Sword's ML-driven clinical features, decision support systems, and next-generation Generative AI innovations.

Your responsibilities will include:

• Designing and implementing robust, scalable backend systems that support AI/ML workflows and clinical decision-making
• Collaborating with cross-functional teams (data scientists, product, clinical experts, frontend engineers) to deliver seamless, secure healthcare solutions
• Optimizing infrastructure for performance, reliability, and security in a regulated healthcare environment
• Developing APIs and services that empower internal teams and external users with personalized, data-driven care
• Contributing to architectural decisions that balance innovation with compliance and patient safety
• Ensuring systems are built for scale, supporting millions of patient interactions

What You'll Bring

This opportunity is ideal for backend engineers passionate about AI/ML infrastructure, healthcare technology, and building systems that directly impact patient outcomes. You should have strong experience with backend development, cloud architecture, and ideally some exposure to machine learning pipelines or data-intensive applications.

You'll thrive in a role where technical excellence meets meaningful healthcare impact—where your code powers clinical innovation at scale.

💰 Compensation not publicly listed. Market estimate for similar roles: from $120K, varying by experience and location.