Backend Solution Engineer - SDE II

Backend Solution Engineer Location: Bengaluru (onsite) Experience: 4+ years About Eka.care Eka Care is a health AI company on a mission to make world-class clinical intelligence available to every doctor, patient, and healthcare enterprise. We build the models, data infrastructure, and clinical workflows that turn everyday care — a consultation, a prescription, a lab report — into structured, interoperable health data, so that better decisions can be made at the point of care and across the enterprise, whether that is a hospital, a diagnostic lab, or an insurer. Our products — EkaScribe, EkaDoc, EkaAgents, EkaAPI's and EkaPHR — cover the full span of clinical, patient, and enterprise use cases, and plug into national digital health infrastructure such as India's Ayushman Bharat Digital Mission in India. The role We're looking for a strong backend and systems engineer who has hands-on exposure with AI. Engineering comes first and AI second. You'll design, build and own production systems that combine core engineering, streaming audio, LLMs and agents, and you'll run them at scale. You'll own features from design doc to production to on-call, and you'll ship fast without breaking things. What you'll do Architect and build on EkaScribe's pipeline: streaming audio intake, ASR, transcript processing, LLM-based document generation, and the doctor's edit-and-publish loop. Low latency and high availability are requirements. Own reliability end to end: SLOs, fallbacks across model providers, retries, idempotency, backpressure, graceful degradation, incident response and postmortems. Build evals and observability for LLM systems: offline eval suites, online quality signals, hallucination and omission tracking, and LLM tracing. Every prompt or model change should ship with evidence that it's better. Build agentic systems: tool-using agents, multi-step orchestration, memory and retrieval, and guardrails that keep agents grounded in what was actually said and recorded. Design for scale and optimised solutions: queue-based async processing, caching, batching, token and GPU cost budgets, and multi-tenant isolation. Ship at a high pace: short iteration cycles, small safe deploys, feature flags, and clear written design docs. Work closely with product, clinical and mobile teams, and turn unclear clinical problems into well-scoped systems. Must-have 4+ years building and running production backend systems , with a track record of owning services others depend on. Strong system design fundamentals: distributed systems, concurrency, consistency trade-offs, API design and data modelling. Strong exposure and adherence to system reliability principles High-speed delivery capability/ startup environment without compromising on reliability Hands-on with Python, Fast API, MCPs, Design Principles, AWS and Kubernetes : deploying, autoscaling and debugging services in production. Solid experience with Redis and Postgres :…