We are building the world's first clinically intelligent, end-to-end AI platform that unifies patient engagement, provider workflows, and medical intelligence at scale. Our work sits at the intersection of artificial intelligence, healthcare delivery, and real-world clinical impact—and we're just getting started. Role Overview: As an Architect / Lead Developer, you will own the technical direction, system architecture, and delivery of major platform capabilities across both patient-facing and provider-facing workflows. You will play a hands-on leadership role in designing scalable systems, guiding engineering teams, and ensuring high standards of performance, security, and reliability. This role is ideal for a senior engineer who enjoys both architectural ownership and hands-on execution, and who is excited to build ML/AI-enabled healthcare products at scale. Key Responsibilities Must-Have - 7+ years of professional software engineering experience - 2+ years in a technical leadership role (Lead Developer, Tech Lead, or Architect) - 2+ years of experience shipping ML/AI-enabled products - Strong experience designing scalable web architectures, including REST and/or GraphQL APIs - Experience with background jobs, queues, and caching strategies - Proficiency in TypeScript/JavaScript and at least one backend stack (Node.js preferred) - Strong experience with relational databases - Hands-on experience with cloud platforms (Azure preferred), infrastructure-as-code, and containerization - Proven track record of improving engineering velocity and code quality Nice-to-Have - Healthcare domain experience, including FHIR, HL7, and secure handling of PHI/PII - Experience with real-time systems (e.g., WebRTC, LiveKit) - Experience with event-driven architectures - Background in building multi-tenant SaaS platforms with complex permission models - Familiarity with agent-enabled streaming frameworks Why Join Boston Health AI? - Make a direct impact by helping transform healthcare globally - Work across three dynamic markets: US, UAE, and Pakistan - Join a fast-scaling team where your role grows with the company - Enjoy high autonomy—we trust our leaders to own and execute - Be part of a mission-driven organization bringing intelligent clinical AI to healthcare systems that need it most