Healthcare is in crisis and the people behind the results deserve better. With data exploding across wearables, lab tests, and patient–doctor interactions, we’re entering an era where data is abundant.
Junction is building the infrastructure layer for diagnostic healthcare, making patient data accessible, actionable, and automated across labs and devices. Our mission is simple but ambitious: use health data to unlock unprecedented insight into human health and disease.
If you're passionate about how technology can supercharge healthcare, you’ll fit right in.
Backed by Creandum, Point Nine, 20VC, YC, and leading angels, we’re working to solve one of the biggest challenges of our time: making healthcare personalized, proactive, and affordable. We’re already connecting millions and scaling fast.
Short on time? TL;DR
You: A backend engineer motivated by using reliable infrastructure to improve patient care
Us: Team size 35, 6 engineers, revenue 4x'd in the last year
Salary: £90K - £130K + equity (doe + location)
Location: Fully remote (GMT timezone)
Why we need you
Our small (for now) but mighty 6-person engineering team is tackling big, ambitious problems across Health & Fitness Devices and Lab Testing. We’re already:
Streaming timeseries data from 3M+ health and fitness devices every second
Helping major digital health companies deliver 4M+ lab tests across all 50 US states
Saving millions of patients thousands of dollars
Now we are aiming even higher: extracting actionable insights from the tens of billions of data points we ingested every month to help improve patient outcome:
Get excited about shipping features that help detect early signals of chronic diseases and enable early interventions.
Are curious enough to build and scale for the data arteries — the millions of device data connections (and growing!) — flowing into the pumping heart that is the Junction Continuous Query system
Obsess over building fault-tolerant backends and clean, well-designed APIs
Ask the right questions to turn rough ideas into reliable production software
Stay pragmatic while navigating domain experts, constraints, and real-world edge cases
What you’ll be doing day to day
Building and scaling our health & fitness device integrations and the Junction Continuous Query system: Designing reliable, well-structured backend services that ingest, process, and serve high-volume medical, health, and wearable data.
Improving reliability, performance, and fault tolerance: Work with backend service infrastructure, data pipeline and durable workflows for a wide variety of use cases.
Owning full-stack features: Taking rough problems, shaping the approach, and shipping robust backend solutions.
Tackling ambitious problems: You’ll be breaking down technical challenges that haven’t been done before in healthcare, we need you to be extremely product minded with every line of code you write
Iterating quickly: ship → learn → refine with a strong backend engineering mindset.
Requirements
Startup engineering experience where you influenced what to build, not just how to build it
Bonus: you’ve built something from 0 → 1
Strong backend engineering experience:
Designing and building APIs
Working with distributed systems, queues, services
Debugging complex production issues
Ability to turn messy or unclear problems into a clear plan
Comfortable working primarily on backend, with some full-stack work when needed
Strong product judgment - within a clear product direction
Fast iteration based on feedback and metrics
Comfortable working in a domain with hard constraints and complex real-world edge cases
You don’t need to tick every box to fit in here. If the problems we’re solving genuinely interest you and you know you can contribute, we’d love to talk.
How you'll be compensated
Salary: £90K - £130K + equity (doe + location)
Your salary is dependant on your location and experience level, generated by our salary calculator. Read more in our handbook here.
Generous early stage options (extended exercise post 2 years employment) - you will receive 3 offers based on how much equity you'd like
Regular in person offsites, last were in Morocco and Tenerife
Bi-weekly team happy hours & events remotely
Monthly learning budget of $300 for personal development/productivity
Flexible, remote-first working - including $1K for home office equipment
25 days off a year + national holidays
Healthcare cover depending on location
Oh and before we forget:
Backend Stack: Python (FastAPI), Go, PostgreSQL, Google Cloud Platform (Cloud Run, GKE, Cloud BigTable, etc), Temporal Cloud
Frontend Stack: TypeScript, Next.js
API docs are here: https://docs.junction.com/
Company handbook is here with engineering values + principles
Important details before applying:
We only hire folks physically based in GMT and EST timezones - more information here.
We do not sponsor visas right now given our stage
