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San Francisco, California, United States
Onsite
Healthcare is broken at the first step: patients can't find the right care, understand what it costs, or access the medications they need. Mochi Health is fixing this.
We're building an AI-driven marketplace that makes healthcare discoverable—connecting patients to the right providers, transparent pharmacy pricing, and affordable medications. Over the past few years, we've grown rapidly by combining clinical expertise with technology that actually works for real people, not just hospital systems.
Our platform does what legacy healthcare can't: it gives patients transparent pricing before they pay, personalized medication management that follows them across providers, and long-term access to their own medical records. We're proving that healthcare can be more affordable, more human, and far more intuitive than what exists today.
Join a team that's rebuilding healthcare from the patient up. At Mochi Health, you'll work alongside people who value bold thinking, inclusive collaboration, and getting meaningful work into the world. If you want to do the most impactful work of your career, this is where to do it.
$230,000 - $280,000 (Open to Staff leveling at $280-330K)
Full-time / Onsite (5 days/week)
At Mochi, our engineering team operates with exceptional leverage. We believe in high talent density, where a focused, elite team powers a profitable, nine-figure ARR healthcare platform serving hundreds of thousands of patients. We are looking for a Senior Backend Engineer to own the core systems that power this scale—from clinical approval workflows and multi-pharmacy fulfillment routing, to complex subscription billing and partner integrations.
Mochi has already helped patients lose over 5 million pounds through metabolic care, and we are now rapidly expanding into the frontiers of preventative healthcare—including hormone optimization (HRT/TRT), longevity medicine, and cutting-edge peptide therapies. The backend systems you architect will power how this next wave of patients discovers treatments, qualifies for care, and receives highly personalized, dynamic dosing protocols.
Because of our high scale-to-team ratio, we do not operate in isolated technical silos. You will own your systems end-to-end: designing the schema, writing the business logic, deploying to Kubernetes, and owning the observability in production. If you are drawn to architectural problems where the domain complexity is real, the autonomy is absolute, and the impact on patient outcomes is tangible, this is the role.
Our stack is TypeScript, Node.js, Express, PostgreSQL, Redis, Kubernetes, Terraform and AWS. Experience with these is a strong plus, but we index on engineering fundamentals, distributed systems experience, and domain reasoning over language-specific syntax.
We respect your time. Here is exactly what to expect:
We are ready to move as fast as you are. We can go from the first intro to offer in two weeks, or pace the rounds to comfortably fit your current work schedule.
At Mochi, we believe your best work happens when you feel your best—so we’ve designed an environment that fuels your creativity, supports your growth, and makes every day exciting.
🥗 Daily Meals and Espresso Bar - Breakfast, lunch, and dinner every weekday. Our on-site barista keeps the espresso and matcha flowing all day
💰 Pre-Tax Commuter Perks - Save on transit and parking through pre-tax commuter benefits
💸 Top-of-Market Compensation - We offer competitive salaries along with generous equity packages so you can share in the success you help create
💣 Profitable and Rapid Growth - We’re scaling fast, with financial discipline and long-term vision. No VC constraints, just sustainable momentum and smart decisions
🚀 High-Impact Work - Help shape the future of digital healthcare. Your work here directly improves lives and scales nationwide
👩💻 World-Class Team - Collaborate with teammates from Tesla, SpaceX, Citadel, Harvard, IIT, and more. We value excellence, humility, and empathy in equal measure
✨ Comprehensive Benefits - 401(k) with match, generous time off, life insurance, and high-quality medical, dental, and vision plans
💊 Mochi Health Membership – We cover your monthly subscription fee so you can experience the same care as our patients (medications not included)
🌴 Time to Recharge – Enjoy unlimited PTO, generous company holidays, and true flexibility. We trust you to take the time you need to rest, reset, and thrive
🧘 Wellness First – From weekly mindfulness sessions to group workouts and fitness perks, your physical and mental health are top priority
🎉 Team Socials and Community - We make time to connect through regular socials, happy hours, and spontaneous events. Our stocked kitchen doesn’t hurt either
📍 Downtown SF HQ - Our San Francisco office is just steps from BART, Muni, and great food. It’s designed for deep work and casual collaboration
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The base salary for this full-time position ranges from $230,000 to $280,000, in addition to equity and benefits. The salary range listed in each job posting represents the minimum and maximum targets for new hire salaries across all locations. Actual compensation within this range is determined by various factors, such as job-related skills, experience, relevant education or training, and location.
#LI-Onsite #LI-AK1
Mochi Health is an in-person company based in San Francisco, CA. Our team works together in person five days a week to foster collaboration, innovation, and strong connections. We believe that face-to-face interaction builds a culture of excellence and allows us to deliver the best outcomes for the patients and providers we serve.
Mochi Health is an Equal Opportunity Employer. We make all employment decisions based solely on merit. We provide equal employment opportunities to all applicants and employees without discrimination on the basis of race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, disability status, or any other applicable legally protected characteristic. We prohibit any form of discrimination or harassment. This policy applies to all terms and conditions of employment, including hiring.
Please review Mochi Health's Candidate Privacy Notice here.
Mochi Health complies with the Americans with Disabilities Act (ADA), as amended by the ADA Amendments Act, and all applicable state or local laws. We will reasonably accommodate qualified individuals with a disability during the application process and throughout employment as required by law.
If you need any assistance or accommodations due to a disability, please contact us at hr@joinmochi.com.