SRE / Backend Engineer

About this role

ABOUT NABLA

We are a team of entrepreneurs, clinicians and engineers committed to bringing back joy to the practice of medicine.

Together with a community of clinician innovators, we’ve harnessed the best of machine learning science to develop Nabla: the leading AI assistant that’s restoring the human connection at the heart of healthcare. By streamlining clinical documentation, Nabla is helping clinicians focus on what matters most - patient care. Today, over 100,000+ clinicians across 130+ healthcare organizations trust Nabla to support how they deliver care every day.

We’re at the start of an ambitious journey: Ambient listening, dictation, coding, and command capabilities are all converging into a proactive assistant that intuitively streamlines clinical and financial workflows.

Backed by a recent $70M Series C, we’re hiring to build the next generation of clinical AI and improve the lives of clinicians and patients everywhere.

This is a great time to join us!

YOUR TEAM

Our AI ambient documentation product is used by 100,000+ physicians across the US and EU, automatically generating clinical notes in real time during patient encounters and syncing them directly with EHR systems.

Product development at Nabla is organized into cross-functional squads, each owning a specific area end-to-end. You'll be joining the Platform squad, which owns the infrastructure and engineering foundations that the rest of the company builds on.

We process billions of tokens monthly, serve real-time APIs in high-stakes clinical environments, and handle hundreds of thousands of note syncs with EHR systems every week, at a scale that keeps growing.

As we scale, reliability engineering is becoming a first-class discipline within the team, and you'll have real ownership in defining how we operate and build for resilience.

WHAT YOU'LL DO

- Own production reliability - take meaningful accountability for the stability, robustness, and performance of our platform across the full stack

- Own and scale the on-call culture - take what's already in place and bring it to the next level: strengthen our runbooks, sharpen escalation paths, and build incident response processes that can scale with the team

- Instrument everything - develop and improve our monitoring, alerting, and observability stack so that issues surface before they reach users, and our engineers can diagnose them fast

- Drive the SRE roadmap - work with the Platform squad and Engineering leadership to define and prioritize the reliability investments that matter most, from SLOs to chaos engineering

- Make engineers faster - reduce toil and improve the developer experience: better tooling, clearer feedback loops, smoother deployments

- Collaborate across squads - partner with back-end, ML, and front-end engineers to embed reliability best practices into how we build, not just how we operate

YOUR DNA

- Demonstrates strong, senior-level experience in SRE, infrastructure, or back-end engineering, ideally within fast-paced, production-critical environments.

- Hands-on experience with cloud infrastructure (GCP preferred; AWS or Azure experience considered if you're ready to learn a new stack)

- You've been part of a structured on-call process: alerting policies, runbooks, incident post-mortem, escalation flows

- Strong software engineering fundamentals - you write clean, maintainable infrastructure-as-code and are as comfortable reviewing a Terraform PR as you are debugging a live incident

- Autonomy is your default mode - you can identify what needs to be done, prioritize it yourself, and drive it to completion without being managed step by step

- You communicate clearly and effectively with engineers and leadership across distributed teams, including during incidents, even outside regular working hours

- Bonus: experience with Kubernetes, GCP-native tooling (Cloud Run, GKE, Pub/Sub), PostgreSQL at scale, or security/compliance in a healthcare context

Candidates must be currently authorized to work in the United States and must be able to maintain authorization to work in the United States without requiring employer sponsorship, now or in the future. For this role, the Company is not able to sponsor, transfer, or extend employment-based visas or other work authorization.

BENEFITS

Just like we’re dedicated to supporting doctors’ well-being, ensuring yours is a top priority. We firmly believe that by prioritizing your well-being, we support you to excel in your work.

Here Are The Benefits You Get When Joining Nabla

- Compensation and Equity: Competitive salary and stock options

- Comprehensive Health Plans: 100% individual coverage for Medical, Dental, and Vision insurance

- Time Off: Unlimited paid time off and 11 national holidays

- Health Comes First: Unlimited sick leave

- Parental Leave: Paid leave for new parents

- Remote-friendly: $1,500 to purchase home office equipment

- Trust & accountability: Full ownership of your time and schedule

LIFE AT NABLA

When you become a part of our company, you join a team of excellence-driven, curious, and genuinely kind individuals. Together, we're committed to making clinicians' lives easier and improving healthcare experiences for everyone. We believe in a world where clinicians can focus on what they were trained to do - caring for their patients, and where no patient feels their visit was rushed.

We come to work excited to leverage AI to do more for clinicians. We’re obsessed with our users’ satisfaction and we actively seek out opportunities to engage one-on-one with clinicians to understand how Nabla can better help. We consistently look for ways to improve and do not shy away from doing the work to excel. Whether it’s a feature our users asked for, or a new article for our blog, we prioritize collaboration to deliver exceptional outcomes.

We love having fun as much as we love work. Our #nablabla channel is as active as

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