Lead Software Engineer, Backend
Cylinderhealth
| Company | Cylinderhealth |
| Category | Engineering |
| Location | Remote |
| Remote | Remote |
| Employment | Not stated |
| Level | Lead |
| Salary | USD 165k–210k |
| Posted | 6 Jun 2026 |
| Last verified | 30 Jul 2026 |
| Source | Employer career page (ashby) |
Description
About Cylinder
Founded in 2021 and offered as an employer benefit, Cylinder (formerly Vivante Health) delivers personalized, clinician-backed care to those suffering from digestive issues through its virtual health platform. Cylinder's tech-forward, human-first program connects members to the right level of support at the right time through an easy interface, bringing the healthcare ecosystem together to align around member needs. Cylinder's dedicated care teams help members proactively address their gut health from every angle – decreasing costs, reducing absenteeism, and improving their quality of life, at scale. Cylinder's vision is to create a world where people receive convenient, personalized, and affordable access to the quality digestive healthcare they need to improve their overall health.
Position Summary
As a Lead Software Engineer at Cylinder, you will be a technical leader and owner of feature delivery, helping build and scale our digestive health platform. You'll be a hands-on technical leader — comfortable jumping into architecture discussions, code reviews, and technical decisions. A meaningful part of this role involves leading your team in building AI-powered features, collaborating with our data and clinical teams on LLM-based experiences and model integrations. You'll partner closely with product, clinical, and data teams to deliver high-quality software that directly improves outcomes for our members. Our backend services are developed mostly in Go and run in GKE (k8s) or directly on other GCP serverless frameworks, with GitHub and Terraform powering the DevOps environment.
Why is this a great opportunity?
- The problem domain and our approach to solving it is super compelling. We're bringing together data sources that have never been joined, building models of a GI patient that have never been built, and discovering new GI health insights that help real people to manage and support their real medical conditions.
- It's still early enough that there's a lot of decisions and new discoveries to be made, so this is your chance to get in early and help shape our future.
Other things about our environment you should be aware of:
- We're still a small company, which means that everyone still wears a lot of hats and we need engineers who are comfortable with ambiguity and working across a wide variety of challenges. That said, our existing engineering team has built an extremely efficient working environment based on best-in-class hosted SaaS frameworks that greatly minimize the overhead in deploying and supporting software in production.
- We're all really passionate about improving clinical outcomes for our members and truly advancing the GI health space. Most of us also have personal (direct/family/friend) connections to GI health problems. Whatever it is that fuels you, we're on a mission to build something much larger than ourselves here and looking for another partner in driving that mission forward.
Responsibilities Include:
- Technical Leadership: Provide strong technical leadership and vision for your engineering squad, ensuring alignment with the company's strategic goals — and staying close enough to the code to earn your team's respect
- Technical Strategy: Collaborate with product management and other stakeholders to define and prioritize the technical roadmap, ensuring alignment with business objectives
- Technical Standards: Implement processes, tools, and practices that drive high-velocity and high-quality delivery across onshore and offshore teams
- Execution: Drive the successful delivery of software projects, including planning, resource allocation, and project management
- Quality Assurance: Grow and foster our adoption of SQA best practices to ensure high-quality deliverables
- Cross-Functional Collaboration: Work closely with cross-functional teams (Product/Clinical/Data/ClientSuccess/etc.) and communicate effectively to distill technical details into business
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