Node.js Backend Developer

Requirements

Core Backend Skills

• Strong proficiency in Node.js and Express.js
• Expertise in MySQL and Sequelize ORM, including performance tuning, schema design, and migrations
• Experience with ElasticSearch for full-text search, filtering, and aggregations
• Proficiency in Redis for caching, session management, and pub/sub
• Familiarity with RabbitMQ, AWS SQS for async processing and distributed job queues
• Experience working with WebSockets for real-time services (e.g., notifications, chat, streaming transcripts)
• Exposure to Next.js API routes and middleware for hybrid applications 

Cloud Infrastructure & Performance

• Solid understanding of AWS services: EC2, RDS, S3, CloudWatch, IAM, SQS/SNS and Lambda
• Ability to design scalable, modular APIs with clear separation of concerns and robust error handling
• Strong debugging and profiling skills, including experience with performance bottleneck analysis and monitoring tools
• Awareness of API rate limiting, authentication/authorization best practices, and RESTful design principles 

AI-First Development Practices

As part of an AI-native platform, you'll be expected to collaborate closely on AI-driven features and use AI tools for development and system design.

• Experience integrating AI workflows and LLM APIs (e.g., OpenAI, Claude, open-source models)
• Understanding of prompt design, context management, and token optimization
• Familiarity with RAG pipelines and vector databases like pgvector or Pinecone
• Experience using Model Context Protocols (MCPs) to enable dynamic AI behavior in response to user/system inputs
• Proficient in using AI developer tools such as Cursor, Bolt.new, Copilot, or Codeium for development acceleration and refactoring
• Bonus: Experience with AI-powered observability, log summarization, or error classification tools 

Testing & Quality Assurance

• Strong experience with unit and integration testing frameworks: Jest, Mocha, Supertest, Playwright
• Familiarity with API testing tools like Postman
• Experience writing testable and maintainable code, with attention to regression coverage 

We would be interested to know about

• Experience working on healthcare-related platforms i.e. familiarity with compliance requirements for HIPAA, GDPR and standard data protection regulations.
• Awareness of healthcare data standards such as HL7 FHIR, ICD, LOINC etc.
• Exposure to microservices, event-driven architecture, or background task queues in production
• Experience building real-time, low-latency systems, or applications for limited-connectivity environments

Experience: 3+ years in backend development 

Why Join Us

• Work on a mission-driven platform transforming digital healthcare
• Be part of a team that builds with AI-first practices and modern cloud-native tooling
• Contribute to a high-performance architecture supporting users across multiple countries
• Enjoy a collaborative, in-office development culture in our Trivandrum workspace
• Build backend systems that directly impact the lives of patients and care teams

How to Apply

Send your resume, GitHub/LinkedIn profile, and a short introduction to: jobs@needstreet.com