Senior Backend Engineer

Who We Are

Meroka is building the future of independent medicine in the United States. We provide operations, finance, tech, and strategic support to physician‑owned practices—helping them grow sustainably and with soul. This is in addition to support for physicians transitioning ownership to the employees of the business. We believe in clear communication, practical systems, thoughtful design, and long‑term thinking. Our tone is warm, grounded, and confident—never corporate or clinical.

This Role Is Not for You If

• You avoid ownership of large, complex systems and prefer narrow, isolated tasks.
• You are uncomfortable building in a regulated space like healthcare where security and compliance are non‑negotiable.
• You shy away from mentoring or supporting less experienced engineers.
• You wait for direction rather than proactively identifying technical improvements.

What You’ll Do

• Design, de...