Job title: Senior Back End Engineer (Agentic Systems Engineer)
Job type: Permanent
Emp type: Full-time
Industry: Technology
Functional Expertise: Engineering Technology
Skills: software Engineering Senior Backend
Salary type: Annual
Salary: Negotiable
Location: Cape Town - Hybrid
Job published: 20-04-2026
Job ID: 38080

Job Description

THE OPPORTUNITY THAT AWAITS YOU

 

We're partnering with an innovative health-tech company building advanced Agentic AI systems that are transforming healthcare administration in the United States. Their mission is clear: reduce the administrative burden on doctors through safe, reliable, and clinically accurate AI — giving healthcare professionals more time to focus on patient care.

 

We're looking for a Senior Back End Engineer / Agentic Systems Engineer to help architect and scale the backend intelligence powering these systems. This is a high-impact opportunity for someone who thrives at the intersection of AI engineering, backend systems, and real-world healthcare outcomes.

 

If you want to build production AI that solves meaningful problems at scale, this deserves your attention.

 

WHAT YOU WILL BE BUILDING

 

  • Production-grade LLM agent runtimes built for scale, resilience, and secure execution
  • Platform observability including logging, tracing, latency analysis, usage, and cost monitoring
  • EHR integrations with systems such as OpenEMR, Epic, and other healthcare platforms
  • Speech-to-text pipelines supporting clinical and operational workflows
  • Shadow deployments, canary releases, rollback strategies, and production hardening controls
  • Secure cloud environments supporting healthcare-grade compliance expectations
  • Integration architecture connecting AI systems to real-world product workflows
  • Technical standards, delivery priorities, and engineering direction for platform growth

 

OUR REQUIRED EXPERTISE
 

  • Strong Python backend engineering expertise
  • Hands-on experience with LLMs, prompt engineering, and AI system evaluation
  • Experience building APIs, distributed systems, and scalable backend services
  • Strong understanding of async runtimes and production reliability
  • Exposure to Docker, Kubernetes, and cloud environments (GCP preferred)
  • Ability to design benchmarks, testing frameworks, and quality controls
  • Strong communication skills with the ability to work cross-functionally
  • Healthcare, medical coding, or clinical informatics exposure highly advantageous
  • PhD / advanced research background in AI, NLP, or related field strongly preferred

 

YOUR REWARD

 

  • Build systems that directly reduce clinician burnout and improve healthcare delivery
  • Your work will shape how AI is deployed safely and effectively inside one of the world’s most complex industries
  • Join a fast-moving, high-calibre team solving hard technical problems with real commercial and social impact
  • Hybrid/Flexible working based out of Stellenbosch Western Cape
  • Lucrative salary based on experience with additional company perks

 

For more roles, please have a look at our website (www.60degrees.com). or follow us on LinkedIn (https://www.linkedin.com/company/10287263/)