Senior Back End Engineer; Agentic Systems Engineer Jobs in Cape Town, South Africa at 60degrees
Position: Senior Back End Engineer (Agentic Systems Engineer)
Job Description
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.
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
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
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
Title: Senior Back End Engineer; Agentic Systems Engineer
Company: 60degrees
Location: Cape Town, South Africa
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