Back End Engineer

We are seeking a backend engineer to help design, build, and maintain our data pipeline system. This position is for a back end engineer who wants to grow with our company. The initial role is an IC but a good candidate will become a valuable team member who will be instrumental in developing the engineering organization at Milliman Pluritem.

Who We Are

Independent for over 75 years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping companies take on some of the world’s most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics, and business transformation.

Milliman invests in skills training and career development and gives all employees access to a variety of learning and mentoring opportunities. Our growing number of Milliman Employee Resource Groups (ERG’s) are employee-led communities that influence policy decisions, develop future leaders, and amplify the voices of their constituents. We encourage our employees to give back to their varied professions, including leadership in professional organizations. Please visit our web site (https://www.milliman.com/en/social-impact) to learn more about Milliman’s commitments to our people, inclusion, and sustainability.

Through a team of professionals ranging from actuaries to clinicians, technology specialists to plan administrators, we offer unparalleled expertise in employee benefits, investment consulting, healthcare, life insurance and financial services, and property and casualty insurance.

What You Will Do

In this role, you will:

• Design and implement data processing features from beginning to end
• Architect new additions to the data pipeline taking into account company goals around performance and quality
• Feature development for new features being added to the Milliman Pluritem clinical data pipeline
• Bug fix issues occurring in the clinical data pipeline
• Implement data integrations with partner companies
• Develop automated testing to ensure high quality feature development without regression

What We Are Looking For

Professional Qualifications

• Minimum of 5 years of experience as a back end engineer or similar role
• Strong programming skills and development life-cycle experience
• Familiarity with AWS tools: API Gateway, Lambda, Step Functions, AppSync, CloudWatch
• Experience designing and building API endpoints
• Experience with JavaScript, and examples of nodeJS system engineering as well as front end JavaScript
• Familiarity with Python

Personal Qualifications

• Excellent communication skills
• Attention to detail

Preferred Qualifications

• 5+ years of experience as a back end engineer or similar role
• Previous healthcare IT experience
• Familiarity with MongoDB and GraphQL databases

Individual(s) must be legally authorized to work in the United States without the need for immigration support or sponsorship from Milliman now or in the future. 

The Team

Milliman Pluritem is a pioneering business unit at Milliman with a mission to free patient data from outdated technology and silos. Pluritem’s flag-ship product is CareFlowIQ – a SaaS-based, clinical data platform that makes patient data more accessible and enables enhanced patient care. Founded by industry veterans who led work at Apple and Amazon, Milliman Pluritem leverages cutting-edge technology to deliver clinical insights to the healthcare industry. Our platform id designed to streamline operations, enhance patient care, and optimize resource management, ensuring that healthcare providers can focus on what they do best – delivering exceptional care at lower costs.

Location

This is a remote position. Candidates hired into this role may work onsite in select Milliman office locations, if they prefer. The expected application deadline for this job is May 22, 2026.

Compensation

The overall range for this role is $85,100 - $161,575. For candidates residing in:

• Alaska, California, Connecticut, Illinois, Maryland, Massachusetts, New Jersey, New York City, Pennsylvania, Virginia, Washington, or the District of Columbia the range is $97,865 - $161,575.
• All other locations the range is $85,100 - $140,500.

A combination of factors will be considered, including, but not limited to, education, relevant work experience, qualifications, skills, certifications, etc.

Benefits

We offer a comprehensive benefits package designed to support employees’ health, financial security, and well-being. Benefits include:

• Medical, Dental and Vision – Coverage for employees, dependents, and domestic partners.
• Employee Assistance Program (EAP) – Confidential support for personal and work-related challenges.
• 401(k) Plan – Includes a company matching program and profit-sharing contributions.
• Discretionary Bonus Program – Recognizing employee contributions.
• Flexible Spending Accounts (FSA) – Pre-tax savings for dependent care, transportation, and eligible medical expenses.
• Paid Time Off (PTO) – Begins accruing on the first day of work. Full-time employees accrue 15 days per year, and employees working less than full-time accrue PTO on a prorated basis.
• Holidays – A minimum of 10 paid holidays per year.
• Family Building Benefits – Includes adoption and fertility assistance.
• Paid Parental Leave – 11 weeks of paid leave for employees who meet eligibility criteria.
• Life Insurance & AD&D – 100% of premiums covered by Milliman.
• Short-Term and Long-Term Disability – Fully paid by Milliman.

Equal Opportunity

All qualified applicants will receive consideration for employment, without regard to race, color, religion, sex, sexual orientation, national origin, disability, or status as a protected veteran.