Join Outlive
Help Build the Operating System for Better Long-Term Health
Outlive is translating the principles of Medicine 3.0 into a practical, evidence-based product that helps people change the trajectory of their health. We focus on what matters most. Setting meaningful long-term goals, understanding the risks that can get in the way, and selecting the tactics that move the needle. Our approach is grounded in the ideas Peter Attia has spent his career developing. A deliberate practice with clear metrics and truly personalized plans that extend healthspan, not just lifespan.
We’re building a system that takes the essential pillars of long-term health and makes them actionable. Our goal is simple. Give people a structured way to understand where they are today, what levers truly matter, and how to make durable progress over time.
Why Outlive
You will shape the foundation, not optimize at the margins
We’re in the earliest stages of building something that doesn’t exist anywhere else. There are no templates. No inherited systems. The work requires people who want to solve first-principles problems and create frameworks built to last.
Science and design sit at the center of everything
We aim to convey complex ideas with clarity and precision. That means pairing rigorous scientific thinking with thoughtful, intuitive design; so users can understand why something matters and how to act on it.
AI is part of how we work
The product itself is grounded in science and behavior change. But as a team, we use AI to think, test, draft, explore, and accelerate our work. It’s a tool that enhances judgment and craftsmanship, not a replacement for either.
We care about rigor, honesty, and high standards
The team is small, driven, and aligned around a shared goal: build something that meaningfully improves long-term health. We challenge ideas respectfully, expect clear reasoning, and operate with a bias toward action. Precision matters. So does integrity.Role Overview
As a Backend Engineer, you’ll be responsible for designing and evolving the core services that power Outlive’s health intelligence platform. This includes user identity, data ingestion, scoring systems, background processing, and secure integrations with external services.
You’ll work primarily in TypeScript with NestJS, deploying to Cloud Run and Cloud Functions on GCP.
Responsibilities
Design and implement backend services using NestJS (v11) and TypeScript
Build secure, well-validated REST APIs using zod, class-validator, and OpenAPI
Implement role-based access control and JWT validation using Google Identity
Model and manage relational data using Prisma and Postgres
Implement background jobs and async workflows using Cloud Tasks
Integrate with external services (OCR, scheduling APIs, third-party data sources)
Ensure observability through structured logging, metrics, and Sentry
Write unit and integration tests using Jest
Collaborate closely with frontend and infra engineers on system design and deployment
Required Qualifications
5+ years of backend engineering experience
Strong experience with Node.js and TypeScript
Production experience with NestJS or similar structured backend frameworks
Experience designing APIs and data models for complex domains
Familiarity with relational databases and ORMs
Strong security mindset, especially around auth and data access
Experience optimizing Postgres data interactions
Strong familiarity with building distributed systems, related practical design considerations, and patterns for scaling such systems in the cloud
Nice-to-Have
Experience with Google Cloud Platform
Experience in healthcare, fintech, or other regulated domains
Familiarity with OCR pipelines or document processing
Experience with event-driven or task-based architectures
Expected Pay Range$100,000—$175,000 USDWhat We Offer
100% employer-paid medical, vision, and dental insurance (multiple plans available).
100% employer-paid life insurance, short-term, and long-term disability insurance.
Employer-sponsored HSA contributions for HDHP medical plans
Additional HSA and FSA spending account plans for employees
401(k) with a 5% company match.
Generous PTO and holiday schedule.
Company-issued technology and work-from-home stipend.
A chance to shape a product, and a company, from the ground up.
The opportunity to work at the forefront of health and longevity science with a team of world-class professionals dedicated to precision, mastery, and excellence.