Senior software engineer (node.js / aws serverless)

About us

At Incision (www.incision.care), our mission is to revolutionize surgical training and ensure that every patient receives the best possible care. We collaborate with surgical professionals and teams worldwide, sharing expertise through our award-winning e-learning platform, featuring 2D & 3D modules, augmented reality, and virtual reality applications.

Our Core Values

Impact & Excellence: we strive for innovation and excellence in surgical education

Learn, Grow, and Share: knowledge should be shared, and we help each other thrive

Teamwork Unleashed: we support, challenge, and celebrate each other’s success.

About the Role

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As a Senior Backend Engineer at Incision, you will design and scale secure, reliable, and cost-efficient backend systems. You’ll work with Node.js and TypeScript, using Nest.js and AWS CDK to build serverless services that power our products. You’ll collaborate closely with our Product Owners, Data Engineer, and Frontend team to deliver features end-to-end — from designing APIs and data models, through implementation, to observability and release. You’ll play a key role in shaping the architecture behind our surgical education platform, ensuring privacy, compliance, and scalability are built in.

Your role

• Architect and implement backend services on AWS serverless (CDK) with TypeScript, Node.js, and Nest.js
• Own features end-to-end: requirements, design docs, implementation, testing, observability, cost posture, and on-call readiness
• Make key design decisions around service boundaries, data models, and integrations
• Work with DocumentDB (primary) and DynamoDB/Aurora for data modeling and storage
• Design and document clear APIs with OpenAPI, ensuring scalability and maintainability
• Ensure privacy, security, and compliance in handling healthcare data
• Optimize system performance, debugging, execution speed, and memory usage for scalability
• Collaborate closely with Product, Data, and Frontend teams to deliver high-quality outcomes
• Mentor and support other engineers, raising the bar through code reviews, guidelines, and best practices

What You Bring

• 7+ years of backend engineering with Node.js and TypeScript (with at least 2–3 in senior/lead capacity)
• Hands-on experience building and scaling services with Nest.js in production
• Excellent TypeScript knowledge; able to improve existing code, introduce new practices, and establish guidelines
• Proven experience architecting backend systems in AWS serverless (Lambda, API Gateway, S3, CloudWatch, Step Functions, EventBridge)
• Strong background with Infrastructure as Code (CDK/Terraform) and multi-environment deployments
• Database expertise: DocumentDB (primary), plus DynamoDB or Aurora
• Experience improving system performance and scalability through efficient debugging, execution speed optimization, and memory management
• Strong observability, reliability, security, and CI/CD practices
• Track record of mentoring team members and influencing technical direction
• Excellent communication skills and ability to align across tech and business stakeholders

Great To Bring Along

• Frontend experience, especially Angular
• Event-driven architectures (outbox, idempotency, async messaging)
• Background in healthcare, finance, or other regulated environments
• Exposure to AI/LLM integrations and user-facing AI features.

Make a Real Impact: help revolutionize surgical education worldwide!

Cool & Modern Office: work in a stylish, pet-friendly space in Amsterdam.

International Team: join a diverse crew with 10+ nationalities.

Learning & Development: access training, courses, and growth opportunities.

Thursday Borrel: unwind with your team at our weekly get-together!

Hybrid Work Model: flexibility to work remotely and from our Amsterdam HQ.

Career Growth: expand your skills in a fast-paced, innovative environment.

Top-Notch Equipment: choose between Apple or Microsoft laptop, plus office monitor & tools.

Inspiring Team: collaborate with medical professionals and cutting-edge innovators.

Flexible Work Options: 2 days a week.

Free Lunches & Snacks: enjoy delicious meals and treats at the office!

Team & Social Events: regular gatherings to connect, learn, and have fun.

Competitive Salary: get rewarded for your skills and expertise.

Travel Allowance: support for commuting costs.

Pension Plan: secure your future with our retirement benefits.

Mental Health Support: access well-being resources through OpenUp.

Casual Scale-Up Environment: work in a dynamic, fun, and inspiring atmosphere!

Diverse & Inclusive Workplace: be part of an open-minded, supportive culture where everyone is valued.