Senior Backend Engineer (Portugal-based Remote/Hybrid)

Overview

Sword Health is on a mission to free two billion people from pain.

With 67% of members achieving a
- free life and a 70% reduction in surgery intent, at Sword, we are using AI Care to change lives, and save millions for our 25, 000+ enterprise clients across three continents. Today, we hold the majority of industry patents, win 70% of competitive evaluations, and have raised more than $400 million from top venture firms like Founders Fund, Sapphire Ventures, General Catalyst, and Khosla Ventures.

Recognized as a Forbes Best Startup Employer in 2025, this award highlights our focus on being a destination for the best and brightest talent. Not only have we experienced unprecedented growth since our market debut in 2020, but we’ve also created a remarkable mission and
- driven environment that is loved by our growing team. With a recent valuation of $4 billion, we are in a phase of hyper growth and expansion, and we’re looking for individuals with passion, commitment, and energy to help us scale our global impact.

Joining Sword means committing to a set of core values, chief amongst them to “do it for the patients” every day, and to always “deliver more than expected” on behalf of our members and clients.

This is an opportunity for you to make a significant difference on a massive scale as you work alongside 1000+ (and growing!) talented colleagues, spanning three continents. Your charge? To help us build a
- free world, powered by AI, enhanced by people — accessible to all.

At Sword, we are reimagining healthcare by combining
- edge AI/ML technology with personalized care. Our goal is to provide
- class clinical support at a scale never seen before - where each patient’s journey is as individualized as possible.

As a Senior Backend Engineer on the AI Team, you will play a critical role in building, scaling, and optimizing the infrastructure that supports our ML-powered clinical features, decision support systems, and upcoming innovations in Generative AI.

You’ll work directly with
- functional teams to ensure Sword’s products are robust, scalable, and secure, empowering both our internal and external users with seamless access to personalized,
- driven care.

If you’re a backend engineer eager to dive deep into AI, this is the opportunity you’ve been waiting for.