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
As a Senior Backend Engineer (AWS-focused) at Incision, you will design, scale, and operate secure, reliable, and cost-efficient backend systems with a strong emphasis on AWS architecture and cloud-native best practices. You’ll work with Node.js and TypeScript, using Nest.js, AWS CDK, and core AWS services to build and evolve our serverless platform. You’ll collaborate closely with Product Owners, Data Engineer, and Frontend teams to deliver features end-to-end, while also acting as a technical authority on AWS design decisions, trade-offs, and operational excellence. You’ll play a key role in strengthening our cloud foundations, improving reliability, scalability, and cost control across environments. This is a great role for someone who enjoys owning AWS architecture, mentoring others, and building systems where security, performance, and trust truly matter.

Your role

• Architect, build, and operate backend services on AWS serverless using TypeScript, Node.js, Nest.js, and AWS CDK

• Take ownership of AWS architecture decisions, including service selection, scaling strategies, and cost optimization

• Own features end-to-end: requirements, design docs, implementation, testing, observability, cost posture, and on-call readiness

• Design resilient systems using AWS-native patterns (event-driven, async processing, retries, idempotency)

• Work with DocumentDB (primary) and DynamoDB/Aurora, making informed data modeling and performance trade-offs

• Design and document clear APIs with OpenAPI, ensuring scalability, security, and maintainability

• Strengthen observability across services using CloudWatch, logs, metrics, and tracing

• Ensure privacy, security, and compliance in handling healthcare data

• Collaborate closely with Product, Data, Frontend, and QA teams to deliver high-quality outcomes

• Mentor and support other engineers, raising AWS, backend, and operational standards across the team

What You Bring 💪

• 7+ years of backend engineering experience, with strong hands-on AWS expertise in production environments

• Deep understanding of AWS core services, such as Lambda, API Gateway, S3, CloudWatch, Step Functions, EventBridge, IAM, and networking fundamentals

• Proven experience designing and operating serverless or cloud-native architectures at scale

• Strong background with Infrastructure as Code (AWS CDK strongly preferred, Terraform acceptable)

• Solid experience with Node.js, TypeScript, and Nest.js in production systems

• Database expertise: DocumentDB (or MongoDB), plus DynamoDB or Aurora

• Experience improving system reliability, performance, and scalability through effective debugging, execution optimization, and memory management

• Strong observability, security, and CI/CD practices in AWS-based systems

• Track record of mentoring engineers and influencing technical direction

• Excellent communication skills, able to explain complex AWS concepts to both technical and non-technical stakeholders

Great To Bring Along

• AWS certifications (e.g. AWS Solutions Architect – Associate or Professional)

• DevOps or platform experience (CI/CD pipelines, deployment strategies, environment management)

• Experience with cost optimization and FinOps practices in AWS

• Event-driven architectures (outbox pattern, idempotency, async messaging)

• Exposure to AI/LLM integrations and AWS-based AI services

• Frontend experience, especially Angular

• Background in healthcare, finance, or other regulated environments

What We Offer:

🚀 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.