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Clara Tian

@claratian

Senior Backend Engineer at Included Health building AI-powered clinical workflows and transactional services for care coordination.

United States
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At Included Health, I architect and operate backend APIs and domain services for clinical workflows, member records, and provider operations. I build transactional services with idempotent writes and correctness guarantees for care coordination data.

I also build LLM-powered workflow automation for clinical triage support, connecting retrieval and tool orchestration to member history across downstream systems while maintaining audit trails.

To keep health plan data reliable across services, I designed Kafka and SQS integrations with retry and dead-letter handling, and implemented fine-grained permissions and HIPAA-compliant audit logging for PHI-touching endpoints.

Previously at Strava, I designed REST APIs and asynchronous pipelines for activity feeds, GPS file ingestion, route computation, and geospatial indexing. I also migrated legacy endpoints to Docker and Kubernetes services on AWS and built CI/CD pipelines with automated testing and canary deployment gates.

Experience

Work history, roles, and key accomplishments

IH
Current

Senior Backend Engineer

Included Health

Nov 2023 - Present (2 years 11 months)

Architected and operated backend APIs and domain services supporting clinical workflows, member records, and provider operations across 4 production microservices. Built LLM-powered workflow automation capabilities for clinical triage support and designed event-driven integrations using Kafka and SQS.

Education

Degrees, certifications, and relevant coursework

Rice University logoRU

Rice University

Bachelor of Science, Computer Science

2016 - 2020

Bachelor of Science in Computer Science from Rice University, completed in 2020.

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