Senior Full Stack Engineer - HealthTech

About the role

Join a fast‑growing health‑tech company that has raised over $100 million and is scaling its core platform for healthcare operations. As a Senior Full Stack Engineer you will build systems that directly impact hundreds of thousands of patient visits each year, working remotely with flexible hours.

Key responsibilities

• Build and operate production applications, APIs, integrations, data workflows, and internal user experiences.
• Work across a polyglot stack that includes Ruby on Rails, Python, Node.js, SQL and related services.
• Design reliable systems for sensitive healthcare data with focus on quality, auditability, performance and failure handling.
• Own features from definition through launch, production support and iteration.
• Partner with product and leadership to define milestones, surface trade‑offs and raise engineering standards.
• Improve CI/CD, observability and operational reliability while delivering new features.
• Leverage AI coding tools such as Claude Code, Cursor or Codex to accelerate delivery.

Required profile

• 7+ years of experience building and operating production software at a senior level.
• Strong hands‑on expertise in Ruby on Rails or Python and ability to work across multiple languages.
• Deep SQL and data‑modeling skills, preferably with PostgreSQL or similar relational databases.
• Experience with JavaScript/TypeScript and modern web application development.
• Solid engineering fundamentals including data structures, concurrency, API design, testing and systems design.
• Proven track record building reliable integrations, data pipelines or high‑volume operational systems.
• Working knowledge of DevOps practices such as CI/CD, Docker, cloud infrastructure, monitoring and incident response.
• Clear examples of responsibly using AI coding agents and validating their output.
• Computer science degree or equivalent foundation in software‑engineering principles.
• U.S. work authorization without sponsorship.

Required skills

• Ruby on Rails
• Python
• Node.js
• SQL
• PostgreSQL
• JavaScript
• TypeScript
• CI/CD pipelines
• Docker
• Cloud infrastructure (AWS)
• Monitoring and incident response
• AI coding tools (Claude Code, Cursor, Codex)
• Kubernetes (nice to have)
• Event‑driven systems (nice to have)
• Distributed services (nice to have)
• C# (nice to have)
• Analytics systems (nice to have)
• Data‑warehouse tooling (nice to have)

What we offer

• Health, dental and vision insurance
• 401(k) retirement plan
• Generous paid time off
• Fully remote work with flexible hours
• Direct access to leadership and fast decision‑making
• Modern AI‑assisted engineering workflows