Senior/ Staff Software Engineer

Title: Senior/ Staff Software Engineer (Ruby/Full-Stack)

Location: United States

Job type: Full Time 

Department: Core Engineering 

Work type: Remote

USD 185,000-235,000 / year

United States

Job Description:

Our Mission

We’re building infrastructure for modern healthcare delivery.

Traditional healthcare is plagued with outdated, monolithic EHRs designed to maximize billing outcomes. Patient outcomes and provider experiences have been afterthoughts, as these systems have bolted on non-API-first solutions. None of this is built for how clinically excellent healthcare is actually delivered—longitudinally and collaboratively, with the patient at the center.

Healthie is the world’s leading API-first, ONC-Certified EHR for healthcare delivery outside of the hospital. We provide the powerful infrastructure every scaling organization needs—EHR, scheduling, patient engagement, billing, and more—all accessible via modern APIs and a white-labeled UI. Our platform makes it simple for organizations of any size to launch, customize, and scale their care delivery models without reinventing the wheel.

Today, over 2 billion API calls are made to Healthie every month, as thousands of organizations—working with more than 20 million patients in total—rely on Healthie to deliver clinically excellent healthcare in over 35 specialties, from preventative medicine to complex chronic care management.

We believe in the power of technology to improve access to healthcare—and we’re building the rails that make this a reality. We work fast and with quality because we provide business-critical, healthcare-critical software that clinicians and patients need for a better healthcare system. We’re customer-obsessed, operate with lightning-fast processes and responses, make our product roadmap public so customers can see what we’re building, and remain relentlessly focused on how care gets delivered.

Healthie is backed by leading investors, and while we've $42M raised to date, more importantly, we operate with fiscal responsibility and have been profitable for more than half of our time as a company.

About the role

We are hiring exceptional Senior and Staff Software Engineers to join Healthie’s Web Engineering team. In this role, you’ll play a key part in developing new features and enhancing existing solutions for our platform, all while ensuring the highest quality in production systems. You’ll help scale our virtual-first healthcare delivery infrastructure and collaborate with a talented group of engineers and product teams.

You’ll work primarily with our monolithic architecture, employing Rails, React, TypeScript, and GraphQL to build, maintain, and scale Healthie’s solutions. Your expertise will also be crucial in leading technical projects, providing guidance to junior engineers, and optimizing the platform to enhance the user experience for our healthcare customers.

As a Senior or Staff Software Engineer, you will take ownership of feature development, from concept through to deployment, ensuring our platform remains robust, scalable, and aligned with our mission to improve healthcare outcomes.

At Healthie, we are AI-enabled and AI-accelerated in how we build. We are looking for team members who actively leverage AI-powered development tools, embrace automation, and help teams adopt modern, AI-assisted engineering practices to increase velocity and quality.

Details, details

• This is a full-time, remote position located within the United States.

• The base salary for this role is:

  • Senior level $185,000 - $205,000 per year plus equity, annual bonus, & benefits

  • Staff level $205,000 - $235,000 per year plus equity, annual bonus, & benefits

• U.S. work authorization is required, Healthie does not provide sponsorship.

About you

• Experienced & Technical: You have 6+ years of recent experience shipping Rails applications in production environments, with familiarity in working with monolithic, service-oriented, or microservice architectures.

• You are proficient with Rails, React, TypeScript, GraphQL, Postgres, and Redis, and have hands-on experience managing production stacks in Ruby and Rails.

• Operational Excellence: You bring a deep understanding of best practices in coding standards, complexity reduction, refactoring, schema design, and Domain-Driven Design. You are always focused on writing production-ready, scalable, and maintainable code.

• Development & Testing: You have experience with testing frameworks such as RSpec and Capybara, and are skilled in writing unit tests, higher-level tests, and structuring codebases for optimal maintainability and bug prevention.

• Leadership & Collaboration: You provide technical leadership, guiding a development team in delivering efficient solutions. You thrive in a collaborative environment and actively participate in code reviews, cross-functional project planning, and mentoring engineers.

• Mission-Driven: You have a passion for healthcare and believe deeply in improving patient outcomes. You are excited to work in a company that is advancing healthcare delivery with technology.

• Exceptional Communicator: Whether in writing or on the phone, you are able to communicate complex technical concepts in a clear and understandable manner. You have strong interpersonal skills and work well in a remote-first environment, consistently collaborating with both engineers and product teams.

• Execution-Oriented: You are highly focused on delivering results. You have a bias toward execution and are comfortable navigating obstacles to get the job done.

• Values-Driven: You embody Healthie’s values of Respect, Reliability, and Resilience in everything you do, and bring a spirit of collaboration and trust to the team.

Nice to have

• Infrastructure & Deployment: Experience with CI/CD, cloud platforms such as AWS or GCP, and IaaS technologies like Terraform, Kubernetes, Puppet, or Chef.

• Application Architecture & Performance: Experience optimizing application performance, solving database query problems, and modularizing monolithic applications.

• Performance Monitoring: Familiarity with monitoring application performance and ensuring top-tier functionality across integrations.

Interview Process

• Quick chat with our recruitment team (20 minutes)

• Interview with Jonathan, VP of Engineering (30 minutes)

• Technical Pairing Interviews:

  • one hour frontend

  • one hour backend

• Meet with Micah or Andrew (45 minutes)

• Meet with Cavan, CTO + cofounder (20 minutes)

• Reference Checks

* Please note- we will stack these interview where applicable for a speedier process

Healthie participates in e-verify.

Healthie is committed to equal employment opportunity. All qualified applicants will receive consideration for employment without regard to and will not be discriminated against based on age, race, gender, color, religion, national origin, sexual orientation, gender identity, veteran status, disability or any other protected category. We're proud to be building a diverse and inclusive environment that encourages collaboration, creativity, and growth. Whatever your background, please apply if this is a role that would make you excited to come into work every day.