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HE
Healthie

Senior Software Engineer (Ruby/Full-Stack) - Hybrid

Salary$185k – $205k
LocationLA, NYC, NYC or LA
Work modehybrid
Typefull-time
SenioritySenior
Experience6+ yrs
DepartmentEngineering
Company size51–200 people
First seenSep 27, 2026 · 2w ago
Verified live1d ago
At a glanceSummarised by Seekless from the posting.
Must have13
6+ years of recent experience shipping Rails applications in production environments
Proficient with Rails, React, TypeScript, GraphQL, Postgres, and Redis
Hands-on experience managing production stacks in Ruby and Rails
Deep understanding of best practices in coding standards, complexity reduction, refactoring, schema design, and Domain-Driven Design
Experience with testing frameworks such as RSpec and Capybara
Skilled in writing unit tests, higher-level tests, and structuring codebases for optimal maintainability and bug prevention
Provide technical leadership, guiding a development team in delivering efficient solutions
Actively participate in code reviews, cross-functional project planning, and mentoring engineers
Passion for healthcare and belief in improving patient outcomes
Exceptional communicator, able to communicate complex technical concepts clearly
Strong interpersonal skills and works well in a remote-first environment
Highly focused on delivering results, bias toward execution
Embody Healthie's values of Respect, Reliability, and Resilience
Nice to have3
Experience with CI/CD, cloud platforms such as AWS or GCP, and IaaS technologies like Terraform, Kubernetes, Puppet, or Chef
Experience optimizing application performance, solving database query problems, and modularizing monolithic applications
Familiarity with monitoring application performance and ensuring top-tier functionality across integrations
Eligibility1
U.S. work authorization is required, Healthie does not provide sponsorship
Skills
Rails
React
TypeScript
GraphQL
Postgres
Redis
RSpec
Capybara
AWS
GCP
Terraform
Kubernetes
Puppet
Chef
Our Mission
Healthie is an AI-Native, ONC Certified EHR for modern outpatient healthcare.
Healthie is proud to power clinically excellent healthcare for over 40,000 providers who deliver clinically excellent healthcare - longitudinal and collaboratively, with patient and provider experiences at the center. Both healthcare and technology are undergoing unparalleled industry innovation, and it’s incredible to see the momentum - from consumers, from providers, and from reimbursement for this type of healthcare - grow exponentially.
We provide the powerful infrastructure every care delivery organization needs. On the surface this includes EHR, Scheduling, Engagement, Billing, Data, and much more. Underneath the iceberg are thousands of configurations, settings, widgets, automations, and limitless capabilities because we are an API-first platform. Our fully brandable platform makes it easy for clinics and organizations of any size to scale and never reach a limit.
Today, over 3 billion API calls are made to Healthie every month, as thousands of organizations who work with more than 21 million patients in total, rely on Healthie to deliver clinically excellent healthcare in over 35 specialties, from behavioral healthcare to complex chronic care management and personalized medicine.
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, and always share our product roadmap publicly- 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. We know that building an ONC-Certified EHR is a lifetime’s body of work, and we are here to build for our customers forever.
Learn more at https://www.gethealthie.com/
About the role
We are hiring exceptional Senior 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 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.
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
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.
Details, details
•
This is a full-time, hybrid position within our NYC or LA office.
•
U.S. work authorization is required, Healthie does not provide sponsorship.
•
The salary for this position is a base between $185,000 - $205,000.
Interview Process
•
Quick chat with someone from our Talent team (15 min)
•
Interview with Jonathan, VP of Engineering (30 minutes)
•
Pair Coding Interview (two, 1 hour sessions)
•
Meet with Cavan, CTO + Co-founder (20 minutes)
•
Reference Checks
Learn more at gethealthie.com/careers.
Healthie is subject to HIPAA and other security and privacy frameworks, and this job entails training and conformance to expectations regarding security and compliance.
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.
More roles at Healthie
QA EngineerSenior QA EngineerStaff EngineerSenior Product DesignerForward Deployed Engineer
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