About The Position

We are seeking a Lead Engineer to help design, build, and operate backend platform services that support business-critical healthcare workflows. This role sits within a product-focused engineering group responsible for scalable, API-driven services used across multiple applications. You will be a hands-on technical leader, contributing directly to system design and implementation while influencing engineering standards, operational practices, and cross-team collaboration. The role emphasizes production ownership, system reliability, and pragmatic use of automation and AI-enabled capabilities where they provide measurable value. You’ll work primarily in Ruby on Rails (API-first services), building services deployed on AWS, with a strong focus on maintainability, observability, and secure handling of sensitive data. This is a technical leadership role. While it does not include formal people management, you will be expected to influence architecture decisions, raise engineering standards, and help develop other engineers.

Requirements

  • 5+ years of experience building and operating backend services using Ruby on Rails or similar frameworks.
  • Demonstrated ownership of production systems across their full lifecycle.
  • Experience delivering automation or AI-assisted capabilities in production environments, including monitoring and operational considerations.
  • Strong backend fundamentals: API design, distributed systems concepts, relational data modeling, and background processing.
  • Experience with modern cloud-based delivery practices (AWS, Docker, CI/CD; container orchestration is a plus).
  • A security- and privacy-first mindset, ideally with experience in regulated or sensitive domains.
  • Strong communication skills and the ability to collaborate effectively with technical and non-technical partners.
  • High ownership and accountability; you follow through and surface risks early.
  • Pragmatic and thoughtful; you prioritize reliability, safety, and real-world constraints.
  • Collaborative and low-ego; you value shared success and constructive feedback.
  • Clear communicator; you explain tradeoffs and decisions with confidence and clarity.
  • Mentorship-oriented; you enjoy helping others grow and improving how teams work together.

Responsibilities

  • Design, build, and evolve API-first Rails services that power shared platform capabilities.
  • Own service architecture and interfaces to support consistency and reuse across products.
  • Deliver automation and model-assisted features with appropriate safeguards, monitoring, and operational controls.
  • Establish and uphold best practices for production systems, including configuration management, rollout strategies, and ongoing evaluation.
  • Design and optimize PostgreSQL data models for correctness, performance, and multi-tenant scale.
  • Build and operate asynchronous and event-driven processing for high-throughput workloads.
  • Maintain high standards for observability and reliability, including logging, metrics, alerting, and incident response.
  • Ensure systems meet security, privacy, and compliance requirements, including careful handling of sensitive healthcare data.
  • Lead by example through code reviews, technical design, documentation, and mentoring.
  • Partner closely with Product, Design, and other engineering teams to deliver durable, high-quality solutions.
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