Senior Software Engineer - Backend Foundations

Parachute Health
$165,000 - $210,000Remote

About The Position

Parachute Health is transforming post-acute care as the leading digital ordering platform for medical equipment and supplies. We connect major health systems, health plans, and suppliers to help patients get the life-saving products they need at home. Since launching, we've connected 300,000+ clinicians and 3,000+ supplier locations across all 50 states and helped 15M+ patients. What started as a DME ePrescribing tool has become the order management platform of choice for home medical equipment. Join our team and make a difference in patient care. About the team This team supports the core platform services that power our application, including the Ruby monolith and queueing systems, and sets the site reliability engineering standards across the organization. They also enhance workflows and automation across the software development lifecycle (SDLC), building agentic tooling to streamline these processes.

Requirements

  • 5+ years of professional software engineering experience
  • Experience working in a startup, incubator, or other fast-paced 0-to-1 environment where you own features end-to-end and set your own direction.
  • Strong full-stack web application experience in Python, Ruby, Go or other modern languages. Must be willing to learn and work in Ruby.
  • Familiarity with prompt engineering and the prompt iteration lifecycle.
  • Fluent with AI-powered coding tools (e.g. Cursor, Claude Code) to move quickly.
  • Strong written and verbal communication; able to drive alignment without being asked
  • Must reside in the U.S.
  • Applicants must be legally authorized to work in the United States at the time of application and for the duration of employment. The Company does not sponsor employment authorization for this position.

Nice To Haves

  • Healthcare Interoperability Standards: Exposure to FHIR, HL7, or integrating with major EHR systems (Epic, Cerner, etc.)
  • Experience working cross-functionally to improve business process
  • Experience as technical lead on projects working with UX/UI design and/or product management.
  • Has shipped reliable agentic LLM workflows to production, with any orchestration framework (LangGraph, LangChain, etc).
  • Experience evaluating and testing LLM workflows: eval harnesses, golden datasets, regressions, and observability.
  • Experience with building scaling infrastructure on AWS and with Terraform.

Responsibilities

  • Build full-stack components of the platform: Ruby web applications at scale, TypeScript/React front-end.
  • Build agentic workflows that enhance the SDLC for engineers across the platform. Evaluate and recommend improvements based on accuracy, latency, and cost.
  • Strengthen our platform and SDLC: build datasets, monitoring, tooling, practices and workflows that improve our developing and operating services in our ecosystem.
  • Improve production observability: work with product teams to ensure they are equipped to effectively monitor the performance and reliability.
  • Help steer architectural and technical direction to ensure our applications follow cohesive and consolidated standards that ensure a high-level of quality and reliability
  • Actively partner with other product teams to understand use cases and identify how to best enable and support them.
  • Advise on best practices across platform use cases, service observability, maintenance and operation.

Benefits

  • Medical, Dental, and Vision Coverage: Comprehensive plans with options for low-to-no-cost premiums.
  • Employer HSA Contribution: Company-funded contributions to your Health Savings Account.
  • 401(k) Retirement Plan
  • Equity Incentive Plan
  • Annual Company-Wide Bonus: Opportunity for up to 15% bonus based on company performance.
  • Remote-First Culture: We are remote-first with a dedicated NYC office and reimbursement options for co-working spaces.
  • Flexible Vacation Policy
  • Summer Fridays: 5 additional Fridays off during the summer (separate from PTO).
  • Home Office and Wellness Stipend
  • Monthly Internet Stipend
  • Annual Learning and Development Stipend
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