Staff Ruby on Rails Engineer
About The Position
We’re turning our online mental health services into a provider platform that any health plan, payer, employer, or med-tech app can plug into. You’ll design and ship the APIs, webhooks, and integration points that make that possible. Your work will remove friction for partners, protect patient data, and get people care faster. Lead the design, development, and optimization of services built on Ruby on Rails. Architect and implement event-based systems leveraging RabbitMQ and other messaging technologies. Design and optimize schemas and queries for relational databases (e.g., PostgreSQL, MySQL). Drive the development of FHIR-compliant APIs for healthcare interoperability. Provide technical leadership and mentorship to engineers across teams. Partner with product, compliance, and business stakeholders to translate healthcare workflows into reliable software solutions. Advocate for engineering best practices including code quality, testing, CI/CD, and system observability. Collaborate in cross-functional discussions on scalability, security, and patient data protection.
Requirements
- 8+ years of professional software engineering experience.
- 5+ years with Ruby on Rails in large-scale production environments.
- Proven experience with event-driven architectures and RabbitMQ (or similar message brokers).
- Strong background in relational database design and performance optimization.
- Familiarity with healthcare systems, interoperability standards, and compliance considerations (e.g., HIPAA).
- Ability to provide architectural guidance, mentor engineers, and drive technical initiatives
Nice To Haves
- Experience with Python in production systems.
- Hands-on experience developing FHIR-based APIs.
- Background in building highly available, distributed systems in healthcare or other regulated industries.
- A mix of startup and enterprise healthcare experience.
- Experience scaling systems in cloud-native environments (AWS).
- Strong communication skills, with the ability to work effectively across technical and non-technical stakeholders.
Responsibilities
- Own key platform APIs end to end, from RFC to rollout and monitoring
- Shape the partner developer experience (docs, SDKs, sample apps, sandbox flows)
- Build clean contracts and stable interfaces for identity, eligibility, scheduling, claims, and reporting
- Work with standards like OAuth2/OpenID Connect and FHIR/HL7 when they help, and keep things simple when they don’t
- Collaborate with product, security, data, and customer teams to turn real integration pain points into shipped solutions
- Measure impact and iterate quickly
- Lead the design, development, and optimization of services built on Ruby on Rails.
- Architect and implement event-based systems leveraging RabbitMQ and other messaging technologies.
- Design and optimize schemas and queries for relational databases (e.g., PostgreSQL, MySQL).
- Drive the development of FHIR-compliant APIs for healthcare interoperability.
- Provide technical leadership and mentorship to engineers across teams.
- Partner with product, compliance, and business stakeholders to translate healthcare workflows into reliable software solutions.
- Advocate for engineering best practices including code quality, testing, CI/CD, and system observability.
- Collaborate in cross-functional discussions on scalability, security, and patient data protection.
Benefits
- A generous PTO policy, with a minimum of three weeks off per year
- A holiday schedule that follows standard U.S. holidays
- Free therapy coverage benefits to ensure employees have access to the care they need (must be enrolled in a qualifying medical plan to participate)
- Competitive Medical, Dental, and Vision coverage, with plans to meet every need — including HSA (with $1,100 company contribution) and FSA options
- Employer-paid short-term disability, long-term disability, life & AD&D, plus coverage of the salary difference for up to seven weeks of short-term disability leave (after the required waiting period)
- Eight weeks of paid Parental Leave; if the parent also qualifies for STD, this benefit is in addition, allowing for 8–16 weeks of paid leave
- 401(k) retirement plan with 100% match on up to 4% of base salary, immediately vested
- Join teammates from across the country at our annual company gathering
- Company shutdown between Christmas and New Year’s
- Supplemental life insurance, pet insurance, commuter benefits, and more!
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
