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Senior Software Engineer (Ruby/Full-Stack)

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

Location: Remote

Job Description:

Our mission: to power virtual-first care delivery while improving access to healthcare and enabling better healthcare outcomes through technology.

Healthie powers next generation healthcare delivery. We build infrastructure that all healthcare organizations need to perform virtual-first care. Between our EHR, scheduling, and patient engagement solutions, Healthie’s API-first approach makes it easy for organizations of every size to build, customize, and scale their business.

Today, we power thousands of organizations – ranging from small private practices, to digital health startups and multi-billion-dollar healthcare companies. Leveraging Healthie, our customers deliver care to millions of patients, across the full spectrum of healthcare services – from preventative health & wellness to complex chronic care management.

We believe that the future of healthcare delivery is virtual-first, longitudinal, and collaborative. Learn more at

The Senior Software Engineer plays a key role in Healthie’s Web Engineering team, contributing to new feature development and enhancements. You’ll occasionally handle production systems, supported by our monolithic architecture. Our tech stack includes Rails, React, Typescript, and GraphQL, with additional tools like Postgres and Redis. We prioritize a friendly code review process involving both managers and peers, ensuring input from engineers at every stage. Collaboration between the engineering and product teams ensures well-defined, efficiently scoped projects.


Software Development and Technical Leadership:

  • Designing, developing, and maintaining high-quality software solutions.
  • Providing technical leadership and guidance to the development team.
  • Leading feature development, from concept to deployment.

Quality Assurance, Deployment, and Support:

  • Ensuring software quality through rigorous testing and optimization.
  • Managing deployment pipelines and ensuring reliable releases.
  • Troubleshooting and resolving technical issues.

Continuous Improvement and Collaboration:

  • Proactively identifying opportunities for process improvement and efficiency gains.
  • Staying current with technology trends and evaluating new tools and technologies.
  • Collaborating cross-functionally with designers and DevOps engineers to deliver features for our customers.

Qualifications: What we expect from you:

    • You have a track record of success: 6+ years recent experience shipping Rails applications to production environments with monolithic, service-oriented, or microservice architectures. Candidates from a healthcare or healthtech background will be prioritized.
    • You strive for Operational Excellence: Best practice experience with coding standards, refactoring, complexity reduction, Domain Driven Design, and schema design.
    • You bring hands-on experience: Experience with object oriented design and modularization of monolithic applications and have experience maintaining and upgrading Ruby and Rails-based production stacks.
    • Tools & Tech Experience: Our stack includes Rails, React, Typescript, GraphQL, Postgres, Redis, Sidekiq, RSpec, and Capybara.
        • Development and Testing: Experience with React, JavaScript, and TypeScript testing, along with writing unit and higher-level tests to ensure code quality and prevent regressions. Responsibility for structuring code bases with proper types and consistently writing production-ready code that accounts for edge cases and potential errors.
    • Prioritization matters: Ability to prioritize platform needs to both short term and long term business needs.
    • Strong interpersonal and collaboration skills: You care about people – your colleagues, our customers, and everyone around you. People want to work for and with you. You lead with influence, not authority.
    • Remote Work: Ability to deliver in a remote-first environment, regularly contributing to code review, actively looking for security vulnerabilities, systematically debugging customer-facing issues, working comfortably with both greenfield and legacy systems, and helping grow a DevOps culture.
    • Exceptional communication skills, both written & verbal.
    • Grit: You have a bias towards execution. You maniacally focus on getting the job done, and nothing slows you down.
    • Mission driven: You have a passion for healthcare and want to work at a place that cares deeply about helping to improve patient outcomes and experiences.
    • Embody Good Citizen Principles: You incorporate Healthie’s values (Respect, Reliability, Resilience) in your work.

Nice to have:

    • Infrastructure and Deployment: Focus on infrastructure and monitoring aspects, including CI/CD construction and maintenance, hands-on experience with cloud platforms like AWS or GCP, and knowledge of IAAS technologies such as Terraform, Kubernetes, Puppet, Chef, and Ansible.
    • Application Architecture and Performance: Experience with application architecture and performance optimization. Responsibility for solving database query problems, application performance monitoring, object-oriented design (OOD), modularization of monolithic applications, and domain-driven design (DDD).

Why you’ll love working at Healthie:

    • High caliber team: make an impact on something that truly helps people alongside an incredible, high performing team
    • Respectful culture: Egos get checked at the door! We take immense pride in self awareness and teamwork
    • Big mission: we’re expanding access to healthcare and enabling better outcomes through technology
    • Big market and big upside in sales: Our product has strong product-market fit in a huge market with strong demand
    • The challenge: make a big impact by joining a fast-growing team in its early stages of scaling
    • We care about diversity: diversity allows us to build an excellent patient experience. We are an equal opportunity employer and we do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status

In addition to finding people who are truly excellent at what they do, we take our core values at Healthie seriously:

Respect: “Make improvements, not excuses. Seek respect, not attention.” We approach our work with a quiet-ego, open-mindedness, and gratitude. We collaborate with kindness and are respectful toward each other and the work we contribute. We embrace diversity of thought as an advantage and create space for differing perspectives and methods. We recognize that no one person is more important than another, no task is beneath us, and each person’s work is valuable to our success.

Resilience: “When the going gets tough, the tough gets going.” No matter the challenges or setbacks we face, we find a way to push forward with grit and determination to reach our goals. Together, we are unified in our mission and know no bounds.

Reliability: “With great power comes great responsibility.” Healthie builds business-critical, healthcare-critical software, and we take great care to both safeguard client information and ensure that our platform and team are able to handle anything that comes our way. We show up for our team, our customers, and our product with reliability. We say what we mean, and we do what we say.


Location: Remote, United States

This is a full-time position.

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

The base salary for this role is $130,000. – $160,000. per year + annual company bonus and benefits

The target salary range for this position is part of a competitive total rewards package. Individual pay may vary from the target range and is determined by a number of factors including experience, location, internal pay equity, and other relevant business considerations. We review all employee pay and compensation programs annually at minimum to ensure competitive and fair pay.

An overview of Compensation, Equity, & Benefits Provided by Heathie

We believe in supporting the personal and professional success of our team members, and offer a three-part package to our employees. Note: We will continue to improve on these benefits, so the below list is always subject to change.

Part 1: Compensation and Rewards:

    • Base Salary: A competitive salary in line with your experience & industry standards. Our People & Finance teams benchmark all salaries using Pave. Pave provides real-time data and compensation management workflows that enable us to make fair and defensible compensation decisions.
    • Stock options: In addition to competitive and benchmarked salary, Healthie offers equity with a traditional 4 year vesting schedule, and a one year cliff.
    • Company-wide, performance bonus: We offer employees an annual company-performance basis according to our revenue goals. If Healthie succeeds, you succeed.
    • Retirement Planning: Employer sponsored 401(k) match of up to 4%
    • Commuter Benefits: Use pre-tax dollars that are deducted directly from your paycheck, so you can get to work with a little less effort.

Part 2: Health and Wellness for you and your family:

    • Medical, Dental, Vision: benefits start on the first day of the month following your start date. Healthie provides $520./ per month stipend toward your healthcare premiums which fully covers most plan options for the employee and part of the dependents premium. HSA and FSA plans available.
    • One Medical: You and your dependents also receive an individual One Medical account which is valued at $199/year per user (available in select locations)
    • Nutritional Care: Access to Nutritional Coaching through one of our nutritional care partners
    • Mental Healthcare: Access to Talkspace for Mental Healthcare with Aetna Medical enrollment, 1 year membership + 1 live video visit/month and unlimited messaging.
    • Virtual Care: Access to Teladoc for 24/7 virtual care. Membership is free, regular copays apply.
    • Sick Days and Medical Leave: Take the time you need to recover when you’re sick. Healthie provides 7 days paid medical leave if you’ll be away from work due to illness or injury for more than 7 consecutive work days.
    • Fitness Perk: Monthly Fitness Stipend, $40./ per month towards gym memberships, fitness classes, massage, etc.
    • Summer Fridays: half day or work on Fridays from Memorial Day to Labor Day
    • Parental Leave: 16 weeks of paid parental leave
    • Fertility Care: Access to fertility care support through Kindbody, 20% of all services, regular copays apply.
    • Additional Coverage: Life and disability coverages
        • Employer-Paid Life and AD&D: Basic life Insurance so you and your loved ones are covered in case something happens.
        • Employer-Paid Short Term Disability Insurance: If you’re disabled from illness or injury for a short period of time, this policy will make sure you’re financially covered up to $1000/week, so you can focus on getting better.
        • Supplemental Life Insurance: Offered to everyone on Justworks, this insurance policy gives you extra peace of mind, including automatic deduction

Part 3: A world-class culture you can thrive in:

    • Flexible work environment: 70% of Healthie team members work fully remote and 30% work in a hybrid model from our New York City (Midtown) office
    • Values-driven culture: No ego policy in line with our Core Values: Respect, Resilience, & Reliability
    • Computer: A MacBook is issued to all full-time hires
    • Learning & Development: Up to $400 / each year
    • Co-working Membership: Up to $300 / per month
    • Home Office Stipend: Up to $500 / every other year
    • Open Vacation Policy: flexible paid time off in addition to 12 paid holidays throughout the year

Interview Process- we are currently hiring for multiple positions

Our process is rigorous on purpose. We are looking for skilled engineers that strongly align with Healthie’s mission, values, and culture. The do’ers, go-getters, gritty and scrappy team builders and collaborators! Those that are equally as invested and passionate about the work we are doing as we are.

Resume Review

    • Round 1: Preliminary Interview
    • Round 2: Hiring Manager Interview
    • Round 3: Take Home Assignment (Coding Challenge)
    • Round 4: Behavioral Interview
    • Round 5: Technical Interview
    • Round 6: Executive Interview

Reference Checks

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.