Senior Software Engineer

New
F
Form HealthObesity Medicine
Open to candidates located anywhere in the United StatesFull-TimeSenior
Salary$150,000 — $175,000 USD
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Job Details

Experience
5+ years
Required Skills
AWSBackend DevelopmentRuby on RailsDatadogHIPAA

Requirements

  • 5+ years building and operating production software, with meaningful backend and workflow-heavy experience.
  • Strong proficiency in a modern backend stack; experience with Ruby on Rails is a strong plus, and comfort ramping quickly in an established codebase is essential.
  • A track record of owning features end to end and making pragmatic architectural decisions.
  • Strong delivery fundamentals: small-batch and continuous delivery, feature flags, automated testing, and operational excellence.
  • Comfort with cloud infrastructure and observability (we run on AWS and Datadog).
  • Experience integrating with third-party systems and APIs.
  • Hands-on fluency with, or genuine enthusiasm for, agentic AI-native development tools (e.g., Claude Code) as part of your everyday workflow.
  • Clear communication and effective collaboration with product, clinical, and non-technical partners.

Responsibilities

  • Design, build, and ship backend services, workflows, and integrations that power clinical charting, scheduling, task management, and care coordination.
  • Own features end to end: from shaping the approach with product and clinical partners, through implementation, testing, rollout, and operation in production.
  • Work primarily in a mature Ruby on Rails monolith, alongside supporting services and internal tooling.
  • Build and maintain integrations with clinical and operational systems, including our EHR.
  • Practice small-batch, continuous delivery: small PRs, short-lived branches, feature flags, and tight feedback loops that let us ship safely and frequently.
  • Use agentic, AI-native development tools (e.g., Claude Code) as a core part of how you design, build, test, and review, without compromising engineering rigor.
  • Write well-tested, observable, maintainable code, and instrument your work so we can understand how it behaves in production (we run on Datadog).
  • Raise the technical bar for the team through thoughtful code review, pairing, and mentorship of other engineers.
  • Ensure the systems you build operate safely within HIPAA and broader healthcare regulatory requirements.
  • Identify technical risks early and help drive mitigation before they impact care delivery.
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$150,000 — $175,000 USD
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