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 RailsDatadog

Requirements

  • 5+ years of experience building and operating production-grade software.
  • Meaningful backend and workflow-heavy development experience.
  • Strong proficiency in a modern backend stack; Ruby on Rails experience is a strong plus.
  • Track record of owning features end to end and making architectural decisions.
  • Strong delivery fundamentals including continuous delivery, feature flags, and automated testing.
  • Experience with cloud infrastructure (AWS) and observability (Datadog).
  • Experience integrating with third-party systems and APIs.
  • Hands-on fluency with or genuine enthusiasm for agentic AI-native development tools like Claude Code.
  • Ability to communicate clearly and collaborate with non-technical, clinical, and product partners.
  • Experience in healthcare, clinical systems, or other regulated domains is preferred.

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.
  • 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 EHR.
  • Practice small-batch, continuous delivery using short-lived branches, feature flags, and automated testing.
  • Use agentic, AI-native development tools like Claude Code for design, build, test, and review workflows.
  • Write well-tested, observable, and maintainable code instrumented with Datadog.
  • Ensure systems operate safely within HIPAA and broader healthcare regulatory requirements.
  • Identify technical risks early and drive mitigation strategies.
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$150,000 — $175,000 USD
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