Senior Software Engineer (Fullstack)

Accountabilities

• • Lead the technical vision and delivery of high-performance APIs and end-user experiences using Ruby on Rails, React, and TypeScript.
  • Build and maintain scalable full-stack web applications serving patient and provider experiences.
  • Develop clean, reliable APIs using REST and GraphQL while establishing efficient data-fetching models.
  • Design and implement responsive, high-performance frontend experiences using modern React patterns and technologies.
  • Collaborate closely with Product, Design, and Engineering teams to deliver high-impact features that balance user experience, technical quality, and maintainability.
  • Contribute to evolving software development, testing, and engineering standards to strengthen technical excellence across the team.
  • Develop automated tests across the technology stack using tools such as RSpec, React Testing Library, Cypress, and Playwright.
  • Participate in modern CI/CD and deployment processes, including GitHub Actions.
  • Make thoughtful architectural and technical decisions while balancing product requirements, scalability, performance, and code complexity.
  • Lead or contribute to complex engineering projects and help align cross-functional teams around technical solutions.
  • Participate in an on-call rotation to support platform reliability and respond to issues outside standard working hours.
  • Apply strong data security, privacy, and ethical technology practices when designing and developing software.
  • Explore and apply AI-assisted development tools where they can improve engineering productivity and software delivery.
  • Contribute to continuous improvement across engineering practices, architecture, development workflows, and platform capabilities.

  Requirements

  • 7+ years of professional experience building and delivering scalable web applications across the full software stack.
  • Bachelor’s degree in Information Technology, Management Information Systems, Computer Science, or a related field, or equivalent professional experience.
  • Strong professional experience with React, TypeScript, and modern frontend development patterns, with particular attention to web performance and responsiveness.
  • Strong backend engineering experience, including the design and development of scalable services and clean REST or GraphQL APIs.
  • Professional experience with Ruby on Rails and modern JavaScript ecosystems is highly desirable.
  • Proficiency writing SQL for relational databases, particularly PostgreSQL.
  • Hands-on experience implementing automated testing across frontend and backend layers using tools such as RSpec, React Testing Library, Cypress, or Playwright.
  • Experience with modern deployment pipelines and CI/CD practices, including GitHub Actions.
  • Strong understanding of software architecture, scalable application design, frontend performance, and data-fetching strategies.
  • Experience making large-scale frontend architectural or design decisions and configuring development or build tooling is preferred.
  • Experience leading complex technical projects, influencing architecture, and coordinating effectively across multiple teams is a plus.
  • Familiarity with AI-assisted coding tools such as GitHub Copilot, Gemini, or Claude is preferred.
  • Experience in healthcare technology or with integrations across the broader U.S. healthcare ecosystem is advantageous.
  • Excellent analytical and problem-solving abilities, with strong communication skills and the ability to explain complex technical trade-offs to both technical and non-technical stakeholders.
  • Ability to work independently and collaboratively within an iterative Agile environment with minimal direction.
  • Willingness to participate in an on-call rotation supporting platform reliability.
  • Strong commitment to data security, privacy, and responsible technology practices.
  • Must be legally authorized to work in the United States on a permanent and ongoing basis without requiring employer sponsorship.

  Benefits

  • Competitive base salary and incentive compensation.
  • Medical, dental, and vision coverage.
  • Life insurance and additional protection benefits.
  • Legal and identity protection services.
  • Adoption assistance and Employee Assistance Program (EAP).
  • Access to virtual healthcare and telehealth services.
  • 401(k) retirement plan with up to 4% employer matching and full vesting from day one.
  • Paid time off and seven paid holidays.
  • Parental leave and paid volunteer days.
  • Paid sabbaticals.
  • Tuition reimbursement of up to $5,250 annually.
  • Certification and continuing education reimbursement.
  • Discounted higher education partnerships.
  • Paid training and leadership development opportunities.
  • People-first culture with a strong focus on diversity, inclusion, philanthropy, and sustainability.
  • Modern workplace amenities, including dining options, complimentary snacks and drinks, fitness facilities, outdoor walking paths, and recreational spaces.