Remote job
Staff Engineer
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About this role
Role overview
A Staff Engineer will help shape and extend a high-volume healthcare platform used to support clinical operations and patient care. The work spans established systems and new product development, combining hands-on full-stack engineering with architectural leadership, platform improvement, and collaboration across product, design, data, and engineering.
Responsibilities - Design, build, and scale backend services, frontend applications, APIs, and integrations that support healthcare workflows. - Guide architectural decisions across legacy and newer parts of the platform, balancing long-term improvements with practical delivery. - Improve system performance, reliability, scalability, and maintainability in production. - Contribute to platform, developer experience, and operational improvements across teams. - Lead technical initiatives, mentor engineers, and help raise engineering quality without relying on formal authority. - Work with cross-functional partners to turn product and customer needs into dependable software.
Requirements - At least 8 years of experience building and scaling production software, including work in both established and greenfield systems. - Strong full-stack experience across backend services, frontend applications, APIs, infrastructure-adjacent work, and integrations. - Direct experience with Rails, React, TypeScript, GraphQL, Postgres, Redis, Sidekiq, RSpec, and Capybara. - Deep knowledge of software architecture, systems design, scalability, reliability, and performance optimization. - Ability to lead technical work, mentor colleagues, and influence decisions across teams. - Strong product judgment, collaborative communication, and a hands-on approach to balancing technical direction with execution.
Nice to have - Experience in healthcare, health technology, or regulated environments. - Experience modernizing platforms, breaking apart monoliths, or leading large architectural migrations. - Experience using AI-assisted engineering tools or automation to improve engineering speed and quality.
Benefits and work setup - Full-time remote role based in the United States; U.S. work authorization is required, and sponsorship is not provided. - Base salary of $205,000–$235,000, plus equity and an annual bonus. - Work includes security and compliance training appropriate to healthcare software.