Senior Software Engineer

FORM │ Virtual obesity medicine clinic

Develop backend services and workflows for clinical operations at a telemedicine startup. Join a fully remote team dedicated to supporting a large patient population through innovative solutions.

Posted 7/21/2026full-timeRemote • 🇺🇸 United StatesSenior💰 $150,000 - $175,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in building and operating production software with a focus on backend services and workflow-heavy applications, utilizing Ruby on Rails and cloud infrastructure. Proficient in continuous delivery practices and integrating with clinical systems while ensuring compliance with healthcare regulations.

Highest-signal resume keywords

Ruby On RailsContinuous DeliveryCloud InfrastructureHealthcare ComplianceIntegration With Third-Party Systems

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Backend DevelopmentWorkflow ManagementAutomated TestingFeature FlagsObservabilityAPI IntegrationPragmatic Architectural DecisionsCode ReviewMaintainable CodeTechnical Risk Mitigation

Soft Skills

Clear CommunicationEffective CollaborationMentorship

Tools & Technologies

AWSDatadogClaude Code

Industry Keywords

HealthcareClinical SystemsRegulated DomainsAI-Enabled Products

Tech Stack

Tools & technologies

AWSCloudRubyRuby on Rails

About the role

Key responsibilities & impact

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

Requirements

What you’ll need

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
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)
Clear communication and effective collaboration with product, clinical, and non-technical partners
Experience in healthcare, clinical systems, workflow tooling, AI-enabled products, or other regulated domains is a strong plus

Benefits

Comp & perks

Competitive salary and equity in a high growth start-up
Comprehensive health benefits (medical, dental, vision)
401k
Flexible work schedules and paid time off
Paid parental leave