Senior Fullstack Engineer

Jukebox Health

Senior Fullstack Engineer developing scalable healthcare solutions at Jukebox Health. Working on React and Rails, mentoring engineers, and integrating AI-powered features.

Posted 6/12/2026full-timeRemote • 🇺🇸 United StatesSenior💰 $180,000 - $210,000 per yearWebsite

Tech Stack

Tools & technologies

AWSCloudGoogle Cloud PlatformReactRubyRuby on RailsTypeScript

About the role

Key responsibilities & impact

Build and ship product features end-to-end across the stack — React and TypeScript on the front end, Rails on the back end, and the database and services that support them
Own meaningful product areas, taking responsibility for design, implementation, performance, and reliability rather than handing work off at a boundary
Make pragmatic decisions about data modeling, API design, and infrastructure on GCP that hold up as the company scales
Partner closely with product, design, and the clinical and operations teams to turn complex healthcare workflows into experiences that feel simple
Raise the technical bar through thoughtful code review, design feedback, and shared engineering standards
Mentor and sponsor less experienced engineers, providing guidance that accelerates the whole team's growth
Building and integrating AI-powered features into production

Requirements

What you’ll need

6+ years of professional software engineering experience building and shipping production web applications
Strong proficiency across the stack: React and TypeScript on the front end and Ruby on Rails on the back end
Solid command of relational databases and the infrastructure your applications run on, including comfort working in a major cloud provider (GCP or AWS)
A track record of owning features end-to-end and making sound architectural trade-offs with limited supervision
Experience building or integrating AI-powered features into production applications — whether LLM-backed workflows, retrieval-augmented generation, or ML-assisted automation — and applying those same tools to accelerate your own development workflow
Experience with Google Cloud Platform (our cloud provider)
Experience working with healthcare data, HIPAA, or other regulated or compliance-sensitive environments
Experience at an early-stage or high-growth startup, where you've helped establish engineering practices that scale

Benefits

Comp & perks

Generous company-funding of our health, vision, and dental plans
HSA plan with company seeding
FSA plan
Short and Long-Term Disability
Life and Personal Accident Insurance
Hospital Insurance
401k immediately upon hire
Generous candidate referral program
Yearly wellness stipend
Unlimited PTO + 10 paid holidays
$1000 stipend towards work from home costs
Frequent team off-sites and get-togethers around the country
Collaborative team environment
Monthly Townhalls
High trust environment
A laptop and company swag upon hire

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Hard Skills & Tools

ReactTypeScriptRuby on Railsrelational databasesAPI designdata modelingAI-powered featuresML-assisted automationcloud infrastructureGCP

Soft Skills

mentoringcode reviewdesign feedbackteam collaborationresponsibilitypragmatic decision-makingguidanceownershipcommunicationproblem-solving