AWSCloudDjangoElixirGoogle Cloud PlatformJavaScriptNext.jsPythonReactRubyRuby on Rails
About the role
Design, build, and launch the patient and advocate-facing apps, backend services, and integrations.
Move fast — prioritize shipping value while managing technical debt intentionally.
Leverage LLMs, APIs, and custom models to automate intake, triage, and follow-up.
Integrate AI into the daily tools advocates use, from summarization to proactive care nudges.
Translate ambiguous product needs into clear, buildable solutions.
Decide what to build in-house vs. integrate via third-party APIs.
Work with clinical, ops, and growth leads to ensure product solves real user problems.
Join early customer calls to see pain points firsthand.
Requirements
Have 8**+ years full-stack experience** (e.g., Ruby on Rails, Python/Django, Elixir/Phoenix, or similar backends + React/Next.js or similar frontends).
Have shipped production code in healthcare or another regulated industry.
Are fluent in AI development — prompt engineering, fine-tuning, API integration, vector databases, RAG pipelines.
Can design secure, HIPAA-compliant systems.
Have experience with RESTful APIs, relational databases, and cloud hosting (AWS, GCP, or PaaS like Aptible/Fly.io).
Are 80%+ hands-on coding in your current role and want to stay that way.
Thrive in startup chaos and want a seat at the table in technical + product decisions.
Experience with AI at other startups, strong Django and Python skills and experience working directly with EHRs, claims systems, or care coordination tools is a Plus.
Benefits
Customer First Mentality - every decision we make should be made through the lens of the customer.
Bias for Action - urgency is critical, expect that the timeline to get something done is accelerated.
Ownership - step up if you see an opportunity to help, even if not your core responsibility.
Humility and Respect - be willing to learn, be vulnerable, and treat everyone who interacts with RYZ with respect.
Frugality - being frugal and cost-conscious helps us do more with less
Deliver Impact - get things done most efficiently.
Raise our Standards - always be looking to improve our processes, our team, and our expectations. The status quo is not good enough and never should be.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
full-stack developmentRuby on RailsPythonDjangoElixirPhoenixReactNext.jsAI developmentprompt engineering