Job description

Our Mission Healthie is an AI-Native, ONC Certified EHR for modern outpatient healthcare. Healthie is proud to power clinically excellent healthcare for over 40,000 providers who deliver clinically excellent healthcare - longitudinal and collaboratively, with patient and provider experiences at the center. Both healthcare and technology are undergoing unparalleled industry innovation, and it’s incredible to see the momentum - from consumers, from providers, and from reimbursement for this type of healthcare - grow exponentially. We provide the powerful infrastructure every care delivery organization needs. On the surface this includes EHR, Scheduling, Engagement, Billing, Data, and much more. Underneath the iceberg are thousands of configurations, settings, widgets, automations, and limitless capabilities because we are an API-first platform. Our fully brandable platform makes it easy for clinics and organizations of any size to scale and never reach a limit. Today, over 3 billion API calls are made to Healthie every month, as thousands of organizations who work with more than 21 million patients in total, rely on Healthie to deliver clinically excellent healthcare in over 35 specialties, from behavioral healthcare to complex chronic care management and personalized medicine. We believe in the power of technology to improve access to healthcare and we’re building the rails that make this a reality. We work fast and with quality because we provide business-critical, healthcare-critical software that clinicians and patients need for a better healthcare system. We’re customer-obsessed, operate with lightning-fast processes and responses, and always share our product roadmap publicly- so customers can see what we’re building, and remain relentlessly focused on how care gets delivered. Healthie is backed by leading investors, and while we've $42M raised to date, more importantly, we operate with fiscal responsibility and have been profitable for more than half of our time as a company. We know that building an ONC-Certified EHR is a lifetime’s body of work, and we are here to build for our customers forever. Learn more at gethealthie.com About the role We are hiring an exceptional Staff Full Stack Engineer to join our Core Engineering team at Healthie. In this senior technical role, you’ll help drive the evolution of Healthie’s platform across both legacy systems and new product development, balancing thoughtful modernization with pragmatic execution in a fast-moving healthcare environment. As a Staff Engineer, you’ll partner closely with Product, Design, Data, Platform, and Engineering teams to architect, build, and scale systems that power critical healthcare workflows for providers and patients. Your work will span backend and frontend development, platform improvements, API design, system architecture, performance optimization, and developer experience initiatives across both established and greenfield areas of our platform. This role requires strong technical judgment and the ability to navigate ambiguity, complexity, and scale. You’ll play a key role in shaping the future of Healthie’s architecture while also improving and maintaining highly utilized production systems that support millions of patient interactions and billions of API calls. You’ll help lead technical direction across the organization, mentor engineers, raise the engineering bar, and influence how we build scalable, reliable, and maintainable software. We are looking for someone who can balance long-term technical vision with hands-on execution and who thrives working across a wide range of systems, teams, and problem spaces. About you You have 8+ years of experience building and scaling production software systems, including experience working across both legacy and greenfield environments. You have strong full stack engineering experience and are comfortable owning projects across backend systems, frontend applications, APIs, infrastructure-adjacent work, and system integrations. You have direct experience with our tech stack: Rails, React, TypeScript, GraphQL, Postgres, Redis, Sidekiq, RSpec, and Capybara. You have deep experience with software architecture, systems design, scalability, reliability, and performance optimization in complex production environments. You understand how to thoughtfully evolve legacy systems while balancing business needs, technical debt, speed, and long-term maintainability. You are highly collaborative and excel at partnering cross-functionally with engineering, product, design, and operational stakeholders. You are comfortable leading technical initiatives, mentoring engineers, and influencing architectural decisions across teams without relying on formal authority. You thrive in fast-paced startup environments and are able to balance strategic thinking with pragmatic execution. You have strong product and customer intuition and care deeply about building reliable, intuitive systems that improve outcomes for healthcare organizations and patients. You embody Healthie’s core values (Respect, Reliability, Resilience) and bring a collaborative, no-ego, ownership-oriented mindset to your work. You have a strong sense of software stewardship and continuously look for opportunities to improve systems, developer experience, operational excellence, and engineering quality over time. Bonus Experience working within healthcare, healthtech, HIPAA-regulated, or highly compliant environments. Experience contributing to platform modernization initiatives, monolith decomposition, or large-scale architectural migrations. Experience leveraging AI-assisted engineering workflows, developer tooling, or automation to improve engineering velocity and quality. Details, details This is a full-time, remote position located in the United States. U.S. work authorization is required, Healthie does not provide sponsorship. The base salary range is $205,000 - $235,000. plus equity and annual bonus. Interview Process Quick chat with someone from our Talent team (15 min) Interview with Jonathan, VP of Engineering (30 minutes) Pair Coding Interview (2- one-hour sessions) Interview with Engineering Manager (30 minutes) Interview with Cavan, CTO + cofounder (20 minutes) Reference Checks Learn more at gethealthie.com/careers . Healthie is subject to HIPAA and other security and privacy frameworks, and this job entails training and conformance to expectations regarding security and compliance. Healthie participates in e-verify. Healthie is committed to equal employment opportunity. All qualified applicants will receive consideration for employment without regard to and will not be discriminated against based on age, race, gender, color, religion, national origin, sexual orientation, gender identity, veteran status, disability or any other protected category. We're proud to be building a diverse and inclusive environment that encourages collaboration, creativity, and growth. Whatever your background, please apply if this is a role that would make you excited to come into work every day.

Requirements

Must-haves

You have 8+ years of experience building and scaling production software systems, including experience working across both legacy and greenfield environments.
You have strong full stack engineering experience and are comfortable owning projects across backend systems, frontend applications, APIs, infrastructure-adjacent work, and system integrations.
You have direct experience with our tech stack: Rails, React, TypeScript, GraphQL, Postgres, Redis, Sidekiq, RSpec, and Capybara.
You have deep experience with software architecture, systems design, scalability, reliability, and performance optimization in complex production environments.
You understand how to thoughtfully evolve legacy systems while balancing business needs, technical debt, speed, and long-term maintainability.
You are highly collaborative and excel at partnering cross-functionally with engineering, product, design, and operational stakeholders.
You are comfortable leading technical initiatives, mentoring engineers, and influencing architectural decisions across teams without relying on formal authority.
You thrive in fast-paced startup environments and are able to balance strategic thinking with pragmatic execution.
You have strong product and customer intuition and care deeply about building reliable, intuitive systems that improve outcomes for healthcare organizations and patients.
You embody Healthie’s core values (Respect, Reliability, Resilience) and bring a collaborative, no-ego, ownership-oriented mindset to your work.
You have a strong sense of software stewardship and continuously look for opportunities to improve systems, developer experience, operational excellence, and engineering quality over time.
U.S. work authorization is required, Healthie does not provide sponsorship.

Nice-to-haves

Experience working within healthcare, healthtech, HIPAA-regulated, or highly compliant environments.
Experience contributing to platform modernization initiatives, monolith decomposition, or large-scale architectural migrations.
Experience leveraging AI-assisted engineering workflows, developer tooling, or automation to improve engineering velocity and quality.
Details, details
This is a full-time, remote position located in the United States.

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Keywords to mirror

aiapireacttypescriptgraphqlpostgres

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