[Remote] Staff Full Stack Engineer

Note: The job is a remote job and is open to candidates in USA. Healthie is the world’s leading API-first, ONC-Certified EHR for healthcare delivery outside of the hospital. They are seeking a Staff Full Stack Engineer to drive the evolution of their platform, collaborating with various teams to architect, build, and scale systems that enhance healthcare workflows for providers and patients.

Responsibilities

• Help drive the evolution of Healthie’s platform across both legacy systems and new product development
• 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
• 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
• Lead technical direction across the organization, mentor engineers, raise the engineering bar, and influence how we build scalable, reliable, and maintainable software

Skills

• 8+ years of experience building and scaling production software systems, including experience working across both legacy and greenfield environments
• Strong full stack engineering experience and are comfortable owning projects across backend systems, frontend applications, APIs, infrastructure-adjacent work, and system integrations
• Direct experience with our tech stack: Rails, React, TypeScript, GraphQL, Postgres, Redis, Sidekiq, RSpec, and Capybara
• Deep experience with software architecture, systems design, scalability, reliability, and performance optimization in complex production environments
• Understand how to thoughtfully evolve legacy systems while balancing business needs, technical debt, speed, and long-term maintainability
• Highly collaborative and excel at partnering cross-functionally with engineering, product, design, and operational stakeholders
• Comfortable leading technical initiatives, mentoring engineers, and influencing architectural decisions across teams without relying on formal authority
• Thrive in fast-paced startup environments and are able to balance strategic thinking with pragmatic execution
• Strong product and customer intuition and care deeply about building reliable, intuitive systems that improve outcomes for healthcare organizations and patients
• Embody Healthie's core values (Respect, Reliability, Resilience) and bring a collaborative, no-ego, ownership-oriented mindset to your work
• Strong sense of software stewardship and continuously look for opportunities to improve systems, developer experience, operational excellence, and engineering quality over time
• 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

Benefits

• Work_model: remote

Company Overview