Note: The job is a remote job and is open to candidates in USA. Healthie builds an AI-native, ONC-certified EHR and infrastructure platform for outpatient healthcare. The Staff Full Stack Engineer will shape and scale its platform, modernize systems, and build software supporting critical healthcare workflows. The role also provides technical direction, mentorship, and hands-on contributions across architecture, APIs, and product development.

Responsibilities

• 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
• 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
• 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

Skills

• 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
• 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

• Equity
• Annual bonus
• Remote position located in the United States

Company Overview