Senior​/Software Engineer; Ruby​/Full-Stack- hybrid

Our Mission

We’re building infrastructure for modern healthcare delivery.

Traditional healthcare is plagued with outdated, monolithic EHRs designed to maximize billing outcomes. Patient outcomes and provider experiences have been afterthoughts, as these systems have bolted on non-API-first solutions. None of this is built for how clinically excellent healthcare is actually delivered—longitudinally and collaboratively, with the patient at the center.

Healthie is the world’s leading API-first, ONC-Certified EHR for healthcare delivery outside of the hospital. We provide the powerful infrastructure every scaling organization needs—EHR, scheduling, patient engagement, billing, and more—all accessible via modern APIs and a white-labeled UI. Our platform makes it simple for organizations of any size to launch, customize, and scale their care delivery models without reinventing the wheel.

Today, over 2 billion API calls are made to Healthie every month, as thousands of organizations—working with more than 20 million patients in total—rely on Healthie to deliver clinically excellent healthcare in over 35 specialties, from preventative medicine to complex chronic care management.

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, make our product roadmap public 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 are hiring exceptional Senior and Staff Software Engineers to join Healthie’s Web Engineering team. In this role, you’ll play a key part in developing new features and enhancing existing solutions for our platform, all while ensuring the highest quality in production systems. You’ll help scale our virtual-first healthcare delivery infrastructure and collaborate with a talented group of engineers and product teams.

You’ll work primarily with our monolithic architecture, employing Rails, React, Type Script, and GraphQL to build, maintain, and scale Healthie’s solutions. Your expertise will also be crucial in leading technical projects, providing guidance to junior engineers, and optimizing the platform to enhance the user experience for our healthcare customers.

As a Senior or Staff Software Engineer, you will take ownership of feature development, from concept through to deployment, ensuring our platform remains robust, scalable, and aligned with our mission to improve healthcare outcomes.

At Healthie, we are AI-enabled and AI-accelerated in how we build. We are looking for team members who actively leverage AI-powered development tools, embrace automation, and help teams adopt modern, AI-assisted engineering practices to increase velocity and quality.

• This is a full-time, hybrid position located in NYC or LA (3 days per week in office).
• The base salary for this role is:
  • Senior level $185,000 - $205,000 per year plus equity, annual bonus, & benefits
  • Staff level $205,000 - $235,000 per year plus equity, annual bonus, & benefits
• U.S. work authorization is required, Healthie does not provide sponsorship.

• Experienced & Technical:
  You have 6+ years of recent experience shipping Rails applications in production environments, with familiarity in working with monolithic, service-oriented, or microservice architectures.
• You are proficient with Rails, React, Type Script, GraphQL, Postgres, and Redis, and have hands-on experience managing production stacks in Ruby and Rails.
• Operational Excellence:
  You bring a deep understanding of best practices in coding standards, complexity reduction, refactoring, schema design, and Domain-Driven Design. You are always focused on writing production-ready, scalable, and maintainable…