Full Stack Engineer, Team Lead; Billing

Overview

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 17 million patients in total—rely on Healthie to deliver clinically excellent healthcare in over 25 specialties, from preventative medicine to complex chronic care management.

Healthie is building rails to improve access to healthcare. 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 are 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 has been profitable for more than half of the time as a company.

Learn more at

This isn’t a role for “just ship the ticket” engineers. As a Staff Software Engineer, Full Stack & Tech Lead — New Billing at Healthie, you’ll lead the architecture and development of the systems that power how providers get paid. Billing sits at the core of Healthie’s platform — touching providers, patients, payments, reporting, and compliance — and this role will help define how that foundation scales as we grow.

You'll operate as the technical leader for the new billing initiative, designing and building resilient full-stack systems in our Ruby on Rails monolith. Your work will span backend services, data models, Graph

QL APIs, and frontend experiences (React/Type Script) to ship complete features across the stack.

At the Staff level, you won’t just build systems — you’ll set technical direction, guide engineering decisions, and mentor other engineers while partnering closely with Product and Design to deliver a billing platform that is reliable, scalable, and built for the future of digital healthcare.

At Healthie, we are increasingly 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.

• Proven & Technical: 8+ years of experience building and shipping production systems across the full stack. Strong expertise in modern web technologies such as Ruby, React, Type Script, and Graph
  
  QL, along with experience designing backend services, APIs, and data models that support complex, high-scale applications.
• Systems Thinker:
  You think beyond individual features and consider how systems interact across services, data layers, and user experiences. You are comfortable designing scalable architectures and solving complex technical problems that span multiple parts of the platform.
• Quality Obsessed:
  You believe reliability and correctness are critical, especially in systems that power financial workflows. You write clean, maintainable code and ensure it is supported by thoughtful testing and observability.
• Technical Leader:
  You naturally lead technical initiatives, guide architectural decisions, and help teams navigate complex engineering challenges. You raise the bar for engineering quality through design reviews, mentorship, and thoughtful collaboration.
• Builder & Collaborator:
  You enjoy partnering closely with product managers, designers, and other engineers to translate complex requirements into well-designed systems and intuitive user experiences.
• Mission-Driven:
  You’re excited by the opportunity to improve healthcare through technology and help build infrastructure that enables providers to deliver better care while running sustainable practices.
• Values-Aligned:
  You embody Healthie’s values of Respect, Reliability,…