Software Engineer, Software Architect, Backend Developer

At Strive Health, patients come first. We're on a mission to transform chronic conditions by identifying risk earlier, coordinating thoughtful care, and supporting people through every stage of their health journey.

Our work reduces emergency visits, improves outcomes, and helps patients live fuller lives. You'll work alongside passionate Strivers who care deeply about making an impact, show up for one another as One Team, and find ways to elevate the everyday.

If you're looking for meaningful work where your contributions truly matter, you'll feel right at home at Strive!

• Hybrid-Remote Flexibility - Work from home while fulfilling in-person needs at the office, clinic, or patient home visits.
• Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance programs, employer-paid and voluntary life and disability insurance, plus health and flexible spending accounts.
• Financial & Retirement Support - Competitive compensation with a performance-based bonus program, 401k with employer match, and financial wellness resources.
• Time Off & Leave - Paid holidays, vacation time, sick time, and paid birth giving, bonding, sabbatical, and living donor leaves.
• Wellness & Growth - Family forming services through Maven Maternity at no cost and physical wellness perks, mental health support, and an annual professional development stipend.

To learn more about our offerings, click here .

As a Staff Software Engineer in our Product & Technology organization, you will help define and evolve the technical strategy and architecture of Strive's platform, ensuring engineering decisions align tightly with our clinical and business goals. This is a senior, hands-on individual contributor role. You will take on the most complex and ambiguous technical problems, designing and building scalable, reliable, and secure software while balancing the need to maintain and scale existing systems with the need to deliver new capabilities for patients, clinicians, and partners.

Your impact will extend well beyond the systems you build yourself. You will help teams make sound architectural decisions, establish reusable patterns and standards, address systemic technical risk, and mentor engineers across multiple teams, raising the bar on design, implementation quality, and cross-functional collaboration. This role reports to a Senior Engineering Manager or Director of Engineering.

• Lead the technical strategy, architecture, and roadmap for one or more critical domains within Strive’s platform, grounded in our business objectives and long-term product vision.
• Design and deliver end-to-end solutions for complex, cross-team initiatives, from problem framing and architecture through implementation, rollout, and production operation.
• Stay hands-on in the code, writing high-quality, well-tested, observable software, especially where complexity, risk, or ambiguity calls for senior engineering leadership.
• Make pragmatic architectural tradeoffs that balance scalability, reliability, security, compliance, delivery speed, cost, and long-term maintainability, while keeping the platform simple for other engineers to build on.
• Design and evolve the APIs, services, data models, integrations, and distributed systems that support Strive’s products and healthcare operations.
• Partner with Product, Clinical, Data, Security, and Operations leaders to make sure we solve the right problems in the right order, with clear outcomes and measures of success.
• Identify systemic technical risks, architectural limitations, performance bottlenecks, and technical debt, and lead the work to address them.
• Establish reusable architectural patterns, reference implementations, and engineering standards that help teams build consistently and effectively.
• Drive platform-wide improvements in developer experience, reliability, observability, security posture, and performance that measurably improve how engineering delivers value.
• Provide technical leadership across teams by facilitating design and architecture reviews, guiding major engineering decisions, and unblocking teams through hands-on help.
• Participate in production support and incident response, helping teams find root causes and turn operational lessons into better architecture, tooling, and practices.
• Collaborate with Security and Compliance to ensure systems protect sensitive healthcare information and meet regulatory and organizational requirements.
• Mentor and coach engineers and tech leads through design…