Staff Software Engineer

Role: Staff Backend Engineer (RoR/Elixir)

Industry: Healthtech

Salary: Up to 220K + equity + benefits

Full-time, Permanent Role (100% Remote – North America)

What They Do:

Our client is a well-established, privately held healthtech company transforming how therapy is delivered. They operate a nationwide, tech-enabled care platform that connects patients and providers through an internal marketplace, removing barriers to care and improving outcomes at scale.

The role:

They’re hiring a Staff-level backend engineer to own and evolve the core systems behind a high-volume, nationwide marketplace. You’ll have significant influence over architecture, scalability, and long-term technical direction while partnering closely with Product and Engineering leadership.

You’ll be responsible for:

• Owning and scaling backend systems for scheduling, automations, payments, communications, and reporting
• Designing and maintaining internal admin and marketplace services and APIs
• Driving architectural decisions across services, data models, and integrations
• Identifying, prioritizing, and reducing tech debt while maintaining delivery velocity
• Shipping, monitoring, and supporting production systems end-to-end (high ownership, minimal handoffs)

About you:

• 10+ years of professional software engineering experience
• Strong production experience with Ruby on Rails and Elixir
• Experience with additional statically typed languages like Rust or Scala OR Go
• Deep backend expertise: APIs, background jobs, data modeling, system reliability, and scalability
• Proven ability to own complex systems from design through production
• Product-minded, self-directed, and comfortable operating in a high-impact environment

Compensation & perks:

• Competitive base salary + equity
• Fully remote (North America) with light annual travel
• Comprehensive benefits, including health coverage and unlimited PTO
• Stable, well-funded company with a strong market position
• High-trust engineering culture with real ownership and influence