Back to jobs
New

Senior Engineer, Backend Architecture

Remote

Our mission

Healthie powers virtual-first care delivery while improving access to healthcare and enabling better healthcare outcomes through technology.

We build infrastructure that all healthcare organizations need to perform virtual-first care. Between our EHR, scheduling, and patient engagement solutions, Healthie’s API-first approach makes it easy for organizations of every size to build, customize, and scale their business.

Today, we power thousands of organizations ranging from small private practices, to digital health startups and multi-billion-dollar healthcare companies. Leveraging Healthie, our customers deliver care to millions of patients, across the full spectrum of healthcare services—from preventative health and wellness to complex chronic care management. We believe that the future of healthcare delivery is virtual-first, longitudinal, and collaborative.

Learn more at: https://www.gethealthie.com/

About the role

We are hiring a Sr Engineer to join our Backend Architecture team at Healthie! This team is responsible for building the foundational systems that power our backend services. In this role, you’ll help define the architectural patterns, shared libraries, and data modeling strategies that enable backend teams across Healthie to move fast, scale safely, and build consistently.

You'll work closely with engineers across the Product & Engineering teams to design and build systems that are scalable, resilient, and maintainable. Your initial focus will be on supporting horizontal scaling and improving data migration infrastructure.

This is a hands-on role - ideal for someone who loves untangling legacy code, scaling large monoliths, and laying the technical groundwork for the future of our backend.

Beyond the code, you’ll be a strategic voice within the team — identifying areas for technical investment, mentoring fellow engineers, and helping Healthie scale both our technology and our culture. Your work will directly contribute to enabling healthcare organizations to deliver better care, more efficiently.

If you're passionate about building impactful systems, driving innovation, and making a difference in healthcare — we’d love to hear from you.

Details, details

  • This is a full-time, remote position located in the United States
  • The base salary for this role is $180,000-$200,000 per year plus equity & company bonus, benefits
  • U.S. work authorization is required and Healthie does not provide sponsorship.

What You'll Do

  • Design and evolve core architectural patterns for backend services, data modeling, and async workflows
  • Lead backend scalability initiatives, including database sharding and large-scale data migrations
  • Build and maintain shared libraries and frameworks (e.g., for jobs, retry logic, audit logging)
  • Partner with product and platform teams to guide system design and service boundaries
  • Review technical designs from across the org, ensuring long-term scalability and maintainability
  • Drive performance tuning efforts (e.g., indexing, query optimization, load resilience)
  • Mentor engineers and act as a steward for backend architectural consistency across teams
  • Contribute to infrastructure around observability, data governance, and eventing

About You

  • 6+ years of backend engineering experience, including deep expertise with Ruby on Rails
  • Proven experience designing scalable backend systems in complex monolithic or hybrid architectures
  • Hands-on knowledge of horizontal database scaling, schema evolution, and high-scale data operations
  • Experience building internal frameworks, utilities, and shared services that support developer velocity
  • Comfortable navigating legacy systems and incrementally improving them with minimal risk
  • Strong communication skills and a collaborative mindset — you enjoy helping other teams succeed
  • You are mission-driven, passionate about healthcare, and motivated to build infrastructure that supports meaningful improvements in patient outcomes and provider experiences.
  • You embody Healthie’s core values of Respect, Reliability, and Resilience, and integrate them into your engineering work, decision-making, and team collaboration.
  • Bonus: Experience with background job systems (e.g., Sidekiq), or event-driven architectures

Interview Process

  • Video Interview with Debbie, AI recruiter 
  • Quick chat with Katie, Director of Talent (20 minutes)
  • Interview with Sherilyn, Engineering Manager for Platform (30 minutes)
  • Take Home Assessment - completed asynchronously
  • Technical Interview with Andrew, Staff Engineer for Platform (1 hour)
  • Leadership Interviews:
    • Interview with John, Director, Engineering (30 minutes)
    • Behavioral Executive Interview with Cavan, CTO + cofounder- (20 minutes)
  • Reference checks

To learn more about Working at Healthie & our benefits, click here.

Healthie participates in e-verify

Healthie is committed to equal employment opportunity. All qualified applicants will receive consideration for employment without regard to and will not be discriminated against based on age, race, gender, color, religion, national origin, sexual orientation, gender identity, veteran status, disability or any other protected category. We're proud to be building a diverse and inclusive environment that encourages collaboration, creativity, and growth. Whatever your background, please apply if this is a role that would make you excited to come into work every day. 

Create a Job Alert

Interested in building your career at Healthie? Get future opportunities sent straight to your email.

Apply for this job

*

indicates a required field

Resume/CV*

Accepted file types: pdf, doc, docx, txt, rtf

Cover Letter

Accepted file types: pdf, doc, docx, txt, rtf

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey. Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.

As set forth in Healthie’s Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law.

Select...
Select...
Race & Ethnicity Definitions

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection. As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categories is as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

Select...

Voluntary Self-Identification of Disability

Form CC-305
Page 1 of 1
OMB Control Number 1250-0005
Expires 04/30/2026

Why are you being asked to complete this form?

We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years.

Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

How do you know if you have a disability?

A disability is a condition that substantially limits one or more of your “major life activities.” If you have or have ever had such a condition, you are a person with a disability. Disabilities include, but are not limited to:

  • Alcohol or other substance use disorder (not currently using drugs illegally)
  • Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS
  • Blind or low vision
  • Cancer (past or present)
  • Cardiovascular or heart disease
  • Celiac disease
  • Cerebral palsy
  • Deaf or serious difficulty hearing
  • Diabetes
  • Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders
  • Epilepsy or other seizure disorder
  • Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome
  • Intellectual or developmental disability
  • Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD
  • Missing limbs or partially missing limbs
  • Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports
  • Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS)
  • Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities
  • Partial or complete paralysis (any cause)
  • Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema
  • Short stature (dwarfism)
  • Traumatic brain injury
Select...

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.