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Senior Engineer, Backend Architecture

Healthie

51-200

United States

About the job

Overview:

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