Senior Software Engineer, CentralReach

Ruby on Rails

$120-180k

SQL

React

CSS

TypeScript

Postgres

MySQL

Ruby on Rails

Senior and Expert level

Remote from US

Autism & IDD care technology

Be an early applicant

Autism & IDD care technology

201-500 employees

HealthcareB2BLearningMental healthSaaS

Be an early applicant

$120-180k

SQL

React

CSS

TypeScript

Postgres

MySQL

Ruby on Rails

Senior and Expert level

Remote from US

201-500 employees

HealthcareB2BLearningMental healthSaaS

Company mission

To provide the leading software and services platform to help children and adults diagnosed with autism and related IDDs – and those who serve them – unlock potential, achieve better outcomes, and live more independent lives.

Job

Company

Role

Who you are

At least 7-10 years of full-stack development experience, with Ruby on Rails as a core strength
Experience with React, 5+ years preferred
Experienced in leading projects end-to-end: from breaking down complex problems to shipping features that drive impact
Passionate about mentoring, from pair programming to guiding architectural decisions, and helping others grow as engineers
Daily, hands-on fluency with AI development tools (e.g., Claude Code, Cursor, Copilot), with sharp judgment about where AI accelerates work and where human review is non-negotiable
Experience, or strong demonstrated interest, in building with LLM APIs: prompt design, evaluation, and safety considerations for sensitive data
Highly organized with superb attention to detail
Strong project management skills: comfortable with planning, estimation, and scoping
Proven ability to work in an ever-changing environment, ability to connect the dots and make decisions on your own feet
Ability to produce quality materials within tight timeframes and simultaneously manage several projects
Ability to communicate clearly and concisely, verbally and in writing
Exercise sound judgment and work successfully with all employee levels, regardless of background and perspectives
Be comfortable working in a distributed, semi-virtual environment
Be capable of creating and executing on technical direction and tasks for yourself and others
Be able to take minimal direction from others and provide maximal output for yourself (and others)

What the job involves

Help shape technical direction on the Essentials squad — contributing to architecture decisions and unblocking teammates — while staying hands-on in Ruby on Rails, TypeScript, and React
Lead by example in the codebase: write clean, maintainable, refactor-friendly code and elevate quality through thoughtful code review and pairing
Design and optimize back-end systems, APIs, and data flows with a strong focus on performance and reliability, sharing what you learn along the way
Build modern, responsive front-end experiences using React, TypeScript, and CSS, with an eye toward maintainable architecture
Work across relational databases (Postgres, MySQL, etc.), writing efficient SQL and shaping data models that support business growth
Lead projects end-to-end, balancing hands-on development with guiding others to successful delivery, surfacing risks early and communicating trade-offs clearly
Collaborate cross-functionally with product, design, and QA to translate business needs into sound technical solutions
Embrace AI-assisted engineering: use tools like Claude Code and GitHub Copilot effectively, contribute to shared prompts and agentic workflows, and help the team learn what works
Identify and prototype opportunities to apply LLMs and automation to engineering and internal workflows, with the guardrails appropriate to healthcare data and regulated billing

Our take

Running any care practice can be difficult, with practice management, billing, analytics, and other back-office tasks leaving less time for workers to provide the best possible care. Whilst software platforms have been designed in recent years for healthcare clinicians to automate admin and leave workers with more time for their patients, these do not tackle the nuances associated with running an Autism and IDD care practice.

CentralReach provides Autism and IDD care software and services to care practices, offering its products to enterprises, small practices, special education departments, and neurodiversity employers. The company's products include tools for practice management, billing, autism and IDD learning management, and precision teaching, all of which are measured to drive performance through analytics.

Whilst care practice management platforms are nothing new, existing solutions generally focus on clinical or home care, whereas CentralReach has identified the need for a bespoke solution for Autism and IDD care providers. The company claims that by providing tools for the end-to-end care process, care providers can optimize the effectiveness of their care through data whilst minimizing admin.