Staff Full-Stack Engineer, Carrum Health

• You have 8+ years of experience in full-stack software development in a robust, highly available and performant multi-service ecosystem
• You have previous professional experience being the most senior engineer on an mid-sized engineering team in a Ruby on Rails and React environment
• You have strong experience using Postgresql SQL and NoSQL features to build out great and flexible data models
• You have expertise in building software on top of the core AWS Services (ECS, RDS, S3, etc)
• You enjoy technical leadership through code reviews and system design sessions
• You possess good communication and collaboration skills in order to drive alignment and increase effectiveness on delivery across teams
• You have strong expertise in designing simple and supportable software through monitoring, alerting and performance tuning
• You enjoy mentoring engineers in building simple, scalable and reusable software and impart best practices to the team
• Are passionate about building great user experiences that are accessible to a wide variety of users
• You have interpersonal skills and don’t have a hard time being empathetic, courteous, and friendly
• You are entrepreneurial and resourceful — As a member of a startup, we need people who can find creative ways to make a big impact quickly and without much direction
• You have experience handling deadlines, keeping many balls in the air, and prioritizing work in a fast-paced, dynamic environment
• Note that we left out all of the other nonsense and standard gibberish you see in every JD, so please tell us you read this far. You will get points for it. Seriously

• As a Staff Fullstack Engineer with a focus on backend development, you will take a hands-on leadership role in shaping the design, development, and optimization of both our web and mobile applications
• Working primarily with Ruby on Rails in a Service-Oriented Architecture (SOA), you will lead the creation of scalable, high-performance APIs and services, while contributing to and integrating with frontend components built with React and React Native
• You will drive improvements in system architecture and performance through active leadership in code reviews, design sessions, and the continuous evolution of our development processes
• You will work closely with our Data teams to design data models that meet both operational and analytical requirements
• You will partner with the DevOps team to leverage AWS for simple and cost-effective cloud infrastructure deployment, ensuring that systems are both performant and resilient
• A key responsibility will be implementing comprehensive monitoring and observability practices to guarantee the high availability, security, and scalability of our services
• As a senior technical leader, you will own key initiatives, introduce new architectural patterns, and mentor engineers to elevate the team's technical expertise
• In addition, you will collaborate closely with product teams to define project timelines, influence technical direction, and guide the team through complex design and architectural decisions—all while ensuring the highest standards of code quality and continuous improvement in our development practices
• Have a direct impact on the technical direction and product roadmap of the company
• Be a peer leader and expert on our backend services and data models and take them to the next level of maturity while keeping the, dead simple
• Collaborate with your product manager to seamlessly execute on value delivery of exceptional products through repeatable and iterative software development lifecycles
• Work with other frontend/mobile engineers to build out technical roadmaps for the shared codebase that powers our mobile and web-based patient applications
• Take ownership of the architecture and code you develop and release it frequently into the production environment
• Hold yourself and others accountable to spending that extra 10% on a project to deliver great documentation in addition to the functionality itself
• Relish working with a diverse and cross-functional group of people from a wide variety of backgrounds to solve problems that impact our patients

• Stock option plan
• Flexible schedules and remote work
• Chicago and San Francisco offices available
• Self-managed vacation days, within reason
• Paid parental leave
• Health, vision, and dental insurance
• 401K retirement plan

Total funding: $96m

The prevailing model for surgical and cancer care in the US is extremely profitable for providers but drives abysmal health outcomes. Expensive surgeries and tests are highly incentivized which leads to unnecessary procedures and colossal bills. Carrum Health was founded to address this, providing value-based surgical and cancer treatment guidance and coordination to employers offering healthcare to their workforce.