Senior Engineer, Healthie
Backend Architecture
$180-200k
+ Equity and company bonus
More information about location
Infrastructure for virtual-first healthcare organizations
Open for applications
Infrastructure for virtual-first healthcare organizations
101-200 employees
Open for applications
$180-200k
+ Equity and company bonus
More information about location
101-200 employees
Company mission
To empower the providers and builders of the care ecosystem with the tools they need to deliver a complete virtual experience for the end-consumers.
Role
Who you are
- 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
What the job involves
- 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
- 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
Application 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
Our take
The past few years have seen a substantial rise in provision and uptake of telemedicine services, with over one in five Americans now signed up. This successful reimagining of healthcare provision into something more accessible, affordable, and effective, has led to a surge of VC investment and rapid-growth success stories in the sector. Would-be startups, however, have to navigate the costly and complex process of building out core, HIPAA-compliant infrastructure.
So software and API company Healthie is filling the gap in this market. The business helps these companies build and deliver health and wellness services by providing a fully-brandable suite of telehealth, business management, and coaching tools. This means that businesses can launch and scale at a fraction of the cost, and in a fraction of the time.
It’s a broad-based set of solutions that’s won Healthie an impressive number of client organizations across over 20 different countries. This vigorous growth looks likely to continue too with its regular funding rounds. Telemedicine remains a popular healthcare tool, and as regulations on telehealth data privacy tighten, the growing number of startups in this space are likely to need more support than ever.
Kirsty
Company Specialist at Welcome to the Jungle
Insights
52% employee growth in 12 months
Company
Funding (last 2 of 4 rounds)
Oct 2024
$23m
SERIES B
Jul 2022
$16m
SERIES A
Total funding: $41.2m
Company benefits
- Stock options
- Medical, dental, vision, life and disability coverages
- FSA and HSA
- Flexible vacation
- 401(k) plan with company matching
- Parental leave program
- Learning & development stipends
- Nutritional coaching
- Fitness membership budget
- Co-working subscriptions
- A laptop plus equipment stipend
- Summer Fridays
Company HQ
Chelsea, New York, NY
Leadership
Erica Jain
(CEO & Co-Founder)Conducted research at the Center for Research on Prospective Health Care, moving into a nutrition program analyst role at the Clinton Health Access Initiative, and finally spent time as a healthcare consultant with BCG.
Cavan Klinsky
(CTO & Co-Founder)Founded search engine Gevva, and then worked freelance as a web designer.
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