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Role Description

We are seeking a Lead Engineer to help design, build, and operate backend platform services that support business-critical healthcare workflows. This role sits within a product-focused engineering group responsible for scalable, API-driven services used across multiple applications.

You will be a hands-on technical leader, contributing directly to system design and implementation while influencing engineering standards, operational practices, and cross-team collaboration. The role emphasizes production ownership, system reliability, and pragmatic use of automation and AI-enabled capabilities where they provide measurable value.

You’ll work primarily in Ruby on Rails (API-first services), building services deployed on AWS, with a strong focus on maintainability, observability, and secure handling of sensitive data.

Areas of Accountability

• Design, build, and evolve API-first Rails services that power shared platform capabilities.
• Own service architecture and interfaces to support consistency and reuse across products.
• Deliver automation and model-assisted features with appropriate safeguards, monitoring, and operational controls.
• Establish and uphold best practices for production systems, including configuration management, rollout strategies, and ongoing evaluation.
• Design and optimize PostgreSQL data models for correctness, performance, and multi-tenant scale.
• Build and operate asynchronous and event-driven processing for high-throughput workloads.
• Maintain high standards for observability and reliability, including logging, metrics, alerting, and incident response.
• Ensure systems meet security, privacy, and compliance requirements, including careful handling of sensitive healthcare data.
• Lead by example through code reviews, technical design, documentation, and mentoring.
• Partner closely with Product, Design, and other engineering teams to deliver durable, high-quality solutions.

Qualifications

• 5+ years of experience building and operating backend services using Ruby on Rails or similar frameworks.
• Demonstrated ownership of production systems across their full lifecycle.
• Experience delivering automation or AI-assisted capabilities in production environments, including monitoring and operational considerations.
• Strong backend fundamentals: API design, distributed systems concepts, relational data modeling, and background processing.
• Experience with modern cloud-based delivery practices (AWS, Docker, CI/CD; container orchestration is a plus).
• A security- and privacy-first mindset, ideally with experience in regulated or sensitive domains.
• Strong communication skills and the ability to collaborate effectively with technical and non-technical partners.

Requirements

• High ownership and accountability; you follow through and surface risks early.
• Pragmatic and thoughtful; you prioritize reliability, safety, and real-world constraints.
• Collaborative and low-ego; you value shared success and constructive feedback.
• Clear communicator; you explain tradeoffs and decisions with confidence and clarity.
• Mentorship-oriented; you enjoy helping others grow and improving how teams work together.

Benefits

• Competitive salary range of $145,000 - $187,000 based on experience and skills.
• Inclusive environment that values diversity and empowers employees.