• Drive collaboration on technical direction for complex, cross-cutting systems — data modeling, API design, clinical workflow architecture, and integration patterns • Scope and shape work end-to-end: from identifying the right problem to solving it, collaborating closely with product and design to define what “done” looks like • Write code across the entire stack (currently Ruby + Rails on the backend and Turbo/Tailwind on the frontend) with a focus on the systems and abstractions that other engineers build on • Evaluate technical risk and tradeoffs clearly — know when to invest in architecture and when to ship the simplest thing that works • Mentor and elevate the team through architecture discussions, pairing, code review, and setting high standards without gatekeeping • Build deep domain expertise in our problem space and use it to challenge product assumptions, surface risks early, and advocate for provider and member experience • Collaborate across engineering, product, design, and clinical/operations teams to ensure technical decisions serve business and clinical goals