Role: Staff Backend Engineer (RoR/Elixir)
Industry: Healthtech
Salary: Up to 220K + equity + benefits
Full-time, Permanent Role (100% Remote – North America)
What They Do:
Our client is a well-established, privately held healthtech company transforming how physical therapy is delivered. They operate a nationwide, tech-enabled care platform that connects patients and providers through an internal marketplace, removing barriers to care and improving outcomes at scale.
The role:
They’re hiring a Staff-level backend engineer to own and evolve the core systems behind a high-volume, nationwide marketplace. You’ll have significant influence over architecture, scalability, and long-term technical direction while partnering closely with Product and Engineering leadership.
You’ll be responsible for:
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Owning and scaling backend systems for scheduling, automations, payments, communications, and reporting
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Designing and maintaining internal admin and marketplace services and APIs
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Driving architectural decisions across services, data models, and integrations
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Leading cross-functional initiatives with Product and other Engineering teams
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Identifying, prioritizing, and reducing tech debt while maintaining delivery velocity
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Mentoring engineers through code reviews and technical leadership
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Shipping, monitoring, and supporting production systems end-to-end (high ownership, minimal handoffs)
About you:
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10+ years of professional software engineering experience
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Strong production experience with Ruby on Rails and Elixir
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Experience with additional languages; bonus for statically typed languages like Java or Scala
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Deep backend expertise: APIs, background jobs, data modeling, system reliability, and scalability
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Proven ability to own complex systems from design through production
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Product-minded, self-directed, and comfortable operating in a high-impact environment
Compensation & perks:
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Competitive base salary + equity
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Fully remote (North America) with light annual travel
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Comprehensive benefits, including health coverage and unlimited PTO
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Stable, well-funded company with a strong market position
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High-trust engineering culture with real ownership and influence
