Requirements

• Minimum of 12 years of experience delivering software in production, including significant time at Staff level or above
• Track record of setting architecture across multiple teams or an entire engineering org, in Ruby on Rails or a similar open source stack (Python, Go, TypeScript)
• Led at least one large-scale refactoring or decomposition of a shared domain model — and can explain what worked, what didn't, and what you'd change
• Demonstrated ability to make and own high-stakes technical decisions under ambiguity, and to align engineers, Product, and leadership behind them in the open
• Daily, hands-on use of AI coding tools and a clear point of view on how they change architecture and engineering practice
• Excellent written communication; you drive alignment through design docs and decision records
• Must reside in the U.S.

Nice to Have

• Experience in healthcare (FHIR, HL7, EHR integrations, clinical or payer workflows) or another regulated domain
• Experience designing production LLM-backed or agentic systems
• Experience operating in a large shared codebase with clear domain ownership boundaries
• Deep familiarity with AWS (ECS, RDS, S3)

Benefits

• Medical, Dental, and Vision Coverage: Comprehensive plans with options for low-to-no-cost premiums.
• Employer HSA Contribution: Company-funded contributions to your Health Savings Account.
• 401(k) Retirement Plan
• Equity Incentive Plan
• Annual Company-Wide Bonus: Opportunity for up to 15% bonus based on company performance.
• Remote-First Culture: We are remote-first with a dedicated NYC office and reimbursement options for co-working spaces.
• Flexible Vacation Policy
• Summer Fridays: 5 additional Fridays off during the summer (separate from PTO).
• Home Office and Wellness Stipend
• Monthly Internet Stipend
• Annual Learning and Development Stipend

Base Salary Band (based on experience and level)

$265,000 - $300,000

To ensure you’re leveled accurately, all new engineers participate in a 90-day review. This allows us to calibrate your initial interview results with your actual work, ensuring your title and compensation align with your impact and our engineering rubric.

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We are proud to be an equal opportunity employer that does not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth related medical conditions and lactation), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, disability, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances.

This role is not eligible for employer visa sponsorship. Applicants must be legally authorized to work in the United States at the time of application and for the duration of employment. The Company does not sponsor employment authorization for this position.