Staff Fullstack Engineer
Job Type: Permanent
Salary: Up to $230,000 + Benefits
Role Location: US (100% Remote)

The Company
We’ve partnered with a fast-growing healthtech startup building AI-powered tools that help healthcare organizations streamline operations, improve patient engagement, and optimize clinical workflows.

The Role
They’re hiring a Staff Fullstack Engineer to join a senior team of 10 engineers and lead development on two greenfield Rails 8 + Hotwire applications focused on AI-powered chat and workflow automation.

This role is ideal for a product-minded engineer who enjoys working across the full stack and collaborating closely with product and design to deliver thoughtful, high-quality user experiences.

What You’ll Do

• Lead development of two new Rails 8 + Hotwire applications from the ground up
• Build full-stack features spanning backend systems, frontend interfaces, and UX details
• Develop AI-powered chat and workflow automation tools for healthcare operations
• Own key technical decisions and contribute to product architecture
• Collaborate with a senior engineering team to ship polished, production-ready features
• Work autonomously in a fully remote, product-driven environment

Ideal Background

• 7+ years of experience building production web applications
• Strong full-stack experience with Rails and Hotwire
• Comfortable owning projects end-to-end from architecture through UI implementation
• Ability to bridge backend engineering, frontend development, and product design
• Experience working in autonomous, senior engineering teama

Benefits

• Base salary up to $230,000
• 100% remote within the US
• Comprehensive benefits package
• Opportunity to work on AI-powered healthcare products with real-world impact
• Collaborative environment with a highly experienced engineering team