Staff Backend Engineer
Job Type: Permanent
Salary: Up to $220,000 + 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 Backend Engineer to join a senior team of 10 engineers and lead backend architecture and implementation for two greenfield Rails 8 + Hotwire applications focused on AI-powered chat and workflow automation.

This role is ideal for a systems-minded engineer who thrives on building robust, scalable backend services, designing APIs and data models, integrating AI capabilities, and enabling high-quality frontend experiences through clean abstractions—while collaborating closely with frontend engineers, product, and design.

What You’ll Do

• Lead backend architecture and development for two new Rails 8 applications from the ground up
• Design and implement scalable APIs, data models, and business logic to power AI-driven chat and workflow automation features in healthcare
• Build and optimize backend systems for performance, reliability, security, and compliance (critical in healthcare contexts)
• Integrate AI/ML services and tools (e.g., prompt engineering pipelines, retrieval systems, or external LLM APIs) into Rails applications
• Own technical decisions around core infrastructure, background processing (e.g., Sidekiq/ActiveJob), caching, and database design (PostgreSQL or similar)
• Collaborate with frontend engineers to define clear API contracts and enable polished user experiences without owning UI implementation
• Work with the senior engineering team to establish best practices, review code, and ship production-ready, maintainable backend systems
• Operate autonomously in a fully remote, product-driven environment while mentoring on backend topics

Ideal Background

• 7+ years of experience building production web applications, with deep expertise in backend systems
• Strong Ruby on Rails experience (ideally Rails 6+), including ActiveRecord, API design, and background jobs (Sidekiq/ActiveJob preferred)
• Proven track record owning backend architecture end-to-end: from data modeling and schema design to scalability, performance tuning, and fault-tolerant systems
• Experience integrating AI-powered features (e.g., LLM APIs, vector search, real-time processing, or workflow orchestration)
• Comfortable collaborating across disciplines—defining API boundaries for frontend teams and partnering with product/design on requirements
• Experience in autonomous, senior engineering teams and contributing to technical strategy

Benefits

• Base salary up to $220,000
• 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