Senior Full-Stack Engineer

At Carrum, we are transforming how we pay for, deliver and experience healthcare. If you are passionate about changing healthcare and want to finally get rid of surprise bills, poor quality, and high prices, while thriving in an entrepreneurial, cutting-edge environment, we would love to connect with you.In 2014 Carrum reinvented the Centers of Excellence (COE) category in digital health. Today, 95% of the US population lives within 50 miles of a Carrum COE and our providers rank in the top 10% nationally. Our team’s execution has been recognized by the venture community and we’ve raised more than $96M in aggregate from investors like OMERS, Tiger Global Management and Wildcat Ventures. Our impact has been externally proven in a 2021 RAND Corporation study and featured as a Harvard Business School (HBS) case study.As a Senior Software Engineer, you will take a hands-on leadership role in shaping the design, development, and optimization of both our web and mobile applications. Working primarily with Ruby on Rails in a Service-Oriented Architecture (SOA), you will support the creation of scalable, high-performance APIs and services, while contributing to and integrating with frontend components built with React and React Native. You will drive improvements in system architecture and performance through active leadership in code reviews, design sessions, and the continuous evolution of our development processes. You will work closely with our Data teams to design data models that meet both operational and analytical requirements. You will partner with the DevOps team to leverage AWS for simple and cost-effective cloud infrastructure deployment, ensuring that systems are both performant and resilient. A key responsibility will be implementing comprehensive monitoring and observability practices to guarantee the high availability, security, and scalability of our services.You will collaborate closely with product teams to define project timelines, influence technical direction, and guide the team through complex design and architectural decisions—all while ensuring the highest standards of code quality and continuous improvement in our development practices.This is a full time position, the salary range for this role is $160,000 - $180,000 depending on level of experience and geographic location.You’re excited about this opportunity because you will...Have a direct impact on the technical direction and product roadmap of the company.Collaborate with your product manager to seamlessly execute on value delivery of exceptional products through repeatable and iterative software development lifecyclesWork with other frontend/mobile engineers to build out technical roadmaps for the shared codebase that powers our mobile and web-based patient applicationsTake ownership of the architecture and code you develop and release it frequently into the production environment.Hold yourself and others accountable to spending that extra 10% on a project to deliver great documentation in addition to the functionality itselfRelish working with a diverse and cross-functional group of people from a wide variety of backgrounds to solve problems that impact our patientsWe’re excited about you because…You have 8+ years of experience in full-stack software development in a robust, highly available and performant multi-service ecosystemYou have production experience in our core technologies: Ruby on Rails (distributed architecture), React, DockerYou have strong experience using Postgresql SQL and NoSQL features to build out great and flexible data modelsYou have expertise in building software on top of the core AWS Services (ECS, RDS, S3, etc)You enjoy technical leadership through code reviews and system design sessionsYou possess good communication and collaboration skills in order to drive alignment and increase effectiveness on delivery across teamsYou have strong expertise in designing simple and supportable software through monitoring, alerting and performance tuningYou enjoy mentoring engineers in building simple, scalable and reusable software and impart best practices to the teamAre passionate about building great user experiences that are accessible to a wide variety of users.You have interpersonal skills and don’t have a hard time being empathetic, courteous, and friendly.You are entrepreneurial and resourceful — As a member of a startup, we need people who can find creative ways to make a big impact quickly and without much direction.You have experience handling deadlines, keeping many balls in the air, and prioritizing work in a fast-paced, dynamic environment.Note that we left out all of the other nonsense and standard gibberish you see in every JD, so please tell us you read this far. You will get points for it. Seriously.Why you’ll love working with us...We’re a hard-working, humble, and compassionate group motivated to solve the hard problems in healthcare today. You’ll work with talented, experienced co-workers from co