[Remote] Senior Full-Stack Engineer

Note: The job is a remote job and is open to candidates in USA. Carrum Health is a health tech company that uses technology and human-centered design to bring value-based care to employers, patients, and healthcare providers. The Senior Full-Stack Engineer will lead the design, development, and optimization of scalable web and mobile applications, APIs, services, data models, and AWS infrastructure while driving architecture, monitoring, code quality, and technical collaboration.

Responsibilities

• 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
• 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 lifecycles
• Work with other frontend/mobile engineers to build out technical roadmaps for the shared codebase that powers our mobile and web-based patient applications
• Take 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 itself
• Relish working with a diverse and cross-functional group of people from a wide variety of backgrounds to solve problems that impact our patients

Skills

• 8+ years of experience in full-stack software development in a robust, highly available and performant multi-service ecosystem
• Production experience in core technologies: Ruby on Rails (distributed architecture), React, Docker
• Strong experience using Postgresql SQL and NoSQL features to build out great and flexible data models
• Expertise in building software on top of the core AWS Services (ECS, RDS, S3, etc)
• Enjoy technical leadership through code reviews and system design sessions
• Good communication and collaboration skills in order to drive alignment and increase effectiveness on delivery across teams
• Strong expertise in designing simple and supportable software through monitoring, alerting and performance tuning
• Enjoy mentoring engineers in building simple, scalable and reusable software and impart best practices to the team
• Passionate about building great user experiences that are accessible to a wide variety of users
• Interpersonal skills and don't have a hard time being empathetic, courteous, and friendly
• 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
• Experience handling deadlines, keeping many balls in the air, and prioritizing work in a fast-paced, dynamic environment

Benefits

• Flexible working hours
• Generous time off
• Paid parental leave
• Remote-first work arrangement
• Opportunities to connect with coworkers both virtually and in-person
• Active employee-led Diversity, Equity, Inclusion, and Justice (DEIJ) committee
• Employee resource groups (ERGs) with social, educational, and community activities
• Stock option plan
• Flexible schedules and remote work
• Chicago and San Francisco offices available
• Self-managed vacation days, within reason
• Health, vision, and dental insurance
• 401K retirement plan

Company Overview