Senior Full Stack Software Engineer II

About Us

At SimplePractice, we are improving access to quality care by equipping health and wellness clinicians with all the tools they need to thrive in private practice.

More than 250,000 providers trust SimplePractice to build their business through our industry-leading software with powerful tools that simplify every part of practice management. From admin work to clinical care, our suite of innovative solutions work together to reduce administrative burden—empowering solo and small group practitioners to thrive alongside their clients.

Recognized by MedTech Breakthrough as the Best Practice Management Solution Provider in 2024 and the Digital Health Awards in 2023, SimplePractice is proud to pave the future of health tech.

The Role

SimplePractice is seeking a Senior Full Stack Engineer II to help lead the development and scaling of customer-facing reporting solutions. This a remote role with expert knowledge in Ruby on Rails and heavy backend experience to help us roll-out the multitude of features and service improvements we have planned.

About You

• You are a passionate, talented engineer, willing to push the limits of existing technology and create the best possible customer experience
• You love building products that help thousands of customers in their day-to-day lives
• You drive design and execution from ideation to launch using a hands-on approach to coordinating engineers and AI agents
• You have expert knowledge in backend Ruby on Rails software development and data engineering
• Your work has a heavier emphasis on backend APIs, data models, and data pipelines to support customer-facing reporting and analytics

Responsibilities

• Build out the next generation practice management reporting platform with a builder mindset and product-focused approach, creating solutions that are robust, scalable, and easy to use
• Own the technical design and delivery of increasingly complex reporting requirements, including a generalized reporting platform and potential AI-enabled access to data sources which could require substantial infrastructure and data-modeling improvements
• Collaborate with our product team to understand customer needs, define upcoming features, and catch and troubleshoot problems before customers do
• Write – coordinate AI agents to write – clean, efficient, and well-tested code that improves our code base in meaningful ways with a focus on performance and scalability

Desired Skills & Experience

• 8+ years of senior-level full-stack engineering with deep, hands-on expertise in Ruby on Rails or other web application frameworks
• Experience with LLMs and advanced, hands-on fluency with AI coding tools like Cursor, Codex, and Claude Code
• Strong systems design and judgment across APIs, multi-platform distributed systems, observability, and reliability specifically related to reporting and analytics
• Strong SQL query-writing skills with exposure to dbt
• Working knowledge of OpenSearch, Elasticsearch, or DynamoDB and an understanding of data warehouses/columnar databases such as Snowflake, AWS Redshift, ClickHouse, or StarRocks
• Design and implementation of large, scalable web applications and an appreciation for clean, elegant, and simple code
• Understanding the value and nuances of automated testing especially as it applies to AI workflows
• Proven track record of mentoring other engineers

• Excellent communication and collaboration skills working with remote teams, using Slack, GitHub, Linear, Notion, Zoom, and similar productivity tools

Bonus Points

• Web application security, plus PCI or HIPAA compliance experience
• Production troubleshooting and infrastructure: Docker, MySQL, Postgres, Redis, NGINX, AWS, Linux, Terraform/Ansible

Benefits

We offer a competitive benefits program including:

• Medical, dental, vision, life & disability insurance
• 401(k) plan with company match
• Flexible Time Off (FTO), wellbeing days, paid holidays, and summer Fridays
• Mental health resources
• Paid parental leave & Backup Care
• Tuition reimbursement
• Employee Resource Groups (ERGs)

California Job Applicant Privacy Notice

Thank you for your interest in opportunities at SimplePractice LLC (“SimplePractice” or “us” or “we” or “our”). Please note that when you submit your resume or application materials to us for employment purposes, you are subject to the SimplePractice California Job Applicant Privacy Notice.

For more information about our privacy practices, please contact us at [email protected].

Notice to Candidates

SimplePractice has been made aware of fraudulent job postings and unaffiliated third parties posing as our recruiting team. We do not have any affiliation or connection to these situations and only post open roles on our official Careers page (simplepractice.com/careers) and reputable job boards like our official LinkedIn or Indeed pages.

All official SimplePractice recruitment emails will be sent from the domains @simplepractice.com, [email protected] or no‑[email protected] email addresses.

Examples of fraudulent domains include careers-simplepractice.com, simplepractices.com, and simplepractice.careers.

Please note that SimplePractice will never ask candidates or new hires for money or payment of any kind at any stage of the recruitment or onboarding process.

Base salary is one component of total compensation. Employees may also be eligible for an annual bonus or commission. Some roles may also be eligible for overtime pay.

The amount below represents the expected annual base compensation range for this job requisition. Ultimately, in determining your pay, we’ll consider many factors including, but not limited to, skills, experience, qualifications, geographic location, and other job-related factors.

8+ years senior full-stack engineering with Ruby on Rails; experience with LLMs and AI coding tools; strong SQL and systems design; mentoring; remote collaboration tools; US work authorization.

Key Responsibilities

• building reporting platform
• owning technical design
• collaborating with product team

Skills & Tools

Ruby on Rails, Cursor, Codex, Claude Code, SQL, dbt, OpenSearch, Elasticsearch, DynamoDB, Snowflake, AWS Redshift, ClickHouse, StarRocks, Slack, GitHub, Linear, Notion, Zoom, Docker, MySQL, Postgres, Redis, NGINX, AWS, Linux, Terraform, Ansible

Job Details

• Category: Software Development
• Seniority: Senior Level
• Commitment: Full Time
• Workplace: Remote — United States
• Salary: USD 208,000 – 260,000 / year
• Languages: English

Benefits

• 401k matching
• Generous paid time off
• Tuition reimbursement
• Retirement plan
• Generous parental leave

About SimplePractice

A health technology company providing practice management software for health and wellness clinicians. — Industry: Information Technology