Full Stack Ruby Engineer
Our Client's Company: Our client's company is a healthcare technology company that provides convenient, in-home physical therapy by connecting patients with licensed therapists and delivering personalized care through a tech-enabled platform.
Role Overview:
We are seeking a seasoned Senior Full Stack Engineer with deep Ruby expertise to lead development on our core API and front-end systems. You will own high-impact features across our healthcare technology platform, with a focus on third-party integrations, robust backend logic, and intuitive frontend user experiences. This is a high-visibility engineering role with end-to-end ownership and the opportunity to shape the product roadmap.
Responsibilities:
Backend (Ruby, Sinatra)
* Architect, build, and maintain scalable APIs and automation services using Ruby (Sinatra framework).
* Lead development of complex integrations with third-party services such as Zoho CRM/Desk, Clinicient EMR, Stripe, DropboxSign, and AWS S3.
* Manage data workflows and background processing using Rake tasks and ActiveRecord.
* Optimize system performance and resolve bottlenecks in data-heavy environments.
* Uphold best practices in code structure, security (HIPAA compliance), testing (RSpec), and maintainability.
* Contribute to architectural decisions including data modeling and service boundaries.
* Operate within a GitLab CI/CD and Docker containerization environment.
Frontend (React, JS)
* Build and maintain dynamic user-facing components using React.js and modern JavaScript (ES6+).
* Ensure responsive, cross-browser-compatible UI with clean HTML5/CSS3 implementation.
* Integrate front-end features with RESTful backend services.
* Debug and resolve frontend performance and usability issues.
Required Qualifications
* 5+ years of full-stack development experience with a strong backend focus.
* Expert-level Ruby developer; hands-on experience with Sinatra or Rails.
* Solid understanding of object-oriented design and architecture patterns (e.g., Service Objects).
* Strong PostgreSQL skills: schema design, complex queries, and performance tuning.
* Deep experience with RESTful APIs and background job frameworks.
* Proven RSpec test coverage practices; TDD mindset.
* Proficient in React.js and ES6+ JavaScript.
* Working knowledge of Git, CI/CD workflows, Docker.
* Detail-oriented, security-minded, and comfortable working in healthcare-compliant environments.
Preferred Qualifications
* Prior experience in healthcare tech or HIPAA-compliant environments.
* Familiarity with Clinicient, Zoho CRM/Desk, Stripe, DropboxSign, AWS S3.
* Understanding of caching strategies and optimizing high-throughput systems.
* Experience with TypeScript, performance profiling, or analytics instrumentation.
* Leverage AI tools to support frontend development.
What We Offer
* Fully remote, flexible working environment.
* Mission-driven culture focused on improving healthcare delivery.
* Opportunity to lead and grow within a fast-moving, high-impact startup.
* Collaborative, engineering-led product development process.