Software Engineer, Fulfillment (Ruby)

TL;DR

Software Engineer, Fulfillment (Ruby/Healthtech): Building and optimizing the core engine for patient lifecycle management with an accent on automating operational workflows and integrating legacy systems. Focus on architecting scalable backend services, creating internal operations dashboards, and implementing AI-driven automation to reduce patient turnaround time.

Location: Hybrid in New York City (flexible remote options available)

Salary: $170,000 - $220,000

Company

A digital health scale-up making diagnostics accessible, fast, and transparent through a B2C marketplace and B2B platforms.

What you will do

• Design and implement patient intake workflows, including medical forms and scheduling.
• Architect monitoring systems to track patient journeys at scale for operations leadership.
• Develop efficient internal dashboards for scheduling, legal operations, and patient services.
• Own the automation layer, including automatic referral ingestion, task assignment, and AI voice reminder calls.
• Remediate critical workflows to reduce operational escalations and significantly improve end-to-end turnaround times.

Requirements

• Proven ability to integrate with legacy systems not designed for modern interoperability.
• Experience shipping complex internal operations dashboards.
• Proficiency in backend development with Ruby (e.g., Rails).
• Familiarity with RESTful API integration patterns, schema versioning, and contract management.
• Strong operational instincts regarding instrumentation and failure mode analysis.

Nice to have

• Experience in the healthcare industry.

Culture & Benefits

• Comprehensive package including 401k, healthcare, vision, and dental insurance.
• Flexible and remote/hybrid working options.
• Personal development budgets.
• 18 days PTO plus public holidays and 10 paid sick days.
• All necessary equipment provided and inclusive company policies.

Hiring process

• Introductory video call with a Senior Talent Partner (30 min).
• Technical video call with a software engineer for a live skill assessment (60 min).
• Cross-functional assessment (take-home or in-person) focusing on system design.
• Final round with the CTO and CPO to assess alignment with company values.