Staff Full Stack Engineer (New Billing)

Join Healthie as a Staff Full Stack Engineer, where you'll lead the architecture and development of our new billing system. This role is crucial to our platform, impacting providers, patients, payments, reporting, and compliance. You'll design and build resilient full-stack systems, set technical direction, guide engineering decisions, and mentor other engineers. You'll also collaborate closely with Product and Design to deliver a reliable and scalable billing platform.

• Lead the architecture and development of the systems that power how providers get paid, ensuring scalability and reliability.
• Design and build resilient full-stack systems in Ruby on Rails, spanning backend services, data models, GraphQL APIs, and frontend experiences.
• Set technical direction, guide engineering decisions, and mentor other engineers while partnering closely with Product and Design.

• Systems Thinker: You think beyond individual features and consider how systems interact across services, data layers, and user experiences. You are comfortable designing scalable architectures and solving complex technical problems that span multiple parts of the platform
• Technical Leader: You naturally lead technical initiatives, guide architectural decisions, and help teams navigate complex engineering challenges. You raise the bar for engineering quality through design reviews, mentorship, and thoughtful collaboration
• Builder & Collaborator: You enjoy partnering closely with product managers, designers, and other engineers to translate complex requirements into well-designed systems and intuitive user experiences
• Mission-Driven: You’re excited by the opportunity to improve healthcare through technology and help build infrastructure that enables providers to deliver better care while running sustainable practices
• Quality Obsessed: You believe reliability and correctness are critical, especially in systems that power financial workflows. You write clean, maintainable code and ensure it is supported by thoughtful testing and observability
• Proven & Technical: 8+ years of experience building and shipping production systems across the full stack. Strong expertise in modern web technologies such as Ruby, React, TypeScript, and GraphQL, along with experience designing backend services, APIs, and data models that support complex, high-scale applications
• Values-Aligned: You embody Healthie’s values of Respect, Reliability, and Resilience, and thrive in a collaborative, remote-first environment where ownership, curiosity, and teamwork are valued