Staff Full-Stack Engineer

Posted 4 Days Ago
Be an Early Applicant
Hiring Remotely in USA
Remote
180K-220K Annually
Senior level
Healthtech
Helping employers provide premier #healthcare benefits to employees through leading Centers of Excellence. #HR
The Role
The Staff Full-Stack Engineer will lead backend development and optimize web and mobile applications, focusing on scalable APIs and services. Responsibilities include mentoring engineers, collaborating with product teams, driving technical direction, and ensuring code quality. The role involves active participation in system architecture improvements and monitoring practices.
Summary Generated by Built In

At Carrum, we live and breathe the mission of transforming the healthcare system to create an unmatched experience for patients. If you are passionate about changing healthcare and want to finally get rid of surprise bills, poor quality, and high prices, while thriving in an entrepreneurial, cutting-edge environment, we would love to connect with you.  

In 2014 Carrum reinvented the Center of Excellence (CoE) category in digital health. We are the only company in this space with a digital platform and mobile app powering this novel marketplace. Today, most of the US population lives within a 3 hour driving distance of a Carrum CoE and our providers rank in the top 10% nationally. Our team’s execution has been recognized by the venture community and we’ve raised more than $50M in aggregate from investors like Tiger Global Management and Wildcat Ventures. Our impact has been externally proven in a 2021 RAND Corporation study and featured as a Harvard Business School (HBS) case study.

As a Staff Fullstack Engineer with a focus on backend development,  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 lead 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.

 As a senior technical leader, you will own key initiatives, introduce new architectural patterns, and mentor engineers to elevate the team's technical expertise. In addition, 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.

This is a full time position, the salary range for this role is $180,000 - $220,000 depending on level of experience and geographic location.

You’re excited about this opportunity because you will...

  • Have a direct impact on the technical direction and product roadmap of the company.
  • Be a peer leader and expert on our backend services and data models and take them to the next level of maturity while keeping the, dead simple
  • 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

We’re excited about you because…

  • You have 8+ years of experience in full-stack software development in a robust, highly available and performant multi-service ecosystem
  • You have previous professional experience being the most senior engineer on an mid-sized engineering team in a Ruby on Rails and React environment 
  • You have strong experience using Postgresql SQL and NoSQL features to build out great and flexible data models
  • You have expertise in building software on top of the core AWS Services (ECS, RDS, S3, etc)
  • You enjoy technical leadership through code reviews and system design sessions
  • You possess good communication and collaboration skills in order to drive alignment and increase effectiveness on delivery across teams
  • You have strong expertise in designing simple and supportable software through monitoring, alerting and performance tuning
  • You enjoy mentoring engineers in building simple, scalable and reusable software and impart best practices to the team
  • Are passionate about building great user experiences that are accessible to a wide variety of users.
  • You have interpersonal skills and don’t have a hard time being empathetic, courteous, and friendly.
  • You are 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.
  • You have experience handling deadlines, keeping many balls in the air, and prioritizing work in a fast-paced, dynamic environment.
  • Note that we left out all of the other nonsense and standard gibberish you see in every JD, so please tell us you read this far.  You will get points for it.  Seriously.

Why you’ll love working with us...

  • We’re a hard-working, humble, and compassionate group motivated to solve the hard problems in healthcare today. You’ll work with talented, experienced co-workers from companies like Booz & Company, Livongo, 98point6, Google, and Optum. We believe in using data to inform decisions, technology to make our jobs easier, and creative thinking to pave the future.
  • We are working with some of the most recognized and esteemed names in the country. Top hospitals like Johns Hopkins, Mayo Clinic, Stanford Health Care, Scripps Health, and Rush Health have joined our platform. Employers who use our benefit include Walgreens, US Foods, United Airlines, and large public sector organizations like the self-insured schools of California, and the State of Maine.
  • We empower team members to be autonomous and provide a collaborative environment where you get support and healthy feedback. You can bring your authentic self to work every day and are encouraged to help others do the same.
  • We carve out time to let go of work to celebrate our successes and have fun. We’re all working remotely right now, but prior to the pandemic a few of the monthly activities we enjoyed included group dinners, bowling, and hiking. Now we bring the fun online with holiday costume contests, arts and crafts activities, musical events, weekly meditations, and gratitude sessions.
  • You’ll feel proud that the work you do each day directly impacts people’s lives in big and meaningful ways.

Other benefits:

  • Stock option plan
  • Flexible schedules and remote work
  • Chicago and San Francisco offices available
  • Self-managed vacation days, within reason
  • Paid parental leave
  • Health, vision, and dental insurance
  • 401K retirement plan

About Carrum

We’re a health tech company that brings value-based care to the masses. We help employers deliver a memorable patient experience, immediately lower healthcare costs, and drive better outcomes and achieve this through the power of technology and human-centered design. Since launching in 2014, we’ve partnered with Fortune 500 employers and top hospitals across the nation. We’ve been recognized by Harvard Business School and featured in TechCrunch, The Los Angeles Times, Washington Post, and Modern Healthcare. We believe we’re only scratching the surface of our opportunity and we’re looking for incredible people like you to help us realize our full impact.

Carrum Health is an equal opportunity employer and encourages all applicants from every background and life experience.

Top Skills

React
Ruby
SQL
The Company
107 Employees
Hybrid Workplace
Year Founded: 2014

What We Do

Healthcare is unreasonably complex and costly. At Carrum Health, we’re applying a common sense approach to simplify the payment model and produce greater value for employers and their employees. We do so by directly connecting progressive self-insured employers to top-quality regional healthcare providers through the industry’s first comprehensive bundled payment solution. Our innovative platform reimagines how care is paid for and delivered, improving the value of health benefits for employers and their members. Carrum’s solution is a “win” for all parties, a rarity in healthcare: - Employers achieve significant cost savings and predictability without risk or hassle. - Members receive top-quality care and a concierge experience for zero out-of-pocket costs so they can focus on recovery instead of medical bills. - Providers gain streamlined administration allowing them to do what they do best – deliver expert care. For more information about Carrum Health, please contact [email protected].

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