Senior Engineer, Backend Architecture

Summary

Join Healthie's Backend Architecture team as a Sr. Engineer to build foundational systems for backend services. You will define architectural patterns, shared libraries, and data modeling strategies. Collaborate with engineers to design scalable, resilient, and maintainable systems, focusing initially on horizontal scaling and improving data migration infrastructure. This hands-on role involves untangling legacy code, scaling monoliths, and laying groundwork for future backend development. You will also be a strategic voice, identifying areas for technical investment, mentoring engineers, and contributing to Healthie's growth. Your work directly impacts healthcare organizations' ability to deliver better care.

Requirements

• 6+ years of backend engineering experience, including deep expertise with Ruby on Rails
• Proven experience designing scalable backend systems in complex monolithic or hybrid architectures
• Hands-on knowledge of horizontal database scaling, schema evolution, and high-scale data operations
• Experience building internal frameworks, utilities, and shared services that support developer velocity
• Comfortable navigating legacy systems and incrementally improving them with minimal risk
• Strong communication skills and a collaborative mindset — you enjoy helping other teams succeed
• You are mission-driven, passionate about healthcare, and motivated to build infrastructure that supports meaningful improvements in patient outcomes and provider experiences
• You embody Healthie’s core values of Respect, Reliability, and Resilience , and integrate them into your engineering work, decision-making, and team collaboration

Responsibilities

• Design and evolve core architectural patterns for backend services, data modeling, and async workflows
• Lead backend scalability initiatives, including database sharding and large-scale data migrations
• Build and maintain shared libraries and frameworks (e.g., for jobs, retry logic, audit logging)
• Partner with product and platform teams to guide system design and service boundaries
• Review technical designs from across the org, ensuring long-term scalability and maintainability
• Drive performance tuning efforts (e.g., indexing, query optimization, load resilience)
• Mentor engineers and act as a steward for backend architectural consistency across teams
• Contribute to infrastructure around observability, data governance, and eventing

Preferred Qualifications

Experience with background job systems (e.g., Sidekiq), or event-driven architectures

Benefits

The base salary for this role is $180,000-$200,000 per year plus equity & company bonus, benefits