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We’ve partnered with a fast-growing healthtech startup building AI-powered tools that help healthcare organizations streamline operations, improve patient engagement, and optimize clinical workflows. They’re hiring a Staff Fullstack Engineer to join a senior team of 10 engineers and lead development on two greenfield Rails 8 + Hotwire applications focused on AI-powered chat and workflow automation. This role is ideal for a product-minded engineer who enjoys working across the full stack and collaborating closely with product and design to deliver thoughtful, high-quality user experiences.
Job Responsibility:
Lead development of two new Rails 8 + Hotwire applications from the ground up
Build full-stack features spanning backend systems, frontend interfaces, and UX details
Develop AI-powered chat and workflow automation tools for healthcare operations
Own key technical decisions and contribute to product architecture
Collaborate with a senior engineering team to ship polished, production-ready features
Work autonomously in a fully remote, product-driven environment
Requirements:
7+ years of experience building production web applications
Strong full-stack experience with Rails and Hotwire
Comfortable owning projects end-to-end from architecture through UI implementation
Ability to bridge backend engineering, frontend development, and product design
Experience working in autonomous, senior engineering teams
What we offer:
Base salary up to $240,000
100% remote within the US
Comprehensive benefits package
Opportunity to work on AI-powered healthcare products with real-world impact
Collaborative environment with a highly experienced engineering team