Full Stack Ruby on Rails Engineer

About the Role:

We are looking for a Senior Software Engineer to join our team and help build and support applications used across Teladoc Health.

This is a hands-on full-stack role. You will spend most of your time designing, building, testing, and supporting software, with a primary focus on Ruby on Rails and React. You will work closely with other engineers, product managers, and technical partners to solve problems and deliver reliable software to production.

We are also adopting AI-assisted development tools as part of our engineering workflow. We value engineers who know how to use tools such as GitHub Copilot, Claude, ChatGPT, Cursor, or similar tools to speed up development, testing, debugging, and documentation while still applying good engineering judgment.

Healthcare experience is a plus. Experience with FHIR, HL7, Mirth Connect, EHR/EMR integrations, or other healthcare interoperability technologies is helpful, but it is not required.

What You'll Be Doing

• Build and maintain backend services and APIs using Ruby on Rails.
• Build and maintain frontend applications using React, JavaScript, and/or TypeScript.
• Design and develop REST APIs and integrations with other applications and services.
• Work with databases and write SQL as part of day-to-day development and troubleshooting.
• Work with Kafka or other messaging/event-driven systems where appropriate.
• Participate in technical design discussions and help make decisions about application architecture.
• Write unit and integration tests and help maintain a strong automated test suite.
• Review code and provide practical feedback to other engineers.
• Investigate and resolve production issues.
• Participate in deployments, monitoring, and ongoing production support.
• Work with product managers and other stakeholders to understand requirements and turn them into working software.
• Document technical decisions, APIs, and important system behavior.
• Help improve development practices, tooling, and engineering processes.
• Participate in an on-call rotation as needed.

What You'll Bring

Required Qualifications

• 5+ years of professional software engineering experience.
• Strong hands-on experience with Ruby on Rails.
• Experience building production applications with React.
• Good understanding of Ruby, JavaScript, and/or TypeScript.
• Experience building and consuming REST APIs.
• Experience writing automated tests.
• Experience with Git and modern software development practices.
• Experience troubleshooting and supporting production applications.
• Ability to take ownership of work from design through implementation and production.
• Good communication skills and the ability to work effectively with other engineers and cross-functional teams.

Preferred Qualifications

Experience working in healthcare or healthcare technology.

• Experience with FHIR, HL7v2, or CCDA/C-CDA.
• Experience with Mirth Connect or another healthcare integration engine.
• Experience with EHR/EMR systems (Athena/Cerner/Epic).
• Experience with Kafka or other messaging platforms.
• Experience with AWS, Azure, or GCP.
• Familiarity with Docker and Kubernetes.
• Experience with healthcare data privacy and security, including HIPAA.
• Experience using AI-assisted development tools such as GitHub Copilot, Claude, ChatGPT, or Cursor.