At Carrum, we are transforming how we pay for, deliver and experience healthcare. 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 Centers of Excellence (COE) category in digital health. Today, 95% of the US population lives within 50 miles 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 $96M in aggregate from investors like OMERS, 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 Principal 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 across our technology team. 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 and advise them on architectural patterns. 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 department'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 - $230,000 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 15+ 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) and Azure services
  • You preferably have a Bachelors or graduate degree in Computer Science or a relevant degree program
  • 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 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 a remote-first company with employees all over the United States and two office locations in San Francisco and Chicago. We support our employees during the work day and beyond with flexible working hours, generous time off, paid parental leave, and opportunities to connect with coworkers both virtually and in-person.
  • We embrace our team’s diversity of thought, experience, and interests and know that doing so makes us stronger as a company. Carrum has an active employee-led Diversity, Equity, Inclusion, and Justice (DEIJ) committee and several employee resource groups (ERGs). Our ERGS help employees build stronger connections through social, educational, and community activities.
  • 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.

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