Staff Software Engineer

Responsibilities

• Lead collaborate across engineering, product, design, and clinical/operations teams to ensure technical decisions serve business and clinical goals
• Write code across the entire stack (currently Ruby + Rails on the backend and Turbo/Tailwind on the frontend) with a focus on the systems and abstractions that other engineers build on
• Contribute meaningfully to engineering culture: process improvements, documentation, standards, and team health
• Mentor and grow senior engineers through pairing, code review, architecture discussions, and direct feedback — raising the bar without gatekeeping
• Own complex, multi-team technical initiatives end-to-end: from problem discovery and scoping through delivery and iteration, keeping stakeholders aligned along the way
• Translate technical context clearly for non-technical stakeholders — surface risks early, communicate tradeoffs, and advocate for the right solution even when it requires changing direction
• Bridge the gap between strategic technical direction and day-to-day execution, ensuring the team has the clarity and context to move fast and build well

Requirements

• You're excited about improving behavioral health for children, teens, and their families
• You have significant experience developing software professionally, primarily Ruby + Rails, with a track record of delivering complex project end-to-end
• You’re a connector, build trust quickly across teams, communicate with clarity and empathy, and know how to move groups towards alignment without relying on authority
• You own problems, not just tickets — you dig into the domain, question assumptions, and find the right solution even when it's not the obvious one
• You are thoughtful and empathetic in how you carry yourself, from decision making and execution, to communication and collaboration
• You raise the bar for the team through your work, your feedback, and your willingness to make things better without being asked
• You have developed your own workflow for building software with AI coding tools — you have opinions about when agents help, when they hurt, and how to get the best out of them
• You care about solving problems and aren't tied to particular solutions or technologies

Bonus Points

• Healthcare — especially clinical workflows, scheduling systems, EHR integrations, insurance billing, or multi-clinic operations
• Complex data modeling and migration challenges (unifying systems, managing domain complexity)
• API development and integrating with third-party systems
• Working in Shape Up or similar appetite-based development methodologies