Note: The job is a remote job and is open to candidates in USA. Form Health is a virtual obesity medicine clinic delivering evidence-based obesity treatment through telemedicine. They are seeking a Senior Software Engineer to join the Care Team Experience team, responsible for building backend services and workflows that support clinical operations and patient care.
Responsibilities
- Design, build, and ship backend services, workflows, and integrations that power clinical charting, scheduling, task management, and care coordination
- Own features end to end: from shaping the approach with product and clinical partners, through implementation, testing, rollout, and operation in production
- Work primarily in a mature Ruby on Rails monolith, alongside supporting services and internal tooling
- Build and maintain integrations with clinical and operational systems, including our EHR
- Practice small-batch, continuous delivery: small PRs, short-lived branches, feature flags, and tight feedback loops that let us ship safely and frequently
- Use agentic, AI-native development tools (e.g., Claude Code) as a core part of how you design, build, test, and review, without compromising engineering rigor
- Write well-tested, observable, maintainable code, and instrument your work so we can understand how it behaves in production (we run on Datadog)
- Raise the technical bar for the team through thoughtful code review, pairing, and mentorship of other engineers
- Ensure the systems you build operate safely within HIPAA and broader healthcare regulatory requirements
- Identify technical risks early and help drive mitigation before they impact care delivery
Skills
- 5+ years building and operating production software, with meaningful backend and workflow-heavy experience
- Strong proficiency in a modern backend stack; experience with Ruby on Rails is a strong plus, and comfort ramping quickly in an established codebase is essential
- A track record of owning features end to end and making pragmatic architectural decisions
- Strong delivery fundamentals: small-batch and continuous delivery, feature flags, automated testing, and operational excellence
- Comfort with cloud infrastructure and observability (we run on AWS and Datadog)
- Experience integrating with third-party systems and APIs
- Hands-on fluency with, or genuine enthusiasm for, agentic AI-native development tools (e.g., Claude Code) as part of your everyday workflow
- Clear communication and effective collaboration with product, clinical, and non-technical partners
- Experience in healthcare, clinical systems, workflow tooling, AI-enabled products, or other regulated domains is a strong plus, but not required
Benefits
- Competitive salary and equity in a high growth start-up
- Comprehensive health benefits (medical, dental, vision)
- 401k
- Flexible work schedules and paid time off
- Paid parental leave
Company Overview