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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Senior Full-Stack Engineer - **Company:** Carrum Health - **Location:** San Francisco, CA, United States (Remote available) - **Experience:** Expert - **Salary:** $160,000.0 - $180,000.0 - **Contract:** Permanent contract - **Skills:** Amazon Web Services, Amazon S3, Cloud Computing, Software Quality, Code Review, DevOps, Distributed Systems, Mobile Application Software, PostgreSQL, NoSQL, Performance Tuning, Ruby on Rails, Service-Oriented Architecture, Software Construction, Software Engineering, SQL Databases, Systems Architecture, Web Services, ReactJS, System Availability, React Native, Front End Software Development, Docker - **Published:** August 5, 2026 - **Apply:** https://arc.dev/remote-jobs/j/redirect/p9zor262tv ## About the Role * You have 8+ years of experience in full-stack software development in a robust, highly available and performant multi-service ecosystem * You have production experience in our core technologies: Ruby on Rails (distributed architecture), React, Docker * 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) * 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., * 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. ## Description As a Senior Software Engineer, you will take a hands-on leadership role in shaping the design, development, and optimization of both our web and mobile applications. Working primarily with Ruby on Rails in a Service-Oriented Architecture (SOA), you will support 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. 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. 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., * Have a direct impact on the technical direction and product roadmap of the company. * 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 ## Related Videos - [Leveraging Real time data in FSIs](https://www.wearedevelopers.com/videos/806-leveraging-real-time-data-in-fsis) - [Docker Compose: Rediscovered](https://www.wearedevelopers.com/videos/1978-docker-compose-rediscovered) - [From DevOps to Scaled DevOps: How We’re Rebuilding Continuous Delivery as a Platform](https://www.wearedevelopers.com/videos/100018-from-devops-to-scaled-devops-how-we-re-rebuilding-continuous-delivery-as-a-platform) - [Why Your Best Mediors Never Become Seniors (And How to Fix It)](https://www.wearedevelopers.com/videos/2108-why-your-best-mediors-never-become-seniors-and-how-to-fix-it) - [NoSQL Data Modeling for Front-end Developers](https://www.wearedevelopers.com/videos/297-nosql-data-modeling-for-front-end-developers) - [The user in the eye of the Cargo1492 storm](https://www.wearedevelopers.com/videos/96-the-user-in-the-eye-of-the-cargo1492-storm) ## Related Articles - [Fully Remote Software Engineer Jobs](https://www.wearedevelopers.com/magazine/447-fully-remote-software-engineer-jobs) - [Highest Paying Tech Companies for Developers](https://www.wearedevelopers.com/magazine/220-highest-paying-tech-companies-for-developers) - [Find a Developer Job: 12 Best Job Sites For Developers](https://www.wearedevelopers.com/magazine/165-find-a-developer-job-12-best-job-sites-for-developers) - [Is Software Engineering Over-Saturated?](https://www.wearedevelopers.com/magazine/418-is-software-engineering-over-saturated) - [7 Most Popular Web Developer Jobs in Europe](https://www.wearedevelopers.com/magazine/163-7-most-popular-web-developer-jobs-in-europe) - [Fullstack Developer Salary UK](https://www.wearedevelopers.com/magazine/251-fullstack-developer-salary-uk)