Senior Full-Stack Engineer

At Carrum Health, we have built a unique marketplace for specialty care with unparalleled patient experience

Since 2014, we have been rewiring a fundamentally broken healthcare system. By connecting large employers directly with the nation's top-tier providers, our platform replaces a flawed fee-for-service model with one that actually works. If you are passionate about solving complex economic problems, driving systemic change in our healthcare system, and thriving in a people-first culture, we want you on our team. As a high-growth health tech company, we are seeking high-performing, exceptional talent to scale our platform and ensure that anyone in the country facing a specialty procedure has access to the life-changing Carrum benefit. 

Our marketplace creates massive value for all stakeholders:

• For Employers (Demand): Predictable, transparent pricing that slashes specialty care costs by up to 45% and eliminates waste

• For Providers (Supply): Ability to gain market share while reducing administrative burden, empowering top-tier doctors to focus completely on delivering optimal care.

• For Members (Users): A life-changing benefit with dedicated concierges, VIP access to the nation's best specialists, and little-to-no out-of-pocket costs.

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.

This is a full time position, the salary range for this role is $160,000 - $200,000, plus equity and a 15% annual bonus, depending on level of experience and geographic location.

• 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

• 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.

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, Teladoc, Hinge Health, Accolade, Angi, and Optum. 

• We champion a collaborative environment where team members can be autonomous, receive support and healthy feedback, and bring their authentic selves to work.

• We carve out time to celebrate our successes and have fun. We’re a remote-first company with employees all over the United States. We offer holistic employee support with flexible working hours, generous time off, paid parental leave, opportunities to connect virtually and in-person, and more.

• 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 alongside several employee resource groups (ERGs) that support parents, women, and various underrepresented groups. 

• You’ll feel proud that the work you do each day directly impacts people’s lives in big and meaningful ways.

• Carrum is remote-first, but we believe the best work often happens in person. This role may include occasional travel for team offsites, client events, or company gatherings.

Other benefits:

• Stock option plan and performance bonus for eligible employees

• Flexible schedules and remote work

• Chicago and San Francisco offices available as an option

• Flexible PTO, within reason

• Summer Fridays (sign off @ 1pm local time)

• 15+ paid holidays, including Juneteenth, World Mental Health Day, and Carrum Health Day

• Annual holiday shutdown in December

• Paid parental leave

• Health, vision, and dental insurance

• Employee Assistance Programs (EAP)

• 401K retirement plan

About Carrum

Carrum Health’s mission is to change how we pay for and deliver specialty care. We offer self-insured employers and plan sponsors a value-based specialty care platform that connects their members with a rigorously vetted network of specialty care providers. Carrum’s transparent, all-inclusive bundled pricing, award-winning technology, and dedicated care navigation team help lower costs for both members and employers while delivering a superior member experience. Carrum is independently validated to reduce unnecessary procedures by as much as 30%, lower readmissions by 80%, and save employers up to 45% per episode of surgical care. Learn more at carrumhealth.com.

Since launching in 2014, we’ve partnered with top-quality providers across the nation including Cleveland Clinic,  Johns Hopkins, Mayo Clinic, Stanford Health Care, and a growing network of 1,400+ COEs. We serve hundreds of self-insured employers including Fortune 50 companies, such as United Airlines, US Foods, and Prudential, and public sector clients such as the States of Maine, Nevada, Tennessee, and Self-Insured Schools of California. 

The impact of our platform has been validated by a landmark RAND Corporation study, honored with prestigious awards from institutions like Harvard Business School & Harvard Medical School, and featured as a Harvard Business School case study. 

As a recognized digital health leader, Carrum is frequently covered by national media, including Bloomberg, Fast Company, Fierce Healthcare, Fortune, Los Angeles Times, Reuters, TechCrunch, and U.S News & World Report. Backed by $96M from top-tier investors including OMERS, Tiger Global Management, Revelation Partners and Wildcat Ventures, we’re only scratching the surface of our opportunity. Come join us. 

Carrum Health is an equal opportunity employer and encourages all applicants from every background and life experience. 

A Note on Recruitment Safety: To protect yourself against recruitment fraud, please note that Carrum Health will only communicate via an @carrumhealth.com email address. We do not conduct interviews via text or messaging apps, nor do we ever request financial information or fees during the hiring process. All authentic job openings are posted at carrumhealth.com/careers. If you are unsure about the legitimacy of a communication, please verify it via [email protected].