Job Title: Senior Full-Stack Engineer Company Name: Carrum Health Job Url: https://simplify.jobs/jobs?query=Full+stack&state=North+America&points=83%3B-170%3B7%3B-52&experience=Mid+Level%3BSenior&category=AI%2FML%2FGenAI+Engineering%3BBackend+Engineering%3BFrontend+Engineering%3BFull-Stack+Engineering%3BSoftware+Engineering&jobId=7c581b0f-b1b3-4fa2-9e81-15d87884f59e&workArrangement=Remote Job Description: Senior Full-Stack Engineer Confirmed live in the last 24 hours Unlock job analytics with Simplify+ Carrum Health 201-500 employees Facilitates employer bundled payments for care Compensation Overview $160k - $180k/yr + Stock Options Senior, Expert Chicago, IL, USA Remote Category Software Engineering (1) Full-Stack Engineering Required Skills Skills that you prefer have been highlighted React.js Docker AWS NoSQL Ruby Postgres React Native Get referrals → You have ways to get a Carrum Health referral from your network. Applications through a referral are 3x more likely to get an interview! Summary Full Job Posting You match the following Carrum Health's candidate preferences Employers are more likely to interview you if you match these preferences: Degree Experience You have ways to get a Carrum Health referral from your network. Get referrals → Requirements 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 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 (Elastic Container Service, Relational Database Service, Simple Storage Service, etc) You enjoy technical leadership through code reviews and system design sessions You possess good communication and collaboration skills to drive alignment and 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 You are passionate about building great user experiences accessible to a wide variety of users You have interpersonal skills and are empathetic, courteous, and friendly You are entrepreneurial and resourceful, able to find creative ways to make a big impact quickly with minimal direction You have experience handling deadlines, prioritizing work in a fast-paced, dynamic environment Note: The job description explicitly mentions 8+ years experience and multiple core technologies; these items are considered requirements. Responsibilities Take hands-on leadership role in shaping the design, development, and optimization of both web and mobile applications Support the creation of scalable, high-performance APIs and services in a Ruby on Rails service-oriented architecture Contribute to and integrate with frontend components built with React and React Native Drive improvements in system architecture and performance through active leadership in code reviews, design sessions, and the evolution of development processes Design data models in collaboration with Data teams to meet operational and analytical requirements Partner with the DevOps team to leverage Amazon Web Services for cloud infrastructure deployment Implement comprehensive monitoring and observability practices to guarantee high availability, security, and scalability of services Collaborate with product teams to define project timelines, influence technical direction, and guide the team through complex design and architectural decisions Ensure high standards of code quality and continuous improvement in development practices Take ownership of the architecture and code and release to production frequently Keyword Match Needs Work - 4 out of 15 found Carrum Health Website View Company Profile Carrum Health builds a platform that connects employers to a network of top healthcare providers through value-based Centers of Excellence. It negotiates upfront bundled payments for medical procedures, then covers the procurement and oversight via a plug-and-play solution that can be deployed nationwide. Providers bill only the bundled price, helping employers save costs while patients access high-quality care and avoid medical bills. The company differentiates itself by direct provider negotiation, a bundled-payment model tied to Centers of Excellence, and an emphasis on easy implementation and clear savings (up to 45% per procedure). Its goal is to reduce employer healthcare spend while improving patient experience and outcomes. Company Size 201-500 Company Stage Series B Total Funding $96M Headquarters San Francisco, California Founded 2014