Backend Engineer; RoR/Elixir
Listed on 2026-01-16
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Software Development
Backend Developer, Software Engineer
Join to apply for the Staff Backend Engineer (RoR/Elixir) role at Signify Technology
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Staff Backend Engineer (RoR/Elixir)
Industry: Healthtech
Salary: Up to 220K + equity + benefits
Full-time, Permanent Role (100% Remote – North America)
Our client is a well‑established, privately held healthtech company transforming how physical therapy is delivered. They operate a nationwide, tech‑enabled care platform that connects patients and providers through an internal marketplace, removing barriers to care and improving outcomes at scale.
The RoleThey’re hiring a Staff‑level backend engineer to own and evolve the core systems behind a high‑volume, nationwide marketplace. You’ll have significant influence over architecture, scalability, and long‑term technical direction while partnering closely with Product and Engineering leadership.
You’ll Be Responsible For- Owning and scaling backend systems for scheduling, automations, payments, communications, and reporting
- Designing and maintaining internal admin and marketplace services and APIs
- Driving architectural decisions across services, data models, and integrations
- Leading cross‑functional initiatives with Product and other Engineering teams
- Identifying, prioritizing, and reducing tech debt while maintaining delivery velocity
- Mentoring engineers through code reviews and technical leadership
- Shipping, monitoring, and supporting production systems end‑to‑end (high ownership, minimal handoffs)
- 10+ years of professional software engineering experience
- Strong production experience with Ruby on Rails and Elixir
- Experience with additional languages; bonus for statically typed languages like Java or Scala
- Deep backend expertise: APIs, background jobs, data modeling, system reliability, and scalability
- Proven ability to own complex systems from design through production
- Product‑minded, self‑directed, and comfortable operating in a high‑impact environment
- Competitive base salary + equity
- Fully remote (North America) with light annual travel
- Comprehensive benefits, including health coverage and unlimited PTO
- Stable, well‑funded company with a strong market position
- High‑trust engineering culture with real ownership and influence
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