About the role
Role:
Staff Backend Engineer (RoR/Elixir)
Industry:
Healthtech
Salary:
Up to 220K + equity + benefits
Full-time, Permanent Role (100% Remote – North America)What They Do:
Our client is a well-established, privately held healthtech company transforming how 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 role:
They’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
- Identifying, prioritizing, and reducing tech debt while maintaining delivery velocity
- Shipping, monitoring, and supporting production systems end-to-end (high ownership, minimal handoffs)
About you:
- 10+ years of professional software engineering experience
- Strong production experience with Ruby on Rails and Elixir
- Experience with additional statically typed languages like Rust or Scala OR Go
- 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
Compensation & perks:
- 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
Company
Signify Technology is a global staffing agency focused on advanced software engineering and AI/ML & Data Engineering, with offices in London and Austin, partnering with Fortune 100 and high-growth companies to provide engineering talent.
Signify Technology
