Intermediate Back End Developer (Ruby)

Fullscript; Ottawa; Hybrid; CAD 70,000 - 110,000; Full time

Job summary

Join a forward-thinking company where your coding skills will directly impact healthcare. As an Intermediate Backend Developer, you'll craft scalable systems and optimize backend services that enhance patient care. Collaborate with a mission-driven team to build high-performance code and design efficient APIs. With flexible work options and a commitment to innovation, this role offers a unique opportunity to contribute to a platform serving millions. If you're passionate about technology and healthcare, this is the perfect place for you to grow and make a difference.

Benefits

Flexible PTO

RRSP match

Stock options

Customizable benefits

Fullscript discounts

Continuous learning opportunities

Qualifications

• Experience with Ruby on Rails and GraphQL APIs is essential.
• Strong focus on writing clean, maintainable, and scalable code.

Responsibilities

• Develop and scale backend services using Ruby on Rails.
• Design and refine efficient GraphQL APIs for optimal performance.

Skills

Ruby on Rails

GraphQL

API Design

Clean Code Practices

System Thinking

Job description

Intermediate Backend Developer

Location: Remote (Canada) / Ottawa, ON (Hybrid)

At Fullscript, we’re not just writing code—we’re rewriting healthcare. We power 100,000+ healthcare providers serving 10 million patients, equipping them with the tools to treat the whole person, not just symptoms. Our platform integrates diagnostics, supplements, and smart adherence tools to make proactive, personalized care possible. Every line of code you write improves patient care. Every system you optimize scales a platform that drives real change. This is real-world problem-solving at scale—let’s build something great together.

BUILD. SOLVE. IMPACT. REPEAT.

You don’t just write code—you craft scalable systems that solve real problems. At Fullscript, we move fast because healthcare needs to move faster. We ship clean, high-performance code that powers seamless experiences for practitioners and patients. You'll work with Ruby on Rails and GraphQL APIs, optimizing backend services that drive impact. You’ll join a collaborative, mission-driven team obsessed with building great software.

How we build: Fullscript Developer Handbook

WHAT YOU’LL DO:

1. Develop and scale the backend. Build and optimize Ruby on Rails services that power Fullscript.
2. Design and refine APIs. Ensure GraphQL services are fast, reliable, and easy to maintain.
3. Ship features that matter. Work with frontend teams to enhance core functionality.
4. Write clean, test-driven code. Follow best practices to keep code maintainable.
5. Optimize for efficiency. Improve performance and scalability for high-volume traffic.
6. Collaborate and grow. Share knowledge and learn with a high-performing team.

WHAT MAKES YOU A GREAT FIT:

1. You’re a software engineer first. You take pride in writing scalable, maintainable code.
2. You know Ruby on Rails. You have hands-on experience building and maintaining production applications.
3. You think in systems. You understand how backend services connect, scale, and evolve.
4. You build APIs with purpose. You know GraphQL and how to design efficient, well-structured APIs.
5. You thrive in collaboration. You work well across teams—frontend, product, and fellow backend devs.

Bonus points if you:

1. Have experience scaling high-traffic Rails applications.
2. Have worked with React or GraphQL.
3. Are passionate about healthcare innovation.

WHAT YOU GET:

1. Flexible PTO & competitive pay. Prioritize work-life balance and performance.
2. RRSP match & stock options. Invest in your long-term financial health.
3. Customizable benefits. Choose flexible coverage, paramedical services, or an HSA.
4. Fullscript discounts. Save on high-quality supplements and wellness products.
5. Continuous learning. Access a training budget and company-wide initiatives.
6. Wherever You Work Well. Hybrid and remote options that fit your lifestyle.

READY TO CODE THE FUTURE OF HEALTHCARE?

If you're ready to ship code that makes an impact, grow your skills, and help redefine healthcare, we want to hear from you.

Apply now. Let’s build the future—together.

Fullscript is an equal-opportunity employer. We celebrate diversity and are committed to creating an inclusive workplace. Accommodations are available on request—email [e-mail] for support.

Before joining the team, all candidates who receive and accept an offer will complete a background check.

More about us: www.fullscript.com | www.rupahealth.com | @fullscriptHQ

IN THE NEWS: Fullscript acquires Rupa Health

BUILDER'S CORNER: Fullscript's Engineering blog