Intermediate Fullstack Developer (Ruby & React)- EHR

Fullscript; Toronto; Remote; CAD 80,000 - 110,000; Full time

Job summary

A healthcare technology company in Toronto is looking for a Fullstack Engineer to design and develop scalable applications. You will work with Ruby and JavaScript, ensuring reliability and maintainability of features. A collaborative mindset and passion for clean code are essential. Join us in building a connected healthcare platform.

Benefits

Generous PTO

RRSP match program

Flexible benefits package

Training budget

Discount on products

Work from anywhere model

Qualifications

• Solid understanding of RESTful API design and lifecycle management.
• Proficiency in Ruby or experience in similar languages.
• Collaborative mindset and effective communication.

Responsibilities

• Design, develop, test, and maintain features across Fullscript’s platform.
• Build scalable frontend and backend applications with Ruby and JavaScript.
• Take full ownership of features from architecture to deployment.

Skills

Clean code practices

RESTful API design

Ruby

JavaScript (React)

Collaboration

Job description

At Fullscript, we’re not just changing healthcare—we’re making it whole.

We help 100,000+ healthcare practitioners support 10 million patients with a platform that delivers evidence-based health solutions, diagnostic support, and practitioner tools—all in one place.

Healthcare today is disconnected. We’re fixing that. Fullscript makes it easier for practitioners to treat the whole person, not just symptoms, so patients get the support they need—when they need it.

We’re building a better way—one where healthcare is connected, complete, and built for impact.

We are seeking a Fullstack Engineer for our Product Engineering Team.

What you'll do:

• Design, develop, test, deploy, maintain, and improve features across Fullscript’s platform
• Build and maintain scalable frontend and backend applications using Ruby and JavaScript (React), with an emphasis on reliability, testability, and maintainability
• Design and develop RESTful APIs, including third-party integrations and internal services, with a focus on long-term health and clarity
• Ensure API design aligns with best practices for uptime, reliability, and contract testing
• Take full ownership of features, from architecture to rollout, and support them in production
• Lead or contribute to the scoping and planning of technical projects, collaborating across teams to deliver solid, maintainable solutions
• Review pull requests and provide mentorship and feedback that improves the quality and cohesion of the codebase
• Influence high-level architecture and technical direction, driving forward larger team initiatives
• Contribute to team culture through collaboration, discussion, and sharing knowledge

What you bring to the table:

• You are a passionate engineer who takes pride in writing clean, maintainable code and enjoys solving meaningful problems
• Solid understanding of RESTful API design and lifecycle management, including reliability, automated testing, and long-term maintenance
• Proficiency in Ruby (or strong experience in a similar language with the willingness to ramp up quickly in Ruby-based systems)
• Experience building web applications using JavaScript and frameworks like React, Vue, or similar
• You write tests and value their role in maintaining quality and confidence during iteration
• You have good software engineering fundamentals and can contribute to technical design conversations
• Collaborative mindset, you thrive in team settings and can communicate your ideas clearly
• You actively seek feedback and enjoy growing through mentorship and new challenges

Bonus:

• Experience with FHIR, HL7, or other healthcare data formats
• Exposure to regulated or mission-critical environments, especially in healthcare or finance

What we can offer you:

• Generous PTO and competitive pay
• Fullscript’s RRSP match program for financial health
• Flexible benefits package and workplace wellness program
• Training budget and company-wide learning initiatives
• Discount on Fullscript catalog of products
• Ability to work Wherever You Work Well*

Why Fullscript?

Great work happens when people are supported, challenged, and inspired. Here, you’ll be part of a team that:

⬦ Values innovation—we push boundaries and always look for better ways.

⬦ Supports growth—through learning, mentorship, and meaningful work.

⬦ Cares about balance—with flexible work options and time off when you need it.

Apply now—let’s build the future of healthcare, together.

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

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

We use AI tools to support parts of our hiring process, like screening and reviewing responses. Final decisions are always made by people. This process complies with privacy and employment laws across Canada and the U.S.

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MORE INFO: www.fullscript.com | www.rupahealth.com | Follow us on social media @fullscriptHQ

IN THE NEWS: Fullscript acquires Rupa Health

Let’s make healthcare whole