Senior Developer, Fullstack (Ruby & React) – EHR

Fullscript; Canada; Hybrid; CAD 90,000 - 120,000; Full time

Job summary

A healthcare technology company is looking for a Senior Fullstack Developer. In this role, you will design and maintain features across Ruby and React, lead technical projects, and mentor fellow developers. Candidates should have strong skills in Ruby, React, and API management. This position offers competitive pay and flexible working options, including hybrid and remote flexibility.

Benefits

Flexible PTO

RRSP match

Customizable benefits

Fullscript discounts

Continuous learning

Remote flexibility

Qualifications

• Experience with production-grade systems in Ruby and Rails.
• Proficient in front-end applications using JavaScript and React.
• Strong architectural mindset for maintainability and performance.

Responsibilities

• Design, develop, and maintain fullstack features.
• Lead technical projects and align on execution plans.
• Build and maintain scalable, production-grade APIs.

Skills

Ruby proficiency

React

API management

JavaScript

Communication skills

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 Senior Fullstack Developer for the Engineering Team.

What Youll Do:

• Design, develop, test, deploy, and maintain robust fullstack features across Ruby and React codebases
• Lead and scope technical projects, working closely with product and engineering peers to align on goals and execution plans
• Build and maintain scalable, production-grade APIs with a focus on uptime, reliability, and maintainability
• Implement and advocate for automated testing, continuous deployment, and contract validation practices
• Take full ownership of features - from planning and design to deployment and support
• Guide architectural decisions that support long-term scalability and performance
• Collaborate cross-functionally with teams across the organization to enable deeper integrations and impactful solutions
• Mentor fellow developers through thoughtful code reviews and knowledge sharing
• Contribute to internal standards, tooling, and processes that elevate our overall engineering quality

What You Bring:

• Strong proficiency in Ruby and familiarity with Rails, with a track record of contributing to production-grade systems
• Experience developing front-end applications in JavaScript, ideally using React
• Deep understanding of API lifecycle management, including:
• Designing and maintaining high-uptime services
• Continuous integration and deployment practices
• Automated test coverage and contract validation
• Proven ability to lead projects and align technical execution with business goals
• Strong architectural mindset, able to balance simplicity, performance, and long-term maintainability
• Familiarity with CSS and modern styling frameworks (e.g., Bootstrap, CSS preprocessors)
• Excellent communication skills - you bring clarity to complex situations and help teams stay aligned
• Comfortable mentoring others and providing constructive feedback through code review and pairing

Bonus:

• Experience with SMART on FHIR, HL7, or other healthcare data standards
• Experience working with EHR platforms or healthcare integrations

What We Offer:

• Flexible PTO & competitive pay—rest fuels performance.
• RRSP match & stock options—invest in your future.
• Customizable benefits—flexible coverage, paramedical services, and an HSA.
• Fullscript discounts—save on wellness products.
• Continuous learning—training budget + company-wide initiatives.
• Wherever You Work Well—hybrid and remote flexibility.

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.

We kindly ask that all applications be submitted directly through our careers page. Due to the high volume of interest, we’re not able to respond to individual emails or messages about job postings. If your background aligns with what we’re looking for, a member of our team will reach out to you directly.

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