Remote Ruby on Rails Engineer — Full-Stack for EHR Platform

ExactCare; United States; Remote; USD 110,000 - 165,000; Full time

Benefits offered by this job

Remote work

Full benefits package

PTO & holidays

Retirement savings

Insurance options

Job summary

ExactCare is hiring a software engineer to build and support an established electronic health record platform. You’ll contribute across the UI, business logic, and data layer within an agile team, handling clinical and patient information with care.

You’ll develop full-stack features in Ruby on Rails, troubleshoot production defects, and optimize SQL queries while maintaining tests and secure coding practices. Collaboration with product, QA, and engineering is essential.

Qualifications

• Three or more years of professional Ruby development, preferably with Rails, and full-stack experience.
• Strong SQL skills, including complex queries, optimization, and relational schemas.
• Experience supporting a mature production application and developing features within an established codebase.
• Bachelor’s degree in a related field or equivalent practical experience.
• Familiarity with agile development, Git, and automated testing frameworks.
• Clear written and verbal communication and experience using AI-assisted development tools.

Responsibilities

• Develop and maintain full-stack features using Ruby on Rails, from user-facing views to backend services and data access.
• Investigate production defects, identify root causes, and deliver durable fixes.
• Implement enhancements within the existing platform architecture, from requirements through testing.
• Write, tune, and troubleshoot SQL queries against relational databases and clinical data structures.
• Join sprint planning, standups, backlog refinement, reviews, and retrospectives; coordinate delivery with product, QA, and engineering peers.
• Maintain automated tests, review code, follow secure development practices, and use AI-assisted tools with appropriate review.

Skills

Ruby on Rails

Full-stack development

SQL

Agile

Communication

Education

Bachelor's degree or equivalent

Tools

Git

CI/CD

Job description

ExactCare is hiring a software engineer to build and support an established electronic health record platform. You’ll contribute across the UI, business logic, and data layer within an agile team, handling clinical and patient information with care.

You’ll develop full-stack features in Ruby on Rails, troubleshoot production defects, and optimize SQL queries while maintaining tests and secure coding practices. Collaboration with product, QA, and engineering is essential.