Software Engineer

ExactCare Pharmacy; Cleveland (OH); Remote; USD 90,000 - 130,000; Full time

Benefits offered by this job

Remote-friendly

Comprehensive benefits

Paid time off and holidays

Job summary

AnewHealth is seeking a mid-level Software Engineer to advance our EHR platform using Ruby on Rails, spanning front-end and back-end layers. You will triage defects, develop new features, and optimize SQL queries in an agile environment.

The ideal candidate has strong Ruby on Rails experience, solid SQL skills, and exposure to healthcare data handling, PHI, and interoperability standards. Remote work is supported with collaboration across product, QA, and engineering teams.

Qualifications

• Bachelor's degree in CS/IS/engineering or equivalent.
• 3+ years of professional Ruby development experience.
• Strong SQL skills with complex queries and optimization.
• Experience with healthcare software, PHI handling, and HIPAA basics.
• Familiarity with EHR or clinical workflow systems.

Responsibilities

• Develop and maintain features on the EHR platform using Ruby on Rails.
• Triage, debug, and resolve production defects with durable fixes.
• Design and implement new features end-to-end from requirements to testing.
• Write automated tests and participate in code reviews in an Agile team.

Skills

Ruby on Rails

Full-stack development

SQL

Agile/Scrum

HIPAA/PHI handling

EHR domain knowledge

Clear communication

Education

Bachelor's degree in Computer Science, Information Systems, Engineering, or related field

Tools

Jira

Azure DevOps

Git

RSpec

Capybara

Turbo

Stimulus

React

GitHub Copilot

Job description

AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states.Job DetailsAnewHealth is seeking a mid-level Software Engineer to develop and maintain software on our existing Electronic Health Record (EHR) platform using Ruby. This role will make changes to the platform across both front-end and back-end layers, balancing defect resolution with new feature development in an agile environment. The ideal candidate has strong SQL skills, is comfortable working within a mature, mission-critical codebase, and brings prior exposure to development in a healthcare setting.ResponsibilitiesPlatform Development — Design, develop, and maintain features on the existing EHR platform using Ruby (Ruby on Rails), working across both front-end and back-end layers of the application.Build and modify user-facing views and interactions on the front end, and implement business logic, services, and data access on the back end.Defect Resolution — Triage, debug, and resolve defects in the production EHR application, performing root-cause analysis and delivering durable fixes.New Feature Development — Design and build new features and enhancements within the existing platform architecture, from requirements through implementation and testing.Data & SQL — Write, optimize, and troubleshoot complex SQL queries against the platform's relational database(s), including work involving clinical and patient-related data structures.Agile Delivery — Participate in sprint planning, daily standups, backlog refinement, sprint reviews, and retrospectives.Commit to and deliver against sprint timelines, collaborating closely with product owners, QA, and other engineers on the team.Quality & Compliance — Write and maintain automated tests, participate in code reviews, and follow secure coding practices appropriate for a system handling protected health information (PHI).AI-Enabled Development — Use AI tools to accelerate technical documentation, generate and refactor code, build supporting resources (test data, scripts, diagrams), and assist with code execution and validation, while ensuring appropriate review of AI-assisted output.Skills & AbilitiesBachelor's degree in Computer Science, Information Systems, Engineering, or a related field, or equivalent practical experience.3+ years of professional software development experience using Ruby, preferably Ruby on Rails.Demonstrated full-stack experience, including front-end development (HTML, CSS, JavaScript, and Rails view/UI technologies) and back-end development (Rails, ActiveRecord, service/business logic layers).Strong SQL skills, including writing complex queries, query optimization, and working with relational database schemas (e.g., PostgreSQL or MySQL).Experience resolving defects in a live, production application and performing root-cause analysis.Experience developing new features within an existing, mature codebase.Exposure to software development in a healthcare environment, ideally involving an EHR or other clinical system.Working experience in an agile/scrum environment, including familiarity with tools such as Jira or Azure DevOps.Experience with automated testing frameworks (e.g., RSpec, Capybara) and Git-based version control.Practical experience using AI-assisted development tools (e.g., GitHub Copilot, Claude, or similar) for documentation acceleration, resource development, and code execution.Strong written and verbal communication skills, with the ability to work effectively across a cross-functional team.RequirementsDirect experience working on or supporting an EHR platform (proprietary or commercial, e.g., Epic, Cerner, athenahealth, or similar).Familiarity with healthcare interoperability standards such as HL7 or FHIR.Familiarity with HIPAA and PHI handling requirements.Exposure to pharmacy or other clinical workflows.Experience with CI/CD pipelines and modern front-end frameworks or Rails tooling (e.g., Turbo, Stimulus, React).This is a remote position.AnewHealth offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire.AnewHealth provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants are encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.