Staff Full Stack Engineer, New Billing

Royper Royco LLC; Northern (KY); Hybrid; USD 205,000 - 235,000; Full time

Job summary

Healthie is seeking a Staff Full Stack Engineer, New Billing in NYC. You’ll lead the architecture and development of the systems that power provider payments, touching billing, reporting, and compliance.

The role spans backend services, data models, GraphQL APIs, and frontend work (React/TypeScript) to ship complete features across the stack. We value 8+ years building and shipping production systems, strong Ruby/React/GraphQL experience, and a leadership mindset.

Qualifications

• 8+ years of experience building and shipping production systems across the full stack.
• Expertise in Ruby, React, TypeScript, GraphQL and API design.
• Experience designing backend services and data models for high-scale applications.

Responsibilities

• Lead the architecture and development of the new billing system.
• Design and build resilient full-stack systems (Ruby on Rails, React/TypeScript).
• Set technical direction and mentor engineers.
• Collaborate with Product and Design to deliver scalable billing features.

Skills

Ruby

React

TypeScript

GraphQL

APIs

System design

Testing & observability

Technical leadership

Tools

Ruby on Rails

Job description

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Staff Full Stack Engineer, New Billing

New York City

Our Mission

Healthie is an AI-Native, ONC Certified EHR for modern outpatient healthcare. Healthie is proud to power clinically excellent healthcare for over 40,000 providers who deliver clinically excellent healthcare - longitudinal and collaboratively, with patient and provider experiences at the center. Both healthcare and technology are undergoing unparalleled industry innovation, and it’s incredible to see the momentum - from consumers, from providers, and from reimbursement for this type of healthcare - grow exponentially. We provide the powerful infrastructure every care delivery organization needs. On the surface this includes EHR, Scheduling, Engagement, Billing, Data, and much more. Underneath the iceberg are thousands of configurations, settings, widgets, automations, and limitless capabilities because we are an API-first platform. Our fully brandable platform makes it easy for clinics and organizations of any size to scale and never reach a limit. Today, over 3 billion API calls are made to Healthie every month, as thousands of organizations who work with more than 21 million patients in total, rely on Healthie to deliver clinically excellent healthcare in over 35 specialties, from behavioral healthcare to complex chronic care management and personalized medicine. We believe in the power of technology to improve access to healthcare and we’re building the rails that make this a reality. We work fast and with quality because we provide business-critical, healthcare-critical software that clinicians and patients need for a better healthcare system. We’re customer-obsessed, operate with lightning-fast processes and responses, and always share our product roadmap publicly- so customers can see what we’re building, and remain relentlessly focused on how care gets delivered. Healthie is backed by leading investors, and while we've $42M raised to date, more importantly, we operate with fiscal responsibility and have been profitable for more than half of our time as a company. We know that building an ONC-Certified EHR is a lifetime’s body of work, and we are here to build for our customers forever. Learn more at https://www.gethealthie.com/

About the role

This isn’t a role for “just ship the ticket” engineers. As a Staff Software Engineer, Full Stack & Tech Lead — New Billing at Healthie, you’ll lead the architecture and development of the systems that power how providers get paid. Billing sits at the core of Healthie’s platform — touching providers, patients, payments, reporting, and compliance — and this role will help define how that foundation scales as we grow. You'll operate as the technical leader for the new billing initiative, designing and building resilient full-stack systems in our Ruby on Rails monolith. Your work will span backend services, data models, GraphQL APIs, and frontend experiences (React/TypeScript) to ship complete features across the stack. At the Staff level, you won’t just build systems — you’ll set technical direction, guide engineering decisions, and mentor other engineers while partnering closely with Product and Design to deliver a billing platform that is reliable, scalable, and built for the future of digital healthcare. At Healthie, we are AI-enabled and AI-accelerated in how we build. We are looking for team members who actively leverage AI-powered development tools, embrace automation, and help teams adopt modern, AI-assisted engineering practices to increase velocity and quality.

About you

• Proven & Technical: 8+ years of experience building and shipping production systems across the full stack. Strong expertise in modern web technologies such as Ruby, React, TypeScript, and GraphQL, along with experience designing backend services, APIs, and data models that support complex, high-scale applications.
• Systems Thinker: You think beyond individual features and consider how systems interact across services, data layers, and user experiences. You are comfortable designing scalable architectures and solving complex technical problems that span multiple parts of the platform.
• Quality Obsessed: You believe reliability and correctness are critical, especially in systems that power financial workflows. You write clean, maintainable code and ensure it is supported by thoughtful testing and observability.
• Technical Leader: You naturally lead technical initiatives, guide architectural decisions, and help teams navigate complex engineering challenges. You raise the bar for engineering quality through design reviews, mentorship, and thoughtful collaboration.
• Builder & Collaborator: You enjoy partnering closely with product managers, designers, and other engineers to translate complex requirements into well-designed systems and intuitive user experiences.
• Mission-Driven: You’re excited by the opportunity to improve healthcare through technology and help build infrastructure that enables providers to deliver better care while running sustainable practices.
• Values-Aligned: You embody Healthie’s values of Respect, Reliability, and Resilience, and thrive in a collaborative, remote-first environment where ownership, curiosity, and teamwork are valued.

Details, details

This is a full-time, hybrid position within our NYC office.

U.S. work authorization is required, Healthie does not provide sponsorship.

The salary for this position is a base between $205,000 - $235,000.

Interview Process

• Quick chat with someone from our Talent team (15 minutes)
• Interview with Cavan, CTO + Co-founder (30 minutes)
• Complete our Pair Coding Interview (2, one hour sessions)
• Meet with Micah, Director of Engineering (30 minutes)
• Meet with Jonathan, VP of Engineering (20 minutes)
• Reference Checks

Learn more at gethealthie.com/careers.

Healthie is subject to HIPAA and other security and privacy frameworks, and this job entails training and conformance to expectations regarding security and compliance.

Healthie participates in e-verify.

Healthie is committed to equal employment opportunity. All qualified applicants will receive consideration for employment without regard to and will not be discriminated against based on age, race, gender, color, religion, national origin, sexual orientation, gender identity, veteran status, disability or any other protected category. We're proud to be building a diverse and inclusive environment that encourages collaboration, creativity, and growth. Whatever your background, please apply if this is a role that would make you excited to come into work every day.