Staff Software Engineer

advisorey.; New York (NY); On-site; USD 120,000 - 160,000; Full time

Benefits offered by this job

Competitive salary

Equity options

Health, dental, and vision coverage

Job summary

A health tech startup is seeking a Staff Software Engineer to design and lead scalable systems, influence architecture, and mentor engineers. This senior role involves both hands-on coding and leadership responsibilities with a focus on improving healthcare efficiency. Candidates should have 5+ years of experience and strong coding skills in Ruby on Rails, Node.js, and TypeScript. Attractive compensation and benefits are offered, including equity options and health coverage.

Qualifications

• 5+ years of experience required.
• Experience in healthcare or regulated industries is preferred.
• Knowledge of responsible AI and privacy-preserving ML techniques is a plus.

Responsibilities

• Architect and lead design for high-scale SaaS systems.
• Set standards for engineering quality and security.
• Lead cross-cutting technical initiatives across teams.

Skills

Backend or full-stack software engineering experience

Strong coding skills in Ruby on Rails

Skills in Node.js and TypeScript

Knowledge of distributed systems

Familiarity with MLOps practices

Excellent system design skills

Job description

Our client, an early-stage health tech startup, is looking for a Staff Software Engineer to join their growing team. This role is for a senior technologist who can design scalable systems, influence architecture at the company level, and multiply the impact of our engineering team. You’ll balance hands-on coding with leadership responsibilities, mentoring senior engineers, and driving cross-functional initiatives.

About the Role

• Architect and lead design for high-scale, multi-tenant SaaS systems.
• Set standards for engineering quality, testing, security, and reliability.
• Own cross-cutting technical initiatives that span multiple teams.
• Review system designs and provide guidance to senior and mid-level engineers.
• Build tools, frameworks, and abstractions to improve developer velocity.
• Partner with leadership to align engineering execution with company strategy.

About You

• 5+ years of backend or full-stack software engineering experience
• Strong coding skills in Ruby on Rails, as well as Node.js and TypeScript.
• Deep knowledge of distributed systems, service-oriented architecture, and building APIs at scale.
• Familiarity with MLOps/LLMOps practices: CI/CD for models, evaluation harnesses, monitoring, and reproducibility.
• Excellent system design skills and the ability to align technical architecture with product goals.

Preferred Qualifications

• Experience in healthcare or other regulated industries (FHIR, HL7, HIPAA).
• Background in enterprise SaaS or mission-critical platforms where uptime, latency, and scale matter.
• Knowledge of responsible AI, safety, and privacy-preserving ML techniques.

What’s in it for you?

• The opportunity to work on impactful engineering challenges that improve healthcare efficiency and outcomes.
• A leadership role with ownership over key systems and the ability to shape engineering direction.
• Competitive salary, equity options, and benefits, including health, dental, and vision coverage.