Staff Engineer (Full Stack-UI/UX+Rails)

Staff Fullstack Engineer Job Type: Permanent Salary: Up to $230,000 + Benefits Role Location: US (100% Remote) The Company We’ve partnered with a fast-growing healthtech startup building AI-powered tools that help healthcare organizations streamline operations, improve patient engagement, and optimize clinical workflows. The Role They’re hiring a Staff Fullstack Engineer to join a senior team of 10 engineers and lead development on two greenfield Rails 8 + Hotwire applications focused on AI-powered chat and workflow automation. This role is ideal for a product-minded engineer who enjoys working across the full stack and collaborating closely with product and design to deliver thoughtful, high-quality user experiences. What You’ll Do Lead development of two new Rails 8 + Hotwire applications from the ground up Build full-stack features spanning backend systems, frontend interfaces, and UX details Develop AI-powered chat and workflow automation tools for healthcare operations Own key technical decisions and contribute to product architecture Collaborate with a senior engineering team to ship polished, production-ready features Work autonomously in a fully remote, product-driven environment Ideal Background 7+ years of experience building production web applications Strong full-stack experience with Rails and Hotwire Comfortable owning projects end-to-end from architecture through UI implementation Ability to bridge backend engineering, frontend development, and product design Experience working in autonomous, senior engineering teama Benefits Base salary up to $230,000 100% remote within the US Comprehensive benefits package Opportunity to work on AI-powered healthcare products with real-world impact Collaborative environment with a highly experienced engineering team

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