Software Engineer (Mid-Level–Senior)

HealthTech | Fully Remote — United States | Full-TimeBase salary: $140,000–$200,000 USD annually, plus bonus and equityFlexible hours with Pacific Time overlap | No travel

Build what comes next in AI-powered healthcare

Our client is a fast-scaling, AI-enabled healthcare technology company. You'll join a 30-person engineering team that's hiring hands-on software engineers from mid-level through senior.

If you have 3–4 years of strong production experience and are ready for more ownership, we want to meet you. If you're a senior engineer who wants to stay close to the code and help shape what comes next, there's room for that too. We'll match the scope and compensation to the experience and engineering judgment you bring.

You'll build software that supports real healthcare delivery, working on systems used by operations teams, clinicians, and health-plan partners. This is a chance to join a company scaling quickly, take on meaningful technical challenges, and grow alongside the business.

What you'll work on

• Build applications, APIs, integrations, data workflows, and internal tools that make healthcare operations more effective
• Take features from understanding the problem through implementation, testing, release, and improvement
• Work with Ruby on Rails, Python, Node.js, and PostgreSQL in a database-intensive environment
• Improve performance, data quality, reliability, and visibility into how systems behave in production
• Collaborate with engineers, product partners, and business stakeholders to make practical tradeoffs and ship useful software
• Use AI coding tools thoughtfully, with strong review, testing, and accountability for the result
• At the senior level, lead larger technical initiatives, guide architecture decisions, and help raise engineering standards while remaining hands-on

What we're looking for

• At least 3 years of professional software engineering experience, with opportunities for mid-level and senior engineers
• Production experience with Ruby on Rails or Python, plus the ability to learn and work across the stack
• Strong SQL and hands-on PostgreSQL experience
• Solid fundamentals in data structures, API design, testing, debugging, and system performance
• Experience delivering web applications or full-stack features, with an understanding of how the user interface, services, and database fit together
• Good habits around Git, code reviews, testing, deployment, and production support
• Clear communication, curiosity, and the ability to work through changing requirements
• Practical experience with AI-assisted development and the judgment to validate what it produces

You don't need to know every technology we use. We care about what you've built, how you solve problems, and how quickly you can learn.

Helpful experience

• Healthcare, insurance, or other sensitive-data environments
• AWS, Docker, Kubernetes, CI/CD, or observability tools
• Data pipelines, event-driven systems, or reliable third-party integrations
• Node.js or C# in addition to your core backend language

Why join

• A fully remote opportunity on a growing, 30-person engineering team
• Real ownership and direct collaboration with product and engineering leadership
• A fast-moving company putting AI to work in healthcare
• Room to expand your responsibilities and influence as the company scales
• Bonus and equity, giving you the opportunity to participate in the company's growth
• Health, dental, and vision insurance; 401(k); generous PTO

Compensation and leveling

The annual base salary range is $140,000–$200,000 USD, plus bonus and equity. Expected base salary bands are:

• Mid-level: $140,000–$165,000
• Experienced mid-level: $165,000–$190,000
• Senior-level: $190,000–$200,000

Your level and offer will reflect your demonstrated skills, relevant experience, and the scope you can own. Years of experience are a guide, not the sole deciding factor.

Location and schedule

This role is fully remote within the United States, with reliable overlap with Pacific Time. Candidates must be authorized to work in the U.S. without sponsorship. No travel is required.

Interested? Apply and tell us about something you built, what you owned, and the impact it had.

Urrly uses AI to support application review against job-related role requirements. Applicants are assessed on relevant skills and experience, without regard to personal attributes.