About the role
We are looking for a technically strong, proactive, and self-driven Backend Developer to join our remote development team, working with a US-based healthcare technology startup building a platform that connects families, care teams, and senior living communities.
The ideal candidate should thrive in a fast-paced, collaborative environment, take ownership of their work, solve technical challenges independently, and contribute ideas to build scalable, high-quality solutions.
Role & Responsibilities
- Develop and maintain backend applications using Ruby on Rails.
- Design and build REST APIs for web and mobile applications.
- Translate product requirements and user stories into reliable technical solutions.
- Build integrations with third-party APIs and external systems.
- Develop background jobs and scheduled processes using Sidekiq and Redis.
- Design and optimize PostgreSQL databases, queries, and data models.
- Implement authentication, authorization, roles, and permissions.
- Develop and maintain real-time messaging and WebSocket-based functionality.
- Troubleshoot production issues, perform root-cause analysis, and improve application performance.
- Write automated tests, participate in code reviews, and perform deployments.
- Collaborate with frontend, mobile, QA, and product teams.
Required Skills
- Strong experience with Ruby on Rails, PostgreSQL, and SQL.
- Experience with REST APIs, third-party integrations, Redis, and Sidekiq.
- Experience with real-time messaging or WebSocket-based applications.
- Working knowledge of AWS, Docker, Git/GitHub, and CI/CD.
- Understanding of OAuth 2.0, webhooks, API authentication, and application security.
- Experience with automated/unit testing, debugging, and system design.
- Ability to understand Figma designs and translate product requirements into backend functionality.
- Strong problem-solving skills and ability to work independently.
- Proficient in written and spoken English.
- Ability to collaborate effectively in a remote, cross-functional team environment.
Good to Have / Preferred Qualifications
- Experience in Healthcare/HealthTech, particularly EHR/EMR integrations.
- Familiarity with FHIR, HL7, HIPAA compliance, and healthcare data security.
- Experience with high-volume data processing and synchronization.
- Familiarity with AI-assisted development tools such as Claude Code, GitHub Copilot, or Codex.
How we hire for this role
- ApplySend your resume using the form below.
- Initial callA short conversation about your experience and what you’re looking for.
- Technical assessmentA practical Ruby on Rails exercise: design and build a small REST API with a background job, then walk us through your design, database and testing choices.
- Final roundMeet our leadership and the client’s head of product.
- OfferWelcome to the team.
Apply for this role
Attach your resume and tell us a little about yourself. We review every application.
Questions? Email support@miracleinfosystems.com.