Staff API Engineer - Remote Eligible

Staff API Engineer

We're building infrastructure for modern healthcare delivery

Traditional healthcare is plagued with outdated, monolithic EHRs designed to maximize billing outcomes. Patient outcomes and provider experiences have been afterthoughts, as these systems have bolted on non-API-first solutions. None of this is built for how clinically excellent healthcare is actually delivered—longitudinally and collaboratively, with the patient at the center.

Healthie is the world's leading API-first, ONC-Certified EHR for healthcare delivery outside of the hospital. We provide the powerful infrastructure every scaling organization needs—EHR, scheduling, patient engagement, billing, and more—all accessible via modern APIs and a white-labeled UI. Our platform makes it simple for organizations of any size to launch, customize, and scale their care delivery models without reinventing the wheel.

Today, over 1 billion API calls are made to Healthie every month, as thousands of organizations—working with more than 13 million patients in total—rely on Healthie to deliver care across a spectrum of specialties, from preventative health and wellness to complex chronic care management.

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, make our product roadmap public 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.

About the Role

We're seeking a Staff API Software Engineer to lead the charge on Healthie's GraphQL API—the backbone of our rapidly expanding developer ecosystem. This isn't a role where you simply consume APIs; it's about building APIs as products in their own right: elegant, scalable, and a joy to use.

Healthie's API processes over 1 billion calls every month, powering custom experiences, analytics, and integrations that touch millions of patients' lives. As Staff Engineer, you'll set the bar for what "world-class" means in healthcare APIs—designing systems that scale effortlessly, obsessing over every millisecond, and crafting developer experiences so smooth they feel invisible.

You'll shape architecture, mentor engineers, and partner with leadership to chart the future of our platform. If you live for polish, performance, and platform thinking—and you want your work to meaningfully improve healthcare delivery—this is the role for you.

Details

• This is a full-time, remote position located in the United States
• The base salary for this role is $197,000-$227,000 per year plus equity & company bonus, benefits
• U.S. work authorization is required and Healthie does not provide sponsorship.

What You'll Do

• Design and scale GraphQL APIs that serve billions of requests—built for speed, reliability, and clarity.
• Define and champion API architecture and standards that developers love to build on.
• Build and refine SDKs and developer tools that let engineers ship features in hours, not weeks.
• Partner with product and engineering leadership to shape the API roadmap, turning developer feedback into platform breakthroughs.
• Elevate the developer experience—from schema design to error messages—so working with Healthie feels effortless.
• Mentor engineers, influence architecture, and drive cross-team technical strategy.
• Improve observability and tooling to keep our API ecosystem rock-solid as it scales.

About You

• 8+ years of backend or full-stack development experience, plus deep GraphQL expertise. Bonus points for Ruby on Rails.
• A proven track record designing and scaling APIs that handle millions or billions of calls.
• Skilled in building developer tools and SDKs (TypeScript, Python, Ruby, or similar) that make integrations effortless.
• You care about the details: authentication, pagination, error ergonomics, observability, versioning—you've solved these at scale.
• A leader who mentors others, sets technical direction, and raises the bar across engineering.
• You're obsessed with creating APIs that feel as intuitive as they are powerful.
• Strong communication skills and a collaborative mindset—you enjoy helping other teams succeed
• You embody Healthie's core values of Respect, Reliability, and Resilience, and integrate them into your engineering work, decision-making, and team collaboration.

Bonus: Experience with background job systems (e.g., Sidekiq), or event-driven architectures

Interview Process

• Interview with Katie, Director of Talent (20 minutes)
• Interview with Sherilyn, Engineering Manager for Platform (30 minutes)
• Take Home Assessment - completed asynchronously
• Technical Interview with Andrew and Chris, Engineers for Platform (1 hour)
• Leadership Interviews:
• Interview with John, Director, Engineering (30 minutes)
• Behavioral Executive Interview with Cavan, CTO + cofounder- (20 minutes)
• Reference checks

To learn more about Working at Healthie & our benefits, click here .

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