Senior Software Engineer

Interra Health

$120K — $150K *
US-AnywhereRemote in United States
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years of software development experience or equivalent education and experience
  • Strong experience building and scaling full stack applications
  • Experience designing distributed systems and integrating with external APIs, with EHR experience as a plus
  • Proficiency in backend languages such as Kotlin/Spring or Ruby on Rails
  • Familiarity with cloud infrastructure (AWS) and containerization (Docker)

Responsibilities

  • Design and implement complex greenfield projects used by providers and clinical staff
  • Partner with engineering and product leadership on planning and prioritization
  • Maintain and evolve backend systems for internal clinical and operational teams
  • Integrate with electronic health records (EHRs) and partner APIs
  • Troubleshoot production issues and participate in on-call rotations
  • Mentor engineers and help elevate technical standards
  • Contribute to platform infrastructure efforts with AWS and Terraform

Benefits

  • Remote work environment with a flexible schedule
  • Annual company offsite for team bonding
  • Generous leave package including flexible time off and 13 paid holidays
  • Comprehensive medical, dental, and vision insurance with FSA & HSA options
  • 401(k) plan with company matching
  • One-time workspace reimbursement for home office setup
Full Job Description
The Role:

As a Senior Software Engineer, you will play a critical role in advancing the Arrive Health Network platform-a core part of Interra Health's ecosystem that powers real-time prescription decision-making and cost transparency at the point of care.

You will help guide the design and development of scalable, high-impact systems used by providers and care teams to deliver more accessible and affordable treatment options. This role combines hands-on engineering with cross-functional partnership-actively collaborating on complex initiatives, contributing to architectural decisions, and working closely with product, platform, and engineering teams to ensure our platform evolves with reliability and integrity at scale.

Key Responsibilities:
  • Design and implement complex greenfield projects used directly by providers and clinical staff
  • Partner with engineering and product leadership on planning, prioritization, and execution
  • Maintain and evolve backend systems and tools used by internal clinical and operational teams
  • Integrate with electronic health records (EHRs) and external partner APIs
  • Contribute to platform, monitoring, and infrastructure efforts in partnership with Platform Engineering (AWS, Terraform, Docker, DataDog)
  • Build solutions with attention to system interoperability, scalability, and long-term maintainability
  • Troubleshoot and resolve production issues, including participating in on-call rotations
  • Mentor engineers and help elevate technical standards on the team
  • Help on-board new engineers, teaching them how to use and monitor our pipeline

Expectations:
  • Contribute to team-wide technical initiatives that span multiple systems
  • Develop deep expertise in the healthcare and prescription coverage domain, and use that knowledge to inform architectural decisions by anticipating future needs
  • Maintain and extend our existing system using Agile practices including TDD, pair programming,
  • and radically collaborative development
  • Identify cross-cutting problems and suggest solutions (shared services, tooling, architecture)
  • Actively participate in collaborative efforts across team and functional boundaries, particularly with Product, to solve shared problems and contribute to company-wide goals
  • Help evolve and uphold engineering standards, documentation, and team norms
  • Stay current with modern development practices and tooling, and contribute to evolving team workflows, such as agentic AI workflows
  • Close collaboration with other lead engineers and product management on planning and execution in a remote-first environment


What You'll Bring:

Experience & Background
  • 5+ years of software development experience (or equivalent combination of education and experience)
  • Strong experience building and scaling full stack applications in production environments
  • Experience designing distributed systems and integrating with external APIs (EHR experience a plus)

Technical Skills
  • Proficiency in one or more backend languages/frameworks (Kotlin/Spring, Ruby on Rails, or similar)
  • Experience with modern frontend frameworks (React or similar)
  • Familiarity with cloud infrastructure (AWS), containerization (Docker), and infrastructure as code (Terraform)
  • Strong understanding of CI/CD, automated testing, and service-oriented architecture
  • Solid working knowledge of SQL and data modeling
  • Increasing familiarity with AI models and tools

Ways of Working
  • Strong problem-solving skills and attention to detail
  • Ability to operate independently while collaborating effectively across teams
  • Clear and concise communication-especially in a distributed, async-friendly environment
  • A bias toward ownership, action, and continuous improvement
  • Comfort operating in a fast-paced, evolving environment with shifting priorities
  • A desire to learn and grow in a fast-paced environment

Core Competencies:
  • Knowledge & Application: Applies deep technical expertise to design scalable systems and solve complex problems
  • Complexity & Problem Solving: Contributes potential solutions to ambiguous, high-impact challenges requiring cross-system thinking

Working Conditions & Environment:
  • Fully remote role within the United States
  • Periodic travel (approximately 5%) for team meetings, customer visits, and industry events
  • Operates in a fast-paced, growth-oriented, PE-backed SaaS environment
  • Requires cross-functional collaboration across Product, Sales, and Customer Success

Remote work environment with a flexible work schedule to encourage work-life balance

Annual company offsite

Generous leave package including flexible time off policy that encourages team members to take time off to relax and recharge; plus 13 paid holidays, paid sick leave, and paid parental leave

Medical, dental, and vision insurance for you and your family, plus a company funded FSA & HSA (dependent on which medical plan you choose)

401(k) company match

One-time workspace reimbursement to help you optimize your remote workspace

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