CentralReach

Sr. Software Engineer, Ruby on Rails

CentralReach • $120K — $180K *
US-AnywhereRemote in United States
Information Technology
5 - 7 years of experience
Today
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Job Overview by Ladders

Qualifications

  • 7-10 years of full-stack development experience, emphasizing Ruby on Rails.
  • 5+ years of experience with React.
  • Proven record in leading projects from conception to delivery.
  • Passion for mentoring and guiding engineers.
  • Fluency with AI development tools like Claude Code and GitHub Copilot.
  • Experience with LLM APIs focusing on prompt design and safety.
  • Strong project management and organizational skills.

Responsibilities

  • Shape the technical direction of the Essentials squad with hands-on coding in Ruby on Rails, TypeScript, and React.
  • Write clean and maintainable code while mentoring through code reviews and pair programming.
  • Design and optimize back-end systems and APIs with a focus on performance and reliability.
  • Create responsive front-end experiences using React, TypeScript, and CSS.
  • Manage relational databases and write efficient SQL to support business growth.
  • Lead projects from start to finish, including risk management and clear communications.
  • Collaborate with cross-functional teams to translate business needs into technical solutions.
  • Leverage AI-assisted tools for engineering tasks and develop best practices for their use.

Benefits

  • Collaborative cross-functional team environment.
  • Opportunities for professional growth and mentorship.
  • Focus on innovative technology, including AI and LLMs.
  • Hands-on involvement in shaping architectural decisions.
  • Flexibility in a distributed working environment.
Full Job Description


Key Accountabilities:
  • Help shape technical direction on the Essentials squad - contributing to architecture decisions and unblocking teammates - while staying hands-on in Ruby on Rails, TypeScript, and React
  • Lead by example in the codebase: write clean, maintainable, refactor-friendly code and elevate quality through thoughtful code review and pairing
  • Design and optimize back-end systems, APIs, and data flows with a strong focus on performance and reliability, sharing what you learn along the way
  • Build modern, responsive front-end experiences using React, TypeScript, and CSS, with an eye toward maintainable architecture
  • Work across relational databases (Postgres, MySQL, etc.), writing efficient SQL and shaping data models that support business growth
  • Lead projects end-to-end, balancing hands-on development with guiding others to successful delivery, surfacing risks early and communicating trade-offs clearly
  • Collaborate cross-functionally with product, design, and QA to translate business needs into sound technical solutions
  • Embrace AI-assisted engineering: use tools like Claude Code and GitHub Copilot effectively, contribute to shared prompts and agentic workflows, and help the team learn what works
  • Identify and prototype opportunities to apply LLMs and automation to engineering and internal workflows, with the guardrails appropriate to healthcare data and regulated billing


Desired Skills and Experience:
  • At least 7-10 years of full-stack development experience, with Ruby on Rails as a core strength
  • Experience with React, 5+ years preferred.
  • Experienced in leading projects end-to-end: from breaking down complex problems to shipping features that drive impact
  • Passionate about mentoring, from pair programming to guiding architectural decisions, and helping others grow as engineers
  • Daily, hands-on fluency with AI development tools (e.g., Claude Code, Cursor, Copilot), with sharp judgment about where AI accelerates work and where human review is non-negotiable
  • Experience, or strong demonstrated interest, in building with LLM APIs: prompt design, evaluation, and safety considerations for sensitive data
  • Highly organized with superb attention to detail
  • Strong project management skills: comfortable with planning, estimation, and scoping
  • Proven ability to work in an ever-changing environment, ability to connect the dots and make decisions on your own feet
  • Ability to produce quality materials within tight timeframes and simultaneously manage several projects
  • Ability to communicate clearly and concisely, verbally and in writing
  • Exercise sound judgment and work successfully with all employee levels, regardless of background and perspectives
  • Be comfortable working in a distributed, semi-virtual environment
  • Be capable of creating and executing on technical direction and tasks for yourself and others
  • Be able to take minimal direction from others and provide maximal output for yourself (and others)


Base Salary Range

$120,000-$180,000 USD

About CentralReach

CentralReach is a healthcare technology company that provides software and services to help healthcare providers improve patient outcomes. The company was founded in 2012 by Charlotte Fudge and Chris Sullens and is headquartered in Boca Raton, Florida. CentralReach's software platform includes tools for electronic health records, practice management, and data analysis, among others. The company serves a wide range of healthcare providers, including behavioral health clinics, speech and occupational therapy practices, and schools.
Learn more about CentralReach
Size
500 employees
Industry
Healthcare
Net Income
-$1 million
Founded
2012
5 Year Trend
+50%
Revenue
$20 million
* Ladders Estimates

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