Sr. Software Engineer - Patient Matching (Remote)

Rula
US
Remote

Who this role is best for

Aimed at mid-level full-stack engineers with TypeScript, React, and Node.js expertise who thrive in remote-first mental health tech environments.

Best fit for

  • Senior engineers who design scalable systems while mentoring junior team members.
    — “Proven experience leading high-priority technical projects from conception to delivery
  • Product-minded engineers comfortable moving quickly through ambiguous problems.
    — “product-minded engineers who see problems, move quickly
  • Developers experienced with AI-assisted tools to accelerate coding workflows.
    — “Proficiency in leveraging AI-assisted development tools

Things to consider

  • Must be based in the United States (excluding Hawaii).
    — “must be based in United States
  • Requires transitioning between monolithic and microservices architectures.
    — “Experience transitioning from monolithic architectures to microservices

How to stand out

  • Demonstrate concrete examples of scaling provider matching systems.
    — “building and evolving the systems behind provider search
  • Highlight experience with LLM-based features in production.
    — “Hands-on experience developing or integrating LLM-based features
  • Show mentorship impact through code reviews or documentation.
    — “fostering a high-performing engineering culture through code reviews
Pace · Fast PacedCollaboration · HighAutonomy · MediumDecision Impact · TeamLevel · Senior

Derived from job-description analysis by Serendipath's career intelligence engine.

What success looks like

  • shape the direction of patient matching systems
  • deliver software that impacts patient experience
Typical background
5+ years of professional software development experience

Skills & requirements

Required

Full-stack DevelopmentAi-assisted Development ToolsDesign And Implement Complex, Distributed Systems

Preferred

Llm-based FeaturesAgentic Workflows

Stack & domain

Web ApplicationsFull-stack TechnologiesAi-assisted Development ToolsComplex, Distributed SystemsHigh-priority Technical ProjectsCode ReviewsTechnical DocumentationMentoring Junior EngineersLeadershipCommunicationProblem-solvingTeamworkMental HealthTechnology

About the role

Original posting from Rula via Ashby

We believe that mental health is just as important as physical health. We recognize that mental health issues can be complex and multifaceted, and we are dedicated to treating the whole person, not just the symptoms.

We aim to create a world where mental health is no longer stigmatized or marginalized, but rather is embraced as an integral part of one's overall well-being. 

We believe that by providing quality care that is both evidence-based and compassionate, we can empower individuals to take charge of their mental health and achieve their full potential. We are passionate about making a positive impact on the lives of those struggling with mental health issues and we strive to be a force for positive change in the field of mental healthcare.

Rula is a remote-first company. We currently hire in most U.S. states, with the exception of Hawaii.

About the Role

We are looking for a Senior Software Engineer to join Rula’s Patient Matching team. This team is focused on driving meaningful impact across the patient funnel. Our goal isn’t to help patients find any provider, but to help them find the right provider: someone they trust, feel comfortable with, and want to continue care with. In practice, that means building and evolving the systems behind provider search, ranking, availability, eligibility, and booking experiences.

As a Senior Engineer, you’ll play a central role in shaping this direction by bringing order to ambiguity, designing durable systems, and delivering software that directly impacts how patients experience care. We’re looking for product-minded engineers who see problems, move quickly, and help the team build the right solution quickly.

Required Qualifications

  • 5+ years of professional software development experience, with a proven track record of building and scaling web applications in a production environment.
  • Deep expertise in modern full-stack technologies—ideally TypeScript, React, and Node.js—along with a strong grasp of functional and object-oriented programming.
  • Proficiency in leveraging AI-assisted development tools (e.g., Claude Code, Cursor, or GitHub Copilot) to accelerate delivery velocity, automate boilerplate, and enhance code quality.
  • Demonstrated ability to design and implement complex, distributed systems that are scalable, maintainable, and secure.
  • Proven experience leading high-priority technical projects from conception to delivery, including the ability to navigate trade-offs and align stakeholders.
  • A passion for fostering a high-performing engineering culture through code reviews, technical documentation, and mentoring junior engineers

Preferred Qualifications

While having the preferred qualifications enhances your candidacy, having all of them is not mandatory. We encourage all interested applicants to apply, even those who may not meet every preferred requirement.

  • Hands-on experience developing or integrating LLM-based features or agentic workflows into production applications.
  • Advanced knowledge of database design and performance tuning for both relational (PostgreSQL) and non-relational data stores.
  • Previous experience thriving in a fast-paced, high-growth startup environment where you’ve helped scale an engineering organization.
  • Experience transitioning from monolithic architectures to microservices or event-driven systems.

We're serious about your well-being! As part of our team, full-time employees receive:

  • 100% remote work environment: Working hours to support a healthy work-life balance, ensuring you can meet both professional and personal commitments (must be based in United States, currently not hiring in Hawaii)
  • Attractive pay and benefits: Full transparency of pay ranges regardless of where you live in the United States
  • Comprehensive health benefits: Medical, dental, vision, life, disability, and FSA/HSA
  • 401(k) plan access: Start saving for your future
  • Generous time-off policies: Including 2 company-wide shutdown weeks each year for self-care (for most employees)
  • Paid parental leave: Available for all parents, including birthing, non-birthing, adopting, and fostering
  • Employee Assistance Program (EAP): Supporting your mental and physical health
  • Quarterly department stipend: Fun team-building activities or in-person gatherings
  • Community and employee resource groups: Participate in groups that celebrate employee identity and lived experiences, fostering a sense of community and belonging for all
  • Home office stipend: New hire home office stipend & $50 monthly stipend to help cover internet or cell phone expenses
  • Wellness at Rula program: Year-round wellness initiatives and a $50/month wellness stipend

Our team

We believe that diversity, equity, and inclusion are fundamental to our mission of making mental healthcare work for everyone.  We are dedicated to having a culture of inclusion that will support our employees in feeling safe, seen, heard, and valued.

Source: Rula careers (Ashby)

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