Sr. Software Engineer - Patient Services (Remote)

Rula
United States
Remote

Who this role is best for

Candidates with experience in distributed systems and a passion for mental healthcare will find this remote-first, high-impact engineering role rewarding.

Best fit for

  • Candidates with distributed systems experience and a focus on mental healthcare infrastructure
    — “re-engineering our core backend data systems to be massively scalable, resilient, and fault-tolerant
  • Engineers who have led technical strategy in high-growth environments
    — “you will lead the technical strategy for one of our highest-impact initiatives
  • Individuals who thrive in remote-first teams and have strong cross-functional collaboration skills
    — “Experience working on cross-functional teams to bridge the gap between technical and non-technical stakeholders

Things to consider

  • This role is not available in Hawaii despite the remote work arrangement
    — “We currently hire in most U.S. states, with the exception of Hawaii
  • Candidates must be based in the United States for this remote opportunity
    — “must be based in United States, currently not hiring in Hawaii

How to stand out

  • Highlight your experience with microservices and event-driven architecture in your resume
    — “Experience building distributed and event driven systems
  • Emphasize your ability to mentor and set design patterns in your interview responses
    — “Experience mentoring others, reviewing architectures, and establishing design patterns
  • Demonstrate fluency with AI-assisted development tools and frameworks during the interview
    — “Fluency in AI assisted development tools and frameworks
  • Showcase your ability to drive operational improvements in customer-facing systems
    — “Experience being on-call and driving sustainable operational improvements in a customer facing product
  • Leverage your background in high-reliability domains to align with the role's mission-critical nature
    — “Previous experience in products with high reliability/accuracy requirements
Pace · Fast PacedCollaboration · HighAutonomy · MediumDecision Impact · Team

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

What success looks like

  • high-scale backend systems
  • patient data integrity
  • system performance
Typical background
software engineeringdistributed systemsmicroservices

Skills & requirements

Required

Distributed SystemsMicroservicesEvent-driven SystemsHigh-throughput SystemsFault-tolerance

Preferred

Node.jsKafkaOn-call ExperienceEarly-stage Startup

Stack & domain

Distributed SystemsEvent Driven SystemsMicroservice DevelopmentAI Assisted DevelopmentNode.jsKafkaLeadershipCommunicationProblem-solvingTeamworkMental HealthHealthcareAI

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

At Rula, exceptional patient outcomes are powered by world-class engineering. As a Senior Software Engineer on our Patient Services team, you won’t just maintain existing systems—you will architect the high-throughput, distributed platform that serves as the single source of truth for all patient data across Rula. We are currently undergoing a period of hyper-scale, and you will lead the technical strategy for one of our highest-impact initiatives: re-engineering our core backend data systems to be massively scalable, resilient, and fault-tolerant.

In this critical role, you will tackle complex distributed systems challenges where system performance, uptime, and data integrity directly impact real human lives seeking mental healthcare. You will drive zero-to-one architectural decisions during a pivotal growth phase while acting as both a technical leader and a force multiplier for the team. Beyond designing foundational infrastructure, you will mentor high-performing engineers, establish operational rigor, and partner directly with product managers and cross-functional teams to shape both our engineering roadmap and product vision. If you are excited to build the foundational systems that make high-quality mental healthcare accessible for everyone, this role is for you.

Required Qualifications

  • 4+ years of related professional experience
  • Experience building distributed and event driven systems.
  • Experience with microservice development
  • Experience working on cross-functional teams to bridge the gap between technical and non-technical stakeholders
  • Fluency in AI assisted development tools and frameworks. Able to leverage AI assisted coding tools to improve velocity and automate boilerplate tasks while setting and maintaining the right quality guardrails
  • Experience mentoring others, reviewing architectures, and establishing design patterns.

Preferred Qualifications

  • Degree in Computer Science or equivalent practical experience
  • Experience being on-call and driving sustainable operational improvements in a customer facing product
  • Prior experience in early-stage and/or high-growth startup environments
  • Previous experience in products with high reliability/accuracy requirements (finance, healthcare, mission critical systems, etc.)
  • Experience with NodeJs and Kafka

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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