Software Engineer (Mid-Level–Senior)
Urrly · Raleigh, NC · United States · Remote
Pay: USD 140,000 – 200,000 a year
Posted Oct 1, 2026
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Software Engineer (Mid-Level–Senior)
HealthTech | Fully Remote — United States | Full-Time Base salary: $140,000–$200,000 USD annually, plus bonus and equity Flexible hours with Pacific Time overlap | No travel
Build what comes next in AI-powered healthcare
Our client is a fast-scaling, AI-enabled healthcare technology company. You’ll join a 30-person engineering team that’s hiring hands-on software engineers from mid-level through senior.
If you have 3–4 years of strong production experience and are ready for more ownership, we want to meet you. If you’re a senior engineer who wants to stay close to the code and help shape what comes next, there’s room for that too. We’ll match the scope and compensation to the experience and engineering judgment you bring.
You’ll build software that supports real healthcare delivery, working on systems used by operations teams, clinicians, and health-plan partners. This is a chance to join a company scaling quickly, take on meaningful technical challenges, and grow alongside the business.
What you’ll work on
Build applications, APIs, integrations, data workflows, and internal tools that make healthcare operations more effective
Take features from understanding the problem through implementation, testing, release, and improvement
Work with Ruby on Rails, Python, Node.js, and PostgreSQL in a database-intensive environment
Improve performance, data quality, reliability, and visibility into how systems behave in production
Collaborate with engineers, product partners, and business stakeholders to make practical tradeoffs and ship useful software
Use AI coding tools thoughtfully, with strong review, testing, and accountability for the result
At the senior level, lead larger technical initiatives, guide architecture decisions, and help raise engineering standards while remaining hands-on
What we’re looking for
At least 3 years of professional software engineering experience, with opportunities for mid-level and senior engineers
Production experience with Ruby on Rails or Python, plus the ability to learn and work across the stack
Strong SQL and hands-on PostgreSQL experience
Solid fundamentals in data structures, API design, testing, debugging, and system performance
Experience delivering web applications or full-stack features, with an understanding of how the user interface, services, and database fit together
Good habits around Git, code reviews, testing, deployment, and production support
Clear communication, curiosity, and the ability to work through changing requirements
Practical experience with AI-assisted development and the judgment to validate what it produces
You don’t need to know every technology we use. We care about what you’ve built, how you solve problems, and how quickly you can learn.
Helpful experience
Healthcare, insurance, or other sensitive-data environments
AWS, Docker, Kubernetes, CI/CD, or observability tools
Data pipelines, event-driven systems, or…