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Elixir Engineer Jobs in California (NOW HIRING)

Experience with Node.js, Elixir, and the TypeScript/React ecosystem. * Familiarity with AI/ML integration patterns - working with LLM APIs, building agent architectures, or prompt engineering.

Proficiency in Elixir * Bonus: Passion for sports, gaming, or building multiplayer or real-time ... High Ownership - We trust our engineers to make high-leverage decisions and drive meaningful ...

Full Stack Engineer

San Francisco, CA · On-site

$180K - $220K/yr

As a Senior Full Stack Engineer, you will own features end-to-end, working across frontend, backend ... Proficiency with backend systems (Node.js, Ruby on Rails, Elixir, or similar) * Experience working ...

Full Stack Engineer

San Francisco, CA · On-site

$180K - $220K/yr

As a Senior Full Stack Engineer, you will own features end-to-end, working across frontend, backend ... Proficiency with backend systems (Node.js, Ruby on Rails, Elixir, or similar) * Experience working ...

Magnopus is looking for a Machine Learning Engineer who thrives at the intersection of product ... Memory Lab The Lion King - Virtual Production Elixir We may use artificial intelligence (AI) tools ...

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Elixir Engineer information

What are the key skills and qualifications needed to thrive as an Elixir Engineer, and why are they important?

To thrive as an Elixir Engineer, you need strong programming skills in Elixir and the Erlang/OTP ecosystem, along with a solid understanding of functional programming principles and concurrent system design. Familiarity with version control systems like Git, experience with Phoenix Framework, and knowledge of deployment tools such as Docker are typically required. Excellent problem-solving, collaboration, and communication skills help you work effectively within development teams and address complex technical challenges. These skills and qualities are essential for building scalable, reliable, and maintainable applications in fast-paced software environments.

How does an Elixir Engineer typically collaborate with other team members in a software development environment?

As an Elixir Engineer, you will often work closely with backend and frontend developers, DevOps engineers, and product managers to design and deliver scalable applications. Collaboration is usually facilitated through regular stand-up meetings, code reviews, and pair programming sessions, especially when integrating Elixir services with other parts of a system. You may also be responsible for writing technical documentation and assisting in onboarding team members less familiar with Elixir. Open communication and a willingness to share knowledge are key, as Elixir teams often prioritize code quality and functional programming best practices.

What is an Elixir Engineer?

An Elixir Engineer is a software developer who specializes in building and maintaining applications using the Elixir programming language. Elixir is known for its concurrency, scalability, and fault-tolerance, making it a popular choice for real-time web applications, distributed systems, and backend services. Elixir Engineers often work with the Phoenix framework and are responsible for designing, developing, testing, and deploying high-performance applications. They may also optimize existing code, ensure system reliability, and collaborate with teams to implement best practices.

What is the difference between Elixir Engineer vs Ruby Developer?

AspectElixir EngineerRuby Developer
Required CredentialsBachelor's in Computer Science or related, knowledge of Elixir and functional programmingBachelor's in Computer Science or related, experience with Ruby and object-oriented programming
Work EnvironmentBackend development, real-time systems, scalable applicationsWeb development, startups, e-commerce platforms
Industry UsageTelecommunications, messaging apps, distributed systemsWeb applications, SaaS, e-commerce
Common Search IntentElixir Engineer vs Ruby Developer

Elixir Engineers and Ruby Developers often share similar credentials and work environments, but they focus on different programming languages and application types. Elixir Engineers specialize in scalable, real-time systems using Elixir, while Ruby Developers typically work on web applications with Ruby on Rails. Both roles are vital in modern software development, but their industry applications and technical focuses differ.

What job categories do people searching Elixir Engineer jobs in California look for? The top searched job categories for Elixir Engineer jobs in California are:
What cities in California are hiring for Elixir Engineer jobs? Cities in California with the most Elixir Engineer job openings:
Infographic showing various Elixir Engineer job openings in California as of May 2026, with employment types broken down into 95% Full Time, and 5% Contract. Highlights an 50% Physical, and 50% Remote job distribution.

Founding Engineer

Nabi Health

San Francisco, CA • On-site

Full-time

Medical, Dental, Vision, Retirement

Posted 9 days ago


Job description

Location: SF, in-person
Hours: Full-time
About Nabi
Nabi is building a new behavioral healthcare system to serve 100M patients with exceptional care in the next 10 years. We're starting out with building a new agentic health system focused on treating eating disorders, where we empower clinicians with agents to deliver continuous care. We've already served tens of thousands of members and have raised over $10M from some of the leading VC firms in Silicon Valley.
What You'll Do
  • Build Agentic Care: integrate our Command Center (EHR) product with our intersession product Callie to allow clinicians to collaborate with agents in delivering continuous care.
  • Design and own backend services, APIs, and data pipelines that power clinical workflows and agent infrastructure.
  • Develop new patient onboarding tools to streamline intake and setup.
  • Build and maintain infrastructure (deployment, monitoring, observability) as we scale.
  • Collaborate closely with clinical and operational stakeholders to ship fast, reliable systems that help patients recover faster.

What We're Looking For
Based in or willing to relocate to San Francisco - this is an in-person role.
  • Strong product instincts - you think end-to-end, from data model to user experience, and you ship systems that are reliable, performant, and great to use.
  • Scrappy and fast-moving - you get things done quickly without sacrificing quality, and you're comfortable building in ambiguity with little instruction.
  • Fast learner - you ramp up quickly on new tools, systems, and domains. You stay abreast of the latest technology and its developments.
  • Deep empathy & mission alignment - you care about building for real people, especially patients and the clinicians who serve them.
  • Clear communicator - you are a team player who is able to distill complex problems and communicate them concisely.

Strong candidates may also have
  • Experience with Node.js, Elixir, and the TypeScript/React ecosystem.
  • Familiarity with AI/ML integration patterns - working with LLM APIs, building agent architectures, or prompt engineering.
  • Experience in healthcare, fintech, or other regulated/high-stakes domains.

What We Offer
  • Compensation: meaningful compensation as part of the founding team.
  • Equity: meaningful equity as part of the founding team.
  • Benefits: competitive healthcare, vision, and dental, retirement accounts, and free lunch + dinners in the office.