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Remote Full Stack Ruby Developer Jobs in North Carolina

U.S. Remote Compensation: $190K-$200K base + bonus + equity Schedule: Flexible hours with PST ... Work across a polyglot stack that includes Ruby on Rails, Python, Node.js, SQL, and adjacent ...

About the Role We are looking for a Full Stack Developer, with a heavier emphasis on front-end development, to produce scalable software solutions. You'll be part of a cross-functional team that ...

Senior Full Stack Developer

Charlotte, NC ยท On-site +1

$70K - $140K/yr

Senior Full Stack Developer - In this senior role, the successful candidate will Design, Develop ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

Senior Full Stack Developer

Charlotte, NC ยท On-site +1

$70K - $140K/yr

Senior Full Stack Developer - In this senior role, the successful candidate will Design, Develop ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

... reliability, developer experience, and our ability to scale. WHAT YOU'LL DO * Own core platform ... Strong full stack capabilities. You're comfortable owning features from database to UI * Production ...

$95K - $140K/yr

Senior Full Stack Mobile/Web Application Developer Department: Development The Role: As our agency grows, we are taking more and more web and mobile application projects for our clients. Our ...

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Remote Full Stack Ruby Developer information

What are the key skills and qualifications needed to thrive as a remote full stack Ruby developer?

To thrive as a Remote Full Stack Ruby Developer, you need a strong command of Ruby on Rails, JavaScript, front-end frameworks (like React or Vue.js), and database management, typically supported by a degree in computer science or equivalent experience. Familiarity with version control systems (such as Git), cloud platforms, continuous integration tools, and testing frameworks is essential. Excellent problem-solving, communication, and self-management skills help you collaborate effectively and deliver results in a remote environment. These skills ensure you can build, maintain, and scale robust web applications while working independently and efficiently across distributed teams.

What are some common challenges faced by remote full stack Ruby developers, and how can they be effectively managed?

Remote Full Stack Ruby Developers often face challenges such as maintaining effective communication with distributed teams, managing time zone differences, and staying updated with both backend (Ruby/Rails) and frontend technologies. To overcome these, developers typically rely on clear documentation, regular virtual meetings, and collaboration tools like Slack or Jira. Staying organized and proactive in seeking feedback also helps ensure project alignment and smooth workflow in a remote environment.

What is a remote full stack Ruby developer?

A Remote Full Stack Ruby Developer is a software engineer who specializes in both front-end and back-end development using the Ruby programming language, typically with frameworks like Ruby on Rails. They are capable of designing, building, and maintaining web applications, handling everything from user interface to database management. Working remotely, they collaborate with teams online, using communication and project management tools to contribute to projects from any location. Their role often requires proficiency in JavaScript, HTML, CSS, and databases alongside Ruby, making them versatile assets for tech companies seeking flexible talent.
What are popular job titles related to Remote Full Stack Ruby Developer jobs in North Carolina? For Remote Full Stack Ruby Developer jobs in North Carolina, the most frequently searched job titles are:
What cities in North Carolina are hiring for Remote Full Stack Ruby Developer jobs? Cities in North Carolina with the most Remote Full Stack Ruby Developer job openings:
Infographic showing various Remote Full Stack Ruby Developer job openings in North Carolina as of August 2026, with employment types broken down into 50% Full Time, and 50% Contract. Highlights an 100% Remote job distribution.

Senior Full Stack Engineer - HealthTech

Urrly

Raleigh, NC โ€ข Remote

$190K - $200K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 29 days ago


Job description

Senior Full Stack Engineer - HealthTech

Location: U.S. Remote
Compensation: $190K-$200K base + bonus + equity
Schedule: Flexible hours with PST overlap
Travel: None

Build healthcare systems with real operational impact

Our client is a growth-stage healthcare technology company that has raised more than $100 million and is scaling quickly. We're hiring a Senior Full Stack Engineer to help build the core platform behind healthcare operations affecting hundreds of thousands of patient visits each year.

You'll join a lean, flat engineering team where senior engineers have broad ownership and direct access to product and company leadership. You won't be limited to a narrow layer of the stack or handed a queue of isolated tickets. You'll own meaningful systems end to end, influence architecture, and help shape the technical roadmap for their next stage of growth.

The direct users of these systems are often internal healthcare operations teams, but their impact reaches patients, clinicians, and health-plan partners. This is an opportunity to do hands-on work with real operational consequences-and participate in the upside through equity as the company continues to grow.

What you'll do
  • Build and operate production applications, APIs, integrations, data workflows, and internal user experiences.
  • Work across a polyglot stack that includes Ruby on Rails, Python, Node.js, SQL, and adjacent services.
  • Design reliable systems for sensitive healthcare data, with attention to data quality, auditability, performance, concurrency, and failure handling.
  • Own features from problem definition through launch, production support, and iteration.
  • Partner directly with product and leadership to define milestones, surface tradeoffs, and improve engineering standards.
  • Improve delivery, CI/CD, observability, and operational reliability alongside feature development.
  • Use AI coding tools such as Claude Code, Cursor, or Codex to accelerate delivery while maintaining strong testing and review practices.
What you bring
  • 7+ years building and operating production software, or equivalent Senior-level scope.
  • Strong hands-on experience in Ruby on Rails or Python, plus the ability to work confidently across multiple languages and systems.
  • Strong SQL and data-modeling skills, including PostgreSQL or similar relational databases.
  • Experience with JavaScript/TypeScript and modern web application development.
  • Strong engineering fundamentals: data structures, complexity, concurrency, API design, testing, and systems design.
  • Experience building reliable integrations, data pipelines, or high-volume operational systems.
  • Working knowledge of DevOps practices, including CI/CD, Docker, cloud infrastructure, monitoring, and incident response.
  • Clear examples of using AI coding agents responsibly, including how you validate their output.
  • A computer science degree or equivalent foundation in core software-engineering principles.
  • U.S. work authorization without sponsorship.
Nice to have
  • Healthcare, regulated-data, insurance, or operations-platform experience.
  • Experience with AWS, Kubernetes, event-driven systems, or distributed services.
  • Experience with C#, analytics systems, or data-warehouse tooling.
  • Experience improving and scaling systems already in production.
Benefits
  • Health, dental, and vision insurance
  • 401(k)
  • Generous PTO
  • Direct access to leadership and fast decision-making
  • Fully remote work with flexible hours
  • Modern, AI-assisted engineering workflows

At Urrly, fairness matters. We use AI to review every application against the same clear requirements for the role. Candidates are evaluated only on job-related factors such as skills, certifications, and experience, not personal attributes.

Employment Type: FULL_TIME