Remote Full Stack Ruby Developer Jobs in Boston, MA

Who We Are:
Interra Health is a fast-growing healthcare technology company transforming how providers and patients navigate the prescription journey. Formed through the merger of DoseSpot, Arrive Health, and pVerify, Interra Health delivers trusted eligibility, real-time coverage and pricing insights, prescribing tools, and pharmacy transparency at the point of care—helping providers make informed decisions and patients access the right medications with greater clarity and affordability. Backed by strong market momentum and a bold vision for the future of connected care, Interra Health offers the chance to join an innovative, mission-driven team working at the intersection of software and healthcare to reduce friction, improve access, and make the healthcare experience better for everyone.

Interra Health is a fast-growing healthcare technology company transforming how providers and patients navigate the prescription journey. Formed through the merger of DoseSpot, Arrive Health, and pVerify, Interra Health delivers trusted eligibility, real-time coverage and pricing insights, prescribing tools, and pharmacy transparency at the point of care—helping providers make informed decisions and patients access the right medications with greater clarity and affordability. Backed by strong market momentum and a bold vision for the future of connected care, Interra Health offers the chance to join an innovative, mission-driven team working at the intersection of software and healthcare to reduce friction, improve access, and make the healthcare experience better for everyone.

The Role:

As a Senior Software Engineer, you will play a critical role in advancing the Arrive Health Network platform—a core part of Interra Health’s ecosystem that powers real-time prescription decision-making and cost transparency at the point of care.

You will help guide the design and development of scalable, high-impact systems used by providers and care teams to deliver more accessible and affordable treatment options. This role combines hands-on engineering with cross-functional partnership—actively collaborating on complex initiatives, contributing to architectural decisions, and working closely with product, platform, and engineering teams to ensure our platform evolves with reliability and integrity at scale.

Key Responsibilities:

• Design and implement complex greenfield projects used directly by providers and clinical staff

• Partner with engineering and product leadership on planning, prioritization, and execution

• Maintain and evolve backend systems and tools used by internal clinical and operational teams

• Integrate with electronic health records (EHRs) and external partner APIs

• Contribute to platform, monitoring, and infrastructure efforts in partnership with Platform Engineering (AWS, Terraform, Docker, DataDog)

• Build solutions with attention to system interoperability, scalability, and long-term maintainability

• Troubleshoot and resolve production issues, including participating in on-call rotations

• Mentor engineers and help elevate technical standards on the team

• Help on-board new engineers, teaching them how to use and monitor our pipeline

Expectations:

• Contribute to team-wide technical initiatives that span multiple systems

• Develop deep expertise in the healthcare and prescription coverage domain, and use that knowledge to inform architectural decisions by anticipating future needs

• Maintain and extend our existing system using Agile practices including TDD, pair programming,

• and radically collaborative development

• Identify cross-cutting problems and suggest solutions (shared services, tooling, architecture)

• Actively participate in collaborative efforts across team and functional boundaries, particularly with Product, to solve shared problems and contribute to company-wide goals

• Help evolve and uphold engineering standards, documentation, and team norms

• Stay current with modern development practices and tooling, and contribute to evolving team workflows, such as agentic AI workflows

• Close collaboration with other lead engineers and product management on planning and execution in a remote-first environment

What You’ll Bring:

Experience & Background

• 5+ years of software development experience (or equivalent combination of education and experience)

• Strong experience building and scaling full stack applications in production environments

• Experience designing distributed systems and integrating with external APIs (EHR experience a plus)

Technical Skills

• Proficiency in one or more backend languages/frameworks (Kotlin/Spring, Ruby on Rails, or similar)

• Experience with modern frontend frameworks (React or similar)

• Familiarity with cloud infrastructure (AWS), containerization (Docker), and infrastructure as code (Terraform)

• Strong understanding of CI/CD, automated testing, and service-oriented architecture

• Solid working knowledge of SQL and data modeling

• Increasing familiarity with AI models and tools

Ways of Working

• Strong problem-solving skills and attention to detail

• Ability to operate independently while collaborating effectively across teams

• Clear and concise communication—especially in a distributed, async-friendly environment

• A bias toward ownership, action, and continuous improvement

• Comfort operating in a fast-paced, evolving environment with shifting priorities

• A desire to learn and grow in a fast-paced environment

Core Competencies:

• Knowledge & Application: Applies deep technical expertise to design scalable systems and solve complex problems

• Complexity & Problem Solving: Contributes potential solutions to ambiguous, high-impact challenges requiring cross-system thinking

Working Conditions & Environment:

• Fully remote role within the United States

• Periodic travel (approximately 5%) for team meetings, customer visits, and industry events

• Operates in a fast-paced, growth-oriented, PE-backed SaaS environment

• Requires cross-functional collaboration across Product, Sales, and Customer Success

Benefits & Perks:

💸Competitive compensation

🌍Remote-first

Work from anywhere in US. We also provide a one-time home office stipend to set up your workspace, plus a monthly Wi-Fi reimbursement.

Flexible work
Flexible scheduling and core collaboration hours (10:00 AM – 3:00 PM ET), giving you space for both deep work and real life.

✈ Company-wide offsite
We invest in connection—join us for an annual offsite to collaborate, build relationships, and have some fun together.

🌴Time off that you’re expected to use
Flexible PTO designed for real recharge, plus 17 company holidays, paid sick leave, and paid parental leave.

💙Comprehensive health coverage
Choose from multiple medical plan options with significant company premium contributions, along with dental (including orthodontia) and vision coverage for you and your family.
Includes company contributions to HSA/FSA accounts (based on plan selection).

💰Financial wellness
401(k) with company match to help you plan for the future.

Interra Health is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. 

Compensation Range: $127K - $170K