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Ruby Backend Developer Jobs in Seattle, WA (NOW HIRING)

Software Engineer

Seattle, WA ยท On-site

$128K - $189K/yr

As a Software Engineer I at NexHealth, you'll work on meaningful, real-world problems from day one ... Proficiency in at least one backend language; experience with Ruby, Python, Go, or Java is a plus.

Senior Software Engineer

Bellevue, WA ยท On-site

$91K - $162K/yr

We're looking for both front-end and back-end engineers, while the ideal profile is full-stack. Key ... Proficiency in Go, Ruby, JavaScript, Java or C++ with the ability to quickly ramp up and contribute ...

Senior Software Developer

Seattle, WA ยท On-site +1

$147K - $198K/yr

... the backend. You will work closely with a fully remote team of designers, developers, and ... Ruby * Rails * Eventide * Message DB * PostgreSQL * Kubernetes * Terraform * Azure The primary ...

Senior Software Engineer

Bellevue, WA ยท On-site

$91K - $162K/yr

We're looking for both front-end and back-end engineers, while the ideal profile is full-stack. Key ... Proficiency in Go, Ruby, JavaScript, Java or C++ with the ability to quickly ramp up and contribute ...

... top-notch full-stack developers, with a passion for focusing on backend service-oriented ... Ruby, Rails, Python, Django, C#, .NET. * Familiar with cloud and Linux sysadmin experience - IaaS ...

... top-notch full-stack developers, with a passion for focusing on backend service-oriented ... Ruby, Rails, Python, Django, C#, .NET. * Familiar with cloud and Linux sysadmin experience - IaaS ...

Senior Software Engineer

Seattle, WA ยท On-site

$139K - $183K/yr

SQL: relational data modeling, queries, and integration with back-end systems * Programming Languages: Python, C#, and/or Ruby * Infrastructure as Code: Terraform * Understanding of: * Databases ...

Strong expertise in building backend services and APIs using Ruby on Rails and Node JS * Strong ... Strong programming fundamentals and the ability to produce high-quality code * Comfort with dynamic ...

Strong expertise in building backend services and APIs using Ruby on Rails and Node JS * Strong ... Strong programming fundamentals and the ability to produce high-quality code * Comfort with dynamic ...

Strategic Solutions Engineer

Bellevue, WA ยท On-site

$255K - $383K/yr

We believe Solutions Engineers at Okta are involved in all stages of the customer's development ... backend (Java, C#, Node.js, Python, PHP, Ruby) development, IP-based real-time communications

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Ruby Backend Developer information

See Seattle, WA salary details

$13

$65

$96

How much do ruby backend developer jobs pay per hour?

As of Jun 27, 2026, the average hourly pay for ruby backend developer in Seattle, WA is $65.70, according to ZipRecruiter salary data. Most workers in this role earn between $53.89 and $77.69 per hour, depending on experience, location, and employer.

Is Ruby still relevant in 2026?

Ruby remains relevant for backend development, especially with the continued use of Ruby on Rails in web applications. While other languages like JavaScript and Python have gained popularity, Ruby's simplicity and mature ecosystem keep it a viable choice for certain projects in 2026.

What is the difference between Ruby Backend Developer vs Python Backend Developer?

AspectRuby Backend DeveloperPython Backend Developer
Required CredentialsBachelor's in Computer Science or related field; experience with Ruby frameworksBachelor's in Computer Science or related field; experience with Python frameworks
Work EnvironmentWeb development, startups, tech companies using Ruby on RailsWeb development, data science, AI, startups, tech companies using Python
Industry UsagePrimarily e-commerce, SaaS, and web appsWeb apps, data analysis, machine learning, scientific computing
Common Search/ComparisonOften compared for backend web development skills

Both Ruby Backend Developers and Python Backend Developers share similar educational backgrounds and work in web development environments. However, Ruby developers typically focus on Ruby on Rails for web applications, while Python developers often work across web, data science, and AI fields. The choice depends on the project requirements and industry focus.

How do Ruby Backend Developers typically collaborate with front-end teams on large projects?

Ruby Backend Developers often work closely with front-end developers to ensure seamless integration between server-side logic and user interfaces. This collaboration usually involves regular meetings to clarify API requirements, sharing detailed documentation, and participating in code reviews to maintain consistency and performance standards. Effective communication and a willingness to adapt backend solutions based on front-end feedback are key to delivering robust, user-friendly applications. Utilizing tools like Swagger or Postman for API testing can further streamline this collaborative process.

What are Ruby Backend Developers?

Ruby Backend Developers are software engineers who specialize in building and maintaining the server-side components of web applications using the Ruby programming language. They are responsible for designing APIs, managing databases, handling business logic, and ensuring the application runs efficiently behind the scenes. Often, they work with frameworks like Ruby on Rails to streamline development and collaborate closely with frontend developers to deliver seamless user experiences.

What is the salary of Ruby backend developer?

The average salary for a Ruby backend developer typically ranges from $80,000 to $130,000 annually, depending on experience, location, and company size. Developers with skills in Rails, RESTful APIs, and cloud services may command higher salaries.

How much do Ruby developers make?

Ruby developers' salaries vary based on experience, location, and skill level, but the average annual salary in many regions ranges from $70,000 to $120,000. Senior developers with expertise in frameworks like Rails and proficiency in related tools tend to earn higher wages, especially in competitive markets.

Is Ruby backend or frontend?

Ruby is primarily used for backend development, especially with frameworks like Ruby on Rails. Ruby developers focus on server-side logic, database interactions, and application architecture, rather than frontend user interfaces. Frontend development typically involves languages like HTML, CSS, and JavaScript.

What are the key skills and qualifications needed to thrive as a Ruby Backend Developer, and why are they important?

To thrive as a Ruby Backend Developer, you need strong proficiency in Ruby programming, experience with web frameworks like Ruby on Rails, and a solid understanding of databases and API design. Familiarity with version control systems (like Git), cloud platforms, and continuous integration tools is typically required, and certifications in web development can be beneficial. Problem-solving ability, collaboration, and effective communication are standout soft skills for this role. These skills and qualities are vital for building reliable, scalable applications and working efficiently within a development team.
Software Engineer

Software Engineer

NexHealth

Seattle, WA โ€ข On-site

$128K - $189K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 22 days ago


Job description

About NexHealth
Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor's appointment and fill out a clipboard in the waiting room?
NexHealth's mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We're building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.
  • Founded: 2017
  • Headquarters: San Francisco, CA
  • Funding: $177M Series C
  • Employees: 200+
  • Trusted by tens of thousands of providers and hundreds of health-tech developers - forging the infrastructure layer that modern healthcare needs

About the Role
This is a rare chance to get in early on a company redefining what healthcare infrastructure looks like. As a Software Engineer I at NexHealth, you'll work on meaningful, real-world problems from day one - not toy features, not endless ticket queues. You'll write production code that touches the lives of patients and providers across tens of thousands of practices.
We're looking for engineers who are early in their careers but sharp, curious, and ready to grow fast. You'll be embedded in a small, senior team, which means a high learning curve, real ownership, accelerated mentorship and direct exposure to the kind of systems design and architectural thinking that usually takes years to encounter elsewhere.
This role focuses primarily on back-end development, contributing to our core platform - no-permission integrations with the EHRs, high throughput data ingestion pipelines, scaled storage and low latency data serving that connect healthcare's fragmented ecosystem. You don't need to have done this before at scale; you just need the fundamentals, the drive to figure it out and learn from the best.
What You'll Do
  • Build and ship features across NexHealth's core platform, including our healthcare integration API and provider-facing SaaS product, with guidance from senior engineers.
  • Write clean, well-tested, production-ready code - and learn what that actually means in a fast-moving, high-stakes environment.
  • Participate in code reviews, technical discussions, and architecture conversations - we want your questions and your perspective from the start.
  • Debug and investigate issues in distributed systems, developing the pattern recognition that comes from working on real infrastructure.
  • Contribute to indirect integrations with electronic health record (EHR) systems - one of the most technically complex and impactful parts of what we build.
  • Collaborate closely with product managers, designers, and other engineers to scope, plan, and deliver projects end to end.
  • Grow. We invest in our engineers - through mentorship, technical stretch assignments, and the kind of exposure you'd normally have to wait years for.

What You'll Bring
  • A degree in Computer Science, Software Engineering, or a related field - or equivalent practical experience that demonstrates strong CS fundamentals.
  • 0-2 years of professional software engineering experience. Internships, co-ops, and meaningful open-source contributions count.
  • Solid grasp of data structures, algorithms, and object-oriented or functional programming concepts.
  • Proficiency in at least one backend language; experience with Ruby, Python, Go, or Java is a plus. We primarily use Ruby on Rails.
  • Comfort working with relational databases - you understand what a query is doing and why it might be slow.
  • Ability to communicate clearly in writing and in conversation. You ask good questions and can explain your thinking.
  • Intellectual curiosity and a bias toward figuring things out. Healthcare infrastructure is niche and complex - we'll teach you the domain, but you need to want to learn it.

Bonus Points For
  • Exposure to cloud platforms (AWS, GCP, or Azure) or containerization tools like Docker or Kubernetes.
  • Experience with API design, webhooks, or third-party integrations.
  • Any background in healthcare technology, HL7, or FHIR standards - though definitely not required.
  • Prior experience working in a startup or fast-paced product environment.

Compensation
Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth's total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.
NexHealth Compensation Range
$128,600-$189,500 USD
Benefits
  • Full Medical, Dental, and Vision (up to 100% covered)
  • 401K and commuter benefits
  • Flexible PTO
  • High-impact work that directly improves the healthcare experience for millions

Our Values
  • Solve the customer's problems, not yoursWhen making decisions, think from the perspective of the customer. It's easy to make decisions that make our lives simpler, but not the customers.
  • Do the things others are not willing to doAs a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace.
  • Take ownershipAct like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses.
  • Say what's on your mind, with positive intentBe direct, proactive, transparent, and frequent in your communication.
  • Default trustAs a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster.
  • Think in first principlesWe first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask "why" to validate our assumptions.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact talent@nexhealth.com to request assistance.