
Real job — pulled straight from Impruv On Health’s careers page · Verified July 19, 2026 · No reposts.
Job description
Impruv On Health is hiring a Senior Software Engineer (Remote) — a full-time, remote role. Apply directly on Impruv On Health's careers page below.
Senior Software Engineer
Department: Engineering
Employment Type: Full Time
Location: Baltimore, Maryland, Remote - USA, Remote
We support providers across 20+ states, including intellectual and developmental disabilities (IDD) providers, assisted living operators, and behavioral health programs. Our platform includes a full electronic Medication Administration Record (eMAR) and administrative dashboard, smart connected MedBoxes that control and track medication access, emergency kits for urgent situations, and tools that help residents build independence with self-medication. Our solution has been proven to reduce medication errors by approximately 48%, directly impacting the safety of individuals in care facilities.
We are a high-growth, mission-driven startup solving complex, high-impact problems where reliability, usability, and security matter.
About the Role
We are seeking a Senior Software Engineer to join our team as a high-ownership, product-minded contributor. In this role, you will take end-to-end responsibility for key features and platform components within our full-stack ecosystem: Ruby on Rails (backend), React (web), and Flutter (mobile). We are looking for a pragmatic engineer who doesn't just implement tickets but actively shapes the product experience by understanding user needs and engineering tradeoffs. You will own your work from architectural design through to production deployment, ensuring the reliability and performance of systems that directly impact individual care. If you thrive in high-growth, mission-driven environments and are eager to tackle complex engineering challenges while maintaining a high technical bar, this role is for you.
Key Responsibilities
- Build and maintain features across our full stack (Ruby on Rails, React, Flutter), taking end-to-end ownership from initial design through production.
- Act as a product-minded partner, translating complex user needs—often in early or ambiguous stages—into intuitive, technically sound solutions.
- Operate with high autonomy, driving architectural decisions and navigating ambiguity to solve impactful engineering challenges.
- Elevate our engineering culture by setting high standards, mentoring teammates, and simplifying processes to help the team move faster as we scale.
- Proactively balance feature velocity with long-term system health by identifying and addressing technical debt before it becomes a bottleneck.
- Prioritize pragmatic simplicity, ensuring we build only what is necessary to validate assumptions and deliver value, while resisting complexity that hinders agility.
- Ensure the reliability and performance of our critical systems by taking ownership of production issues and implementing sustainable fixes.
Skills, Knowledge, and Experience
- Seniority & Ownership: 5+ years of software engineering experience with a proven track record of owning features from conception to production deployment.
- Product-First Mindset: You treat code as a tool to solve user problems. You are comfortable questioning requirements, identifying gaps in user stories, and advocating for the best technical solution.
- Backend Expertise: Deep proficiency in Ruby on Rails; you understand the framework’s nuances and know how to build, maintain, and scale robust backend systems.
- Technical Rigor: Deep understanding of relational database design, query optimization, and architectural trade-offs. You prioritize maintainability and security (e.g., HIPAA/SOC 2 compliance) in every decision.
- Communication: Excellent written and verbal communication skills. In a remote-first team, your ability to document decisions and communicate asynchronously is as critical as your coding skills.
- Adaptability: Experience working in fast-paced startup environments where requirements evolve and ambiguity is the norm.
- Mission-Critical Systems: Prior experience building software where reliability is paramount (e.g., healthcare, fintech, or life-safety applications).
- Full-Stack Depth: Direct experience with our frontend stack (React, Flutter).
- Cloud Infrastructure: Hands-on experience with AWS (ECS, RDS, S3) and modern DevOps practices that allow small teams to move fast.
- Physical/Digital Intersection: Experience working with hardware-connected software (IoT) or building applications that handle intermittent/offline connectivity.
- First 30 Days: You have immersed yourself in our product and codebase, established strong working relationships across the team, and shipped your first impactful feature to production.
- First 60 Days: You are independently leading feature work, actively collaborating on product requirements to ensure we’re building the right solutions, and identifying high-leverage opportunities to pay down technical debt or improve system reliability.
- First 90 Days: You have become a force multiplier for the team. You are operating with full autonomy, championing technical standards, proactively surfacing risks before they manifest, and helping elevate our engineering culture through mentorship and best practices.
Benefits
- Competitive compensation aligned with experience
- 100% company-paid medical coverage (base plan)
- Dental & vision available
- 401(k) retirement plan
- Company-paid life, AD&D, STD & LTD insurance
- Lifestyle Spending Account (wellness, personal use, and company swag)
- Flexible PTO + company holidays
- Flexible, remote-friendly work environment
- Mission-driven work with real impact on vulnerable populations
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Frequently asked questions
Is Senior Software Engineer (Remote) at Impruv On Health a remote job?
Yes, Senior Software Engineer (Remote) at Impruv On Health is a remote position. Candidates in Baltimore, MD may be preferred.
What skills are required for Senior Software Engineer (Remote) at Impruv On Health?
The required skills for Senior Software Engineer (Remote) at Impruv On Health include: Ruby on Rails, React, Flutter, SQL, AWS, HIPAA, SOC 2.
What is the seniority level for Senior Software Engineer (Remote) at Impruv On Health?
Senior Software Engineer (Remote) at Impruv On Health is a Senior level position.
How do I apply for Senior Software Engineer (Remote) at Impruv On Health?
You can view the full description and apply for Senior Software Engineer (Remote) at Impruv On Health on EchoJobs: https://echojobs.io/job/impruv-on-health-senior-software-engineer-engineering-9yrgd.