Note: The job is a remote job and is open to candidates in USA. Interra Health is a fast-growing healthcare technology company transforming how providers and patients navigate the prescription journey. The Senior Software Engineer will play a critical role in advancing the Arrive Health Network platform, guiding the design and development of scalable systems to improve accessibility and affordability in healthcare.

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
• 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

Skills

• 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)
• 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
• 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
• 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

Benefits

• 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.

Company Overview