Senior Ruby on Rails Engineer, Healthcare Integrations

Role Summary

Help build and evolve a leading European healthcare platform used daily by healthcare professionals and patients across multiple countries. The role combines product delivery, systems integration, and operational reliability, with a focus on complex integrations and mission-critical patient journeys.

What you’ll be responsible for

Healthcare integrations

• Build and maintain integrations between the platform and external healthcare systems using APIs and interoperability standards.
• Design reliable solutions for exchanging appointments, referrals, and clinical data.
• Diagnose and resolve production integration issues while improving observability and reliability.
• Evolve the integration architecture as new partners and healthcare systems are introduced.

Booking and appointment platform

• Deliver features across the booking lifecycle, including scheduling, waitlists, referrals, and reporting.
• Translate clinical and operational change requests into well-scoped, reliable implementations.
• Build tools that support healthcare professionals and operational teams.
• Continuously improve reliability, usability, and performance.

Engineering quality and reliability

• Own production issues from investigation through to permanent resolution.
• Build secure, maintainable software that protects sensitive patient information.
• Keep the platform modern through framework upgrades and technical improvements.
• Raise engineering standards through mentoring, code reviews, and collaborative design.

Must have

• At least five years of commercial Ruby on Rails experience.
• Strong experience building and operating production Ruby on Rails applications.
• Experience integrating with third-party systems and APIs in production environments.
• Experience with healthcare interoperability standards such as HL7 or FHIR.
• Excellent debugging and production troubleshooting skills.
• A strong focus on correctness, reliability, and data integrity.
• Ability to work directly with stakeholders and turn requirements into reliable software.
• A collaborative approach and willingness to take technical responsibility for a critical area of the platform.
• Candidate must be based in the EEA (European Economic Area).

Nice to have

• Experience working in healthcare, insurance, or another regulated industry.
• Experience with booking, scheduling, or workflow-driven platforms.
• Experience integrating with clinical systems, radiology platforms, or insurer systems.
• Familiarity with healthcare interoperability standards such as HL7 or FHIR.
• Experience improving application observability, monitoring, and production reliability.

What success looks like

• Booking journeys are reliable, intuitive, and continuously improving.
• Integrations operate consistently, and issues are identified and resolved quickly.
• Healthcare professionals trust the software and the data it provides.
• The platform remains maintainable, secure, and ready to evolve as the business grows.