Impress employers and recruiters.
Choose from hundreds of resume examples.

Impress employers and recruiters.
Choose from hundreds of resume examples.

Target Resume Now

About the Role

As a Senior Full Stack Engineer, you will own and evolve a survey application built on Ruby on Rails, leveraging AI as a core part of the development workflow. You will be the primary technical driver, designing, building, and scaling features end-to-end while using modern AI tools to accelerate development.

Responsibilities

• Own the full lifecycle of the survey application (design, development, deployment, maintenance)
• Build and maintain features using Ruby on Rails across the full stack
• Architect and deploy cloud-native solutions on AWS (ECS, CloudFormation, load balancers, etc.)
• Design scalable, reliable backend systems and responsive user experiences
• Embrace an AI-first development strategy
• Evaluate and integrate emerging technologies, including voice AI and conversational interfaces
• Monitor performance, troubleshoot issues, and continuously improve system reliability
• Establish best practices for code quality, testing, and deployment as a solo engineer
• Deep experience using AI coding tools (e.g., Augment, ChatGPT, Cursor, Claude, etc.) in daily workflows
• Ability to guide, review, and validate AI-generated code, not just generate it
• Strong intuition for when and how to rely on AI vs. manual implementation
• Interest in integrating AI capabilities (e.g., voice, NLP, automation) into products
• Comfortable operating as the sole engineer on a product
• Strong problem-solving skills and ability to make architectural decisions independently
• Eagerness to learn new technologies quickly (especially in AI/voice space)
• Pragmatic and product-focused—able to balance speed with quality
• Own and improve CI/CD pipelines and deployment automation for the application

Requirements

• Strong experience with Ruby on Rails (5+ years preferred)
• Strong hands-on experience with PostgreSQL, including schema design, SQL query development, performance tuning, and troubleshooting
• Full stack development experience (frontend + backend)
• Hands-on experience building and deploying applications in AWS, including: ECS (or similar container orchestration), CloudFormation (or infrastructure-as-code equivalents), Load balancers, networking, and scaling patterns
• Experience designing and maintaining production-grade systems

Skills

• Ruby on Rails
• PostgreSQL
• AWS
• ECS
• CloudFormation
• Load balancers
• Networking
• Scaling patterns
• AI coding tools
• Voice AI
• Conversational interfaces
• React
• NextJS
• CI/CD pipelines
• DevOps best practices

Location

• Remote

Work Type

• Remote
• Full-time

Experience Level

• Senior
• 5+ years preferred with Ruby on Rails

Benefits

• Remote work environment
• Health benefits paid for employees
• Flexible Paid Time Off Policy
• 11 company holidays per year
• Paid parental leave
• 401K with matching contributions
• Learning and development allowance

About the Company

• At HST Pathways, we’re passionate about transforming healthcare. Our innovative software empowers surgery centers to provide care that’s not only more cost-efficient but also leads to better outcomes for patients. Backed by Bain Capital, we’re a profitable, fully remote SaaS company that’s growing quickly and entering an exciting new stage of expansion.
• At HST Pathways, you’ll find more than just a job — you’ll find a place to grow, contribute, and belong.
• We offer the flexibility of remote work and the stability of a well-backed, profitable company.
• You’ll collaborate with talented teammates who are passionate about healthcare innovation and committed to each other’s success.

Equal Opportunity

• HST Pathways celebrates diversity and is steadfast in fostering an inclusive work environment where employees feel valued, respected, and engaged.
• We champion and nurture a culture where inclusiveness is instinctive and fuels innovation, connection, and a "One Team" sense.
• HST is deeply committed to representing and reflecting the unique experiences, perspectives and viewpoints of our employees, customers, and the communities we serve.