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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.