Lead Software Engineer - Front Office AI Platform (Ruby on Rails)

PracticeTek is a large and established healthcare technology company, providing comprehensive software solutions to various healthcare clinics. They are seeking a Lead Engineer to design, build, and operate backend platform services that support critical healthcare workflows, emphasizing system reliability and automation.

Responsibilities:

• Design, build, and evolve API-first Rails services that power shared platform capabilities
• Own service architecture and interfaces to support consistency and reuse across products
• Deliver automation and model-assisted features with appropriate safeguards, monitoring, and operational controls
• Establish and uphold best practices for production systems, including configuration management, rollout strategies, and ongoing evaluation
• Design and optimize PostgreSQL data models for correctness, performance, and multi-tenant scale
• Build and operate asynchronous and event-driven processing for high-throughput workloads
• Maintain high standards for observability and reliability, including logging, metrics, alerting, and incident response
• Ensure systems meet security, privacy, and compliance requirements, including careful handling of sensitive healthcare data
• Lead by example through code reviews, technical design, documentation, and mentoring
• Partner closely with Product, Design, and other engineering teams to deliver durable, high-quality solutions

Requirements:

• 5+ years of experience building and operating backend services using Ruby on Rails or similar frameworks
• Demonstrated ownership of production systems across their full lifecycle
• Experience delivering automation or AI-assisted capabilities in production environments, including monitoring and operational considerations
• Strong backend fundamentals: API design, distributed systems concepts, relational data modeling, and background processing
• Experience with modern cloud-based delivery practices (AWS, Docker, CI/CD; container orchestration is a plus)
• A security- and privacy-first mindset, ideally with experience in regulated or sensitive domains
• Strong communication skills and the ability to collaborate effectively with technical and non-technical partners
• High ownership and accountability; you follow through and surface risks early
• Pragmatic and thoughtful; you prioritize reliability, safety, and real-world constraints
• Collaborative and low-ego; you value shared success and constructive feedback
• Clear communicator; you explain tradeoffs and decisions with confidence and clarity
• Mentorship-oriented; you enjoy helping others grow and improving how teams work together