Software Engineer

HST Pathways is a profitable, fully remote SaaS company focused on transforming healthcare through innovative software. They are seeking a Full Stack Engineer to own and evolve a survey application, leveraging AI tools and modern development practices to enhance healthcare outcomes.

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

Requirements:

• Strong experience with Ruby on Rails (5+ years preferred)
• 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
• Experience with voice AI platforms or conversational UX
• Experience with frontend development, especially React and NextJS
• Experience with CI/CD pipelines and DevOps best practices
• Startup or early-stage product experience