Senior Ruby on Rails Engineer

Mar 28, 2026 | InpharmD Jobs Senior Ruby on Rails Engineer

Senior Ruby on Rails Engineer — InpharmD

At InpharmD, we help healthcare providers make better clinical decisions by giving them evidence-backed answers to their questions.

Founded: 2018

Funding: Seed ($8.05M)

We’ve grown revenue 750% while staying capital efficient. Small team. High ownership. No politics. Just people who want to build meaningful healthcare products fast.

Why InpharmD

• Capital efficient growth — we don’t burn, we build
• Small, high-performing team — no bloated org layers
• Ownership mindset — builders, not passengers
• Fast iteration — we ship quickly and improve constantly
• No drama culture — we meet once a week, not every day

Market timing is in our favor — and we’re moving faster than incumbents.

Role: Senior Ruby on Rails Engineer (10+ years)

We’re looking for a strong backend engineer to help us scale our core platform and APIs that power clinical decision-making.

This is a hands-on role. You’ll design systems, write production-grade code, and own key parts of our backend.

What You’ll Do

• Build and scale Ruby on Rails (Rails 8+) APIs
• Develop systems using Ruby 3+ with modern patterns
• Design clean, scalable database architectures (Postgres, large datasets)
• Build and manage background processing using Sidekiq or Solid Queue
• Work on high-performance systems handling clinical data and workflows
• Integrate healthcare pricing systems (340B, WAC)
• Improve system reliability, performance, and maintainability
• Collaborate closely with AI/ML teams powering our core product

What We’re Looking For

• 10+ years of experience with Ruby on Rails (production systems)
• Strong experience with Rails 8+ and Ruby 3+
• Hands-on experience with Sidekiq or Solid Queue (job orchestration, scaling workers)
• Strong experience designing APIs and backend architectures
• Deep understanding of databases, data modeling, and performance optimization
• Experience working with large datasets and distributed systems
• Familiarity with healthcare systems (340B / WAC pricing) is a strong plus
• You care about clean code, speed, and real-world impact
• You take ownership and consistently deliver high-quality work

Tech Stack (Relevant)

• Ruby on Rails (Rails 8+)
• Ruby 3+
• PostgreSQL
• Sidekiq / Solid Queue
• AWS (S3, EC2, etc.)
• API-first architecture

Logistics

• Location: Atlanta Tech Village (preferred) or Remote
• Compensation: $130K base + InpharmD stock options
• Hours: Full-time
• Contact: Tulasee Rao Chintha

Equal Opportunity

We value diverse perspectives and strong builders. If you’re great at what you do, we want to talk.

Interested? Learn more about us on our InpharmD blog.

If you’re excited about building the future of AI in healthcare, send an email to [email protected] — your message goes directly to the founders. Feel free to include why you’re interested and what kind of opportunity you’re looking for.

Share