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Join the team leading the next evolution of virtual care. At Teladoc Health, you are empowered to bring your true self to work while helping millions of people live their healthiest lives. Here you will be part of a high-performance culture where colleagues embrace challenges, drive transformative solutions, and create opportunities for growth. Together, we’re transforming how better health happens. About the Role We are looking for a Senior Software Engineer to join our team and help build and support applications used across Teladoc Health. This is a hands-on full-stack role. You will spend most of your time designing, building, testing, and supporting software, with a primary focus on Ruby on Rails and React. You will work closely with other engineers, product managers, and technical partners to solve problems and deliver reliable software to production. We are also adopting AI-assisted development tools as part of our engineering workflow. We value engineers who know how to use tools such as GitHub Copilot, Claude, ChatGPT, Cursor, or similar tools to speed up development, testing, debugging, and documentation while still applying good engineering judgment. Healthcare experience is a plus. Experience with FHIR, HL7, Mirth Connect, EHR/EMR integrations, or other healthcare interoperability technologies is helpful, but it is not required. What You'll Be Doing Build and maintain backend services and APIs using Ruby on Rails. Build and maintain frontend applications using React, JavaScript, and/or TypeScript. Design and develop REST APIs and integrations with other applications and services. Work with databases and write SQL as part of day-to-day development and troubleshooting. Work with Kafka or other messaging/event-driven systems where appropriate. Participate in technical design discussions and help make decisions about application architecture. Write unit and integration tests and help maintain a strong automated test suite. Review code and provide practical feedback to other engineers. Investigate and resolve production issues. Participate in deployments, monitoring, and ongoing production support. Work with product managers and other stakeholders to understand requirements and turn them into working software. Document technical decisions, APIs, and important system behavior. Help improve development practices, tooling, and engineering processes. Participate in an on-call rotation as needed. What You'll Bring Required Qualifications 5+ years of professional software engineering experience. Strong hands-on experience with Ruby on Rails. Experience building production applications with React. Good understanding of Ruby, JavaScript, and/or TypeScript. Experience building and consuming REST APIs. Experience with SQL and relational databases. Experience writing automated tests. Experience with Git and modern software development practices. Experience troubleshooting and supporting production applications. Ability to take ownership of work from design through implementation and production. Good communication skills and the ability to work effectively with other engineers and cross-functional teams. Preferred Qualifications Experience working in healthcare or healthcare technology. Experience with FHIR, HL7v2, or CCDA/C-CDA. Experience with Mirth Connect or another healthcare integration engine. Experience with EHR/EMR systems (Athena/Cerner/Epic). Experience with Kafka or other messaging platforms. Experience with AWS, Azure, or GCP. Familiarity with Docker and Kubernetes. Experience with healthcare data privacy and security, including HIPAA. Experience using AI-assisted development tools such as GitHub Copilot, Claude, ChatGPT, or Cursor. As part of our hiring process, we verify identity and credentials, conduct interviews (live or video), and screen for fraud or misrepresentation. Applicants who falsify information will be disqualified. Why join Teladoc Health? Teladoc Health is transforming how better health happens. Learn how when you join us in pursuit of our impactful mission. Chart your career path with meaningful opportunities that empower you to grow, lead, and make a difference. Join a multi-faceted community that celebrates each colleague’s unique perspective and is focused on continually improving, each and every day. Contribute to an innovative culture where fresh ideas are valued as we increase access to care in new ways. Enjoy an inclusive benefits program centered around you and your family, with tailored programs that address your unique needs. Explore candidate resources with tips and tricks from Teladoc Health recruiters and learn more about our company culture by exploring #TeamTeladocHealth on LinkedIn. As an Equal Opportunity Employer, we never have and never will discriminate against any job candidate or employee due to age, race, religion, color, ethnicity, national origin, gender, gender identity/expression, sexual orientation, membership in an employee organization, medical condition, family history, genetic information, veteran status, marital status, parental status, or pregnancy). In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind. Teladoc Health respects your privacy and is committed to maintaining the confidentiality and security of your personal information. In furtherance of your employment relationship with Teladoc Health, we collect personal information responsibly and in accordance with applicable data privacy laws, including but not limited to, the California Consumer Privacy Act (CCPA). Personal information is defined as: Any information or set of information relating to you, including (a) all information that identifies you or could reasonably be used to identify you, and (b) all information that any applicable law treats as personal information. Teladoc Health’s Notice of Privacy Practices for U.S. Employees’ Personal information is available at this link. Originally posted on Himalayas