The Role
Own and deliver full-stack features across Ruby on Rails backend, React web, and Flutter mobile. Translate user needs into pragmatic solutions, drive architecture and production deployments, mentor teammates, address technical debt, and ensure reliability, performance, and security for mission-critical healthcare systems.
Summary Generated by Built In
Impruvon builds software and connected hardware that transforms how care teams manage medications for vulnerable populations. Our platform replaces manual, error-prone workflows with real-time, guided systems that improve safety, reduce risk, and simplify compliance across residential care settings.
We support providers across 20+ states, including intellectual and developmental disabilities (IDD) providers, assisted living operators, and behavioral health programs. Our platform includes a full electronic Medication Administration Record (eMAR) and administrative dashboard, smart connected MedBoxes that control and track medication access, emergency kits for urgent situations, and tools that help residents build independence with self-medication. Our solution has been proven to reduce medication errors by approximately 48%, directly impacting the safety of individuals in care facilities.
We are a high-growth, mission-driven startup solving complex, high-impact problems where reliability, usability, and security matter.
About the Role
We are seeking a Senior Software Engineer to join our team as a high-ownership, product-minded contributor. In this role, you will take end-to-end responsibility for key features and platform components within our full-stack ecosystem: Ruby on Rails (backend), React (web), and Flutter (mobile). We are looking for a pragmatic engineer who doesn't just implement tickets but actively shapes the product experience by understanding user needs and engineering tradeoffs. You will own your work from architectural design through to production deployment, ensuring the reliability and performance of systems that directly impact individual care. If you thrive in high-growth, mission-driven environments and are eager to tackle complex engineering challenges while maintaining a high technical bar, this role is for you.
We support providers across 20+ states, including intellectual and developmental disabilities (IDD) providers, assisted living operators, and behavioral health programs. Our platform includes a full electronic Medication Administration Record (eMAR) and administrative dashboard, smart connected MedBoxes that control and track medication access, emergency kits for urgent situations, and tools that help residents build independence with self-medication. Our solution has been proven to reduce medication errors by approximately 48%, directly impacting the safety of individuals in care facilities.
We are a high-growth, mission-driven startup solving complex, high-impact problems where reliability, usability, and security matter.
About the Role
We are seeking a Senior Software Engineer to join our team as a high-ownership, product-minded contributor. In this role, you will take end-to-end responsibility for key features and platform components within our full-stack ecosystem: Ruby on Rails (backend), React (web), and Flutter (mobile). We are looking for a pragmatic engineer who doesn't just implement tickets but actively shapes the product experience by understanding user needs and engineering tradeoffs. You will own your work from architectural design through to production deployment, ensuring the reliability and performance of systems that directly impact individual care. If you thrive in high-growth, mission-driven environments and are eager to tackle complex engineering challenges while maintaining a high technical bar, this role is for you.
Key Responsibilities
- Build and maintain features across our full stack (Ruby on Rails, React, Flutter), taking end-to-end ownership from initial design through production.
- Act as a product-minded partner, translating complex user needs—often in early or ambiguous stages—into intuitive, technically sound solutions.
- Operate with high autonomy, driving architectural decisions and navigating ambiguity to solve impactful engineering challenges.
- Elevate our engineering culture by setting high standards, mentoring teammates, and simplifying processes to help the team move faster as we scale.
- Proactively balance feature velocity with long-term system health by identifying and addressing technical debt before it becomes a bottleneck.
- Prioritize pragmatic simplicity, ensuring we build only what is necessary to validate assumptions and deliver value, while resisting complexity that hinders agility.
- Ensure the reliability and performance of our critical systems by taking ownership of production issues and implementing sustainable fixes.
Skills, Knowledge, and Experience
Requirements
- Seniority & Ownership: 5+ years of software engineering experience with a proven track record of owning features from conception to production deployment.
- Product-First Mindset: You treat code as a tool to solve user problems. You are comfortable questioning requirements, identifying gaps in user stories, and advocating for the best technical solution.
- Backend Expertise: Deep proficiency in Ruby on Rails; you understand the framework’s nuances and know how to build, maintain, and scale robust backend systems.
- Technical Rigor: Deep understanding of relational database design, query optimization, and architectural trade-offs. You prioritize maintainability and security (e.g., HIPAA/SOC 2 compliance) in every decision.
- Communication: Excellent written and verbal communication skills. In a remote-first team, your ability to document decisions and communicate asynchronously is as critical as your coding skills.
- Adaptability: Experience working in fast-paced startup environments where requirements evolve and ambiguity is the norm.
Nice to Have
- Mission-Critical Systems: Prior experience building software where reliability is paramount (e.g., healthcare, fintech, or life-safety applications).
- Full-Stack Depth: Direct experience with our frontend stack (React, Flutter).
- Cloud Infrastructure: Hands-on experience with AWS (ECS, RDS, S3) and modern DevOps practices that allow small teams to move fast.
- Physical/Digital Intersection: Experience working with hardware-connected software (IoT) or building applications that handle intermittent/offline connectivity.
What Success Looks Like
- First 30 Days: You have immersed yourself in our product and codebase, established strong working relationships across the team, and shipped your first impactful feature to production.
- First 60 Days: You are independently leading feature work, actively collaborating on product requirements to ensure we’re building the right solutions, and identifying high-leverage opportunities to pay down technical debt or improve system reliability.
- First 90 Days: You have become a force multiplier for the team. You are operating with full autonomy, championing technical standards, proactively surfacing risks before they manifest, and helping elevate our engineering culture through mentorship and best practices.
Benefits
At Impruvon, we know our people are our greatest asset. We provide a benefits package designed to support your well-being and growth, including:
- Competitive compensation aligned with experience
- 100% company-paid medical coverage (base plan)
- Dental & vision available
- 401(k) retirement plan
- Company-paid life, AD&D, STD & LTD insurance
- Lifestyle Spending Account (wellness, personal use, and company swag)
- Flexible PTO + company holidays
- Flexible, remote-friendly work environment
- Mission-driven work with real impact on vulnerable populations
Why Join Us
Working at Impruvon means being part of a mission-driven, passionate, and collaborative team. Every role contributes to improving lives and reducing risks in care settings across the country. Your expertise will help ensure we can continue to innovate, grow, and deliver on our promise of safer, smarter care.
About
At Impruvon, we are transforming medication management and clinical workflows with intuitive, one-click solutions that simplify processes, eliminate inefficiencies, and empower care teams to do more with ease and confidence.Designed in partnership with IDD providers, our platform automates medication administration and other clinical workflows such as treatments, minimizes errors, and strengthens compliance—ensuring safer, more effective care for the individuals who depend on it, while keeping providers aligned with regulatory requirements effortlessly.
Skills Required
- 5+ years of software engineering experience owning features end-to-end
- Product-first mindset; treat code as a tool to solve user problems
- Deep proficiency in Ruby on Rails
- Strong relational database design and query optimization (SQL)
- Prioritize maintainability and security; familiarity with HIPAA and SOC 2 considerations
- Excellent written and verbal communication, strong async documentation skills
- Experience working in fast-paced startup environments and adapting to evolving requirements
- Experience with frontend stack (React, Flutter)
- Hands-on experience with AWS (ECS, RDS, S3) and modern DevOps practices
- Experience building hardware-connected software or handling intermittent/offline connectivity (IoT)
- Prior experience building mission-critical systems (healthcare, fintech, life-safety)
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The Company
What We Do
Impruvon Health is a medical technology company that provides an automated medication management and clinical workflow platform designed to enhance efficiency, compliance, and safety for I/DD care teams and long-term care facilities.
