Sr. Software Engineer - Patient Services (Remote)

Posted Yesterday
Hiring Remotely in United States
Remote
166K-203K Annually
Senior level
Healthtech • Social Impact • Software • Telehealth
Do the most fulfilling work of your career. Rula is making mental healthcare work for everyone.
The Role
Architect and re-engineer highly scalable, resilient backend data systems supporting patient services. Lead distributed systems strategy, make architectural decisions, improve performance and reliability, mentor engineers, establish operational practices, and collaborate with product managers and cross-functional stakeholders to shape engineering and product direction.
Summary Generated by Built In

We believe that mental health is just as important as physical health. We recognize that mental health issues can be complex and multifaceted, and we are dedicated to treating the whole person, not just the symptoms.

We aim to create a world where mental health is no longer stigmatized or marginalized, but rather is embraced as an integral part of one's overall well-being. 

We believe that by providing quality care that is both evidence-based and compassionate, we can empower individuals to take charge of their mental health and achieve their full potential. We are passionate about making a positive impact on the lives of those struggling with mental health issues and we strive to be a force for positive change in the field of mental healthcare.

Rula is a remote-first company. We currently hire in most U.S. states, with the exception of Hawaii.

About the Role

At Rula, exceptional patient outcomes are powered by world-class engineering. As a Senior Software Engineer on our Patient Services team, you won’t just maintain existing systems—you will architect the high-throughput, distributed platform that serves as the single source of truth for all patient data across Rula. We are currently undergoing a period of hyper-scale, and you will lead the technical strategy for one of our highest-impact initiatives: re-engineering our core backend data systems to be massively scalable, resilient, and fault-tolerant.

In this critical role, you will tackle complex distributed systems challenges where system performance, uptime, and data integrity directly impact real human lives seeking mental healthcare. You will drive zero-to-one architectural decisions during a pivotal growth phase while acting as both a technical leader and a force multiplier for the team. Beyond designing foundational infrastructure, you will mentor high-performing engineers, establish operational rigor, and partner directly with product managers and cross-functional teams to shape both our engineering roadmap and product vision. If you are excited to build the foundational systems that make high-quality mental healthcare accessible for everyone, this role is for you.

Required Qualifications

  • 4+ years of related professional experience

  • Experience building distributed and event driven systems.

  • Experience with microservice development

  • Experience working on cross-functional teams to bridge the gap between technical and non-technical stakeholders

  • Fluency in AI assisted development tools and frameworks. Able to leverage AI assisted coding tools to improve velocity and automate boilerplate tasks while setting and maintaining the right quality guardrails

  • Experience mentoring others, reviewing architectures, and establishing design patterns.

Preferred Qualifications

  • Degree in Computer Science or equivalent practical experience

  • Experience being on-call and driving sustainable operational improvements in a customer facing product

  • Prior experience in early-stage and/or high-growth startup environments

  • Previous experience in products with high reliability/accuracy requirements (finance, healthcare, mission critical systems, etc.)

  • Experience with NodeJs and Kafka

We're serious about your well-being! As part of our team, full-time employees receive:

  • 100% remote work environment: Working hours to support a healthy work-life balance, ensuring you can meet both professional and personal commitments (must be based in United States, currently not hiring in Hawaii)

  • Attractive pay and benefits: Full transparency of pay ranges regardless of where you live in the United States

  • Comprehensive health benefits: Medical, dental, vision, life, disability, and FSA/HSA

  • 401(k) plan access: Start saving for your future

  • Generous time-off policies: Including 2 company-wide shutdown weeks each year for self-care (for most employees)

  • Paid parental leave: Available for all parents, including birthing, non-birthing, adopting, and fostering

  • Employee Assistance Program (EAP): Supporting your mental and physical health

  • Quarterly department stipend: Fun team-building activities or in-person gatherings

  • Community and employee resource groups: Participate in groups that celebrate employee identity and lived experiences, fostering a sense of community and belonging for all

  • Home office stipend: New hire home office stipend & $50 monthly stipend to help cover internet or cell phone expenses

  • Wellness at Rula program: Year-round wellness initiatives and a $50/month wellness stipend

Our team

We believe that diversity, equity, and inclusion are fundamental to our mission of making mental healthcare work for everyone.  We are dedicated to having a culture of inclusion that will support our employees in feeling safe, seen, heard, and valued.

Skills Required

  • 4+ years of related professional experience
  • Experience building distributed and event-driven systems
  • Experience with microservice development
  • Experience working on cross-functional teams to bridge technical and non-technical stakeholders
  • Fluency in AI-assisted development tools and frameworks, including use of AI coding tools with appropriate quality guardrails
  • Experience mentoring others, reviewing architectures, and establishing design patterns
  • Degree in Computer Science or equivalent practical experience
  • Experience participating in on-call rotations and driving sustainable operational improvements in a customer-facing product
  • Prior experience in early-stage or high-growth startup environments
  • Experience with products requiring high reliability or accuracy, such as finance, healthcare, or mission-critical systems
  • Experience with Node.js and Kafka

What the Team is Saying

Natalie
Michelle
Yann Sauvignon
Erin Roth
Colleen
Devonie
Haichun Chen
Jessica Higgins
Meg Lee
Masha
Yann Sauvignon

Rula Compensation & Benefits Highlights

  • Healthcare Strength Benefits for W‑2 employees include medical, dental, and vision insurance, mental health support via EAP, and options such as HSA/FSA, life, and disability coverage. Feedback suggests this breadth is strong for a remote‑first healthtech employer.
  • Leave & Time Off Breadth Time‑off policies highlight flexible PTO alongside two company‑wide shutdown weeks each year for self‑care. Feedback suggests these practices support sustained work‑life balance.
  • Parental & Family Support Paid parental leave is available for birthing, non‑birthing, adoptive, and foster parents. Feedback suggests the scope of leave is a notable advantage for eligible employees.

Rula Insights

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The Company
620 Employees
Year Founded: 2019

What We Do

Our mission is to create a world where every person can access high-quality mental health care. We recognize that mental health issues can be complex and multifaceted, and we are dedicated to treating the whole person, not just the symptoms. We’re building the future of mental health care; a comprehensive behavioral health solution that helps every person access high quality care from a licensed professional, at a time that works for them and at a cost they can afford. Our approach to care is evidence-based, outcome-driven and compassionate. We empower our exceptional provider network to track progress throughout the care journey to ensure clients achieve their full potential.

Why Work With Us

As a remote company, we're intentional about the culture we're building. We write things down, we communicate clearly, we follow-up, and we follow-through. We have high expectations for our team, and empower individuals with a high degree of trust and autonomy. In turn, we expect that individuals operate with a sense of ownership in everything.

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Rula Offices

Remote Workspace

Employees work remotely.

We do not have any offices and are a 100% remote company, with select Sales roles that have local travel requirements.

Typical time on-site:
United States

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