Staff Full Stack Engineer

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.

Location: This role requires on-site work a minimum of two days per week at our Lewisville, TX office; it is not a remote position.

Summary of Position

We are seeking a Staff Full Stack Engineer who is a hands-on technical leader with deep experience in Ruby on Rails and NodeJS, and a strong track record of designing, building, and modernizing scalable enterprise applications. This role requires an individual who can provide technical direction, establish engineering standards, drive architectural improvements, and contribute directly to the delivery of high-quality solutions.

Essential Duties and Responsibilities

• Lead the architecture, design, development, and support of full stack applications using Ruby on Rails on the backend and ReactJS on the frontend.

• Establish, implement, and uphold engineering standards related to code quality, maintainability, linting, secure coding, and performance across applications built on the Ruby technology stack

• Drive application modernization initiatives, including decomposition of legacy monolithic systems into microservices-oriented architectures where appropriate

• Contribute to cloud-native solution design and operational maturity across environments hosted in Azure/AWS involving Kubernettes, CI/CD Tools like Jenkins and GitHub Actions

• Build and enhance unit, integration, and automated test coverage using RSpec and other relevant tools to ensure application stability and quality

• Participate in technical roadmap planning, solution reviews, and architecture decisions to ensure systems are scalable, resilient, and aligned to business goals

Required Qualifications

• Bachelor’s degree in Computer Science, Engineering, Business Management, or related field.

• 12+ years of professional software engineering experience.

• 8+ years of hands-on experience building and maintaining production applications using Ruby on Rails and NodeJS/ReactJS.

• 7+ years designing, deploying, and operating cloud-native applications on AWS or Azure.

• 5+ years architecting and implementing microservices and building REST and/or GraphQL APIs, including authentication/authorization frameworks such as OAuth2, OIDC, JWT.

• Demonstrated experience leading 2–4 cross-team engineering initiatives, such as modernization programs, monolith-to-microservices decomposition, platform upgrades, or major resiliency improvements.

• Proven ability to diagnose and resolve complex production issues, including performance tuning, scalability challenges, and root cause analysis.

• Experience working with Kubernetes for container orchestration (deployments, scaling, configs, observability).

• Experience building and maintaining CI/CD pipelines using tools such as Jenkins, GitHub Actions, or equivalent.

Preferred Qualifications

• Master’s degree in a related field.

• Experience creating internal platforms/self-service capabilities that improve developer experience and delivery throughput.

• Leading/Mentoring team members on best practices and explaining technical concepts.

• Knowledge of performance optimization, system reliability, and observability in high-scale production systems.

• Familiarity with platform development in healthcare, fintech, or other regulated environments.

The base salary range for this position is $190,000 - $210,000. In addition to a base salary, this position is eligible for a performance bonus and benefits (subject to eligibility requirements) listed here: Teladoc Health Benefits 2026. Total compensation is based on several factors including, but not limited to, type of position, location, education level, work experience, and certifications. This information is applicable for all full-time positions.

We follow a Flexible Vacation Policy, intended for rest, relaxation, and personal time. All time off must be approved by your manager prior to use. You will also receive 80 hours of Paid Sick, Safe, and Caregiver Leave annually. This applies to full-time positions only. If you are applying for a part-time role, your recruiter can provide additional details.

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.

Teladoc Health will not sponsor or transfer employment work visas for this position. Applicants must be currently authorized to work in the United States without the need for visa sponsorship now or in the future.

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.