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.

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Senior Ruby on Rails Engineer.