Our Mission

Healthie is an AI-Native, ONC Certified EHR for modern outpatient healthcare.

Healthie is proud to power clinically excellent healthcare for over 40,000 providers who deliver clinically excellent healthcare - longitudinal and collaboratively, with patient and provider experiences at the center. Both healthcare and technology are undergoing unparalleled industry innovation, and it’s incredible to see the momentum - from consumers, from providers, and from reimbursement for this type of healthcare - grow exponentially.

We provide the powerful infrastructure every care delivery organization needs. On the surface this includes EHR, Scheduling, Engagement, Billing, Data, and much more. Underneath the iceberg are thousands of configurations, settings, widgets, automations, and limitless capabilities because we are an API-first platform. Our fully brandable platform makes it easy for clinics and organizations of any size to scale and never reach a limit.

Today, over 3 billion API calls are made to Healthie every month, as thousands of organizations who work with more than 21 million patients in total, rely on Healthie to deliver clinically excellent healthcare in over 35 specialties, from behavioral healthcare to complex chronic care management and personalized medicine.

We believe in the power of technology to improve access to healthcare and we’re building the rails that make this a reality. We work fast and with quality because we provide business-critical, healthcare-critical software that clinicians and patients need for a better healthcare system. We’re customer-obsessed, operate with lightning-fast processes and responses, and always share our product roadmap publicly- so customers can see what we’re building, and remain relentlessly focused on how care gets delivered.

Healthie is backed by leading investors, and while we've $42M raised to date, more importantly, we operate with fiscal responsibility and have been profitable for more than half of our time as a company. We know that building an ONC-Certified EHR is a lifetime’s body of work, and we are here to build for our customers forever.

Learn more at https://www.gethealthie.com/

About the role

Billing is how our customers get paid, and it touches every part of Healthie: providers, patients, payments, reporting, and compliance. We’re rebuilding it, and you’ll be the technical lead.

You’ll own the architecture for the new billing platform end to end: data models, backend services, GraphQL APIs, and the React/TypeScript experiences on top. You’ll set the technical direction, make the calls on what to build and how, and work directly with Product and Design. This is a greenfield-scale build inside a production Rails monolith that 40,000+ providers already rely on.

What you’ll do

Lead design and delivery of the new billing platform, from architecture through launch
Make and document the key technical decisions: data modeling, payment flows, reconciliation, and how the new system coexists with the current one
Build across the stack in Ruby on Rails, GraphQL, React, and TypeScript
Set the bar for correctness in financial workflows: testing, observability, auditability, and safe rollouts
Run design reviews and mentor engineers on the team
Partner with Product and Design to turn complex billing and payer requirements into clear, shippable scope

What makes this role different

Real ownership. You’ll shape the foundation, not inherit a roadmap. Reports to the Director of Engineering / CTO. Brand new team, with room to grow.
High stakes, high leverage. Billing errors cost our customers revenue. Billing that works well is a reason providers choose Healthie.
API-first platform. Over 3 billion API calls a month, so your design decisions have to scale.
Public roadmap. Customers see what we’re building and hold us to it.

About you

Proven & Technical: 8+ years of experience building and shipping production systems across the full stack. Strong expertise in modern web technologies such as Ruby, React, TypeScript, and GraphQL, along with experience designing backend services, APIs, and data models that support complex, high-scale applications.