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Posted Sep 17, 2025

Principal Full Stack Engineer

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At Carrum, we are transforming how we pay for, deliver and experience healthcare. If you are passionate about changing healthcare and want to finally get rid of surprise bills, poor quality, and high prices, while thriving in an entrepreneurial, cutting-edge environment, we would love to connect with you.

In 2014 Carrum reinvented the Centers of Excellence (COE) category in digital health. Today, 95% of the US population lives within 50 miles of a Carrum COE and our providers rank in the top 10% nationally. Our team’s execution has been recognized by the venture community and we’ve raised more than $96M in aggregate from investors like OMERS, Tiger Global Management and Wildcat Ventures. Our impact has been externally proven in a 2021 RAND Corporation study and featured as a Harvard Business School (HBS) case study.

As a Principal Fullstack Engineer with a focus on backend development, you will take a hands-on leadership role in shaping the design, development, and optimization of both our web and mobile applications across our technology team. Working primarily with Ruby on Rails in a Service-Oriented Architecture (SOA), you will lead the creation of scalable, high-performance APIs and services, while contributing to and integrating with frontend components built with React and React Native. You will drive improvements in system architecture and performance through active leadership in code reviews, design sessions, and the continuous evolution of our development processes. You will work closely with our Data teams to design data models that meet both operational and analytical requirements and advise them on architectural patterns. You will partner with the DevOps team to leverage AWS for simple and cost-effective cloud infrastructure deployment, ensuring that systems are both performant and resilient. A key responsibility will be implementing comprehensive monitoring and observability practices to guarantee the high availability, security, and scalability of our services.

As a senior technical leader, you will own key initiatives, introduce new architectural patterns, and mentor engineers to elevate the department's technical expertise. In addition, you will collaborate closely with product teams to define project timelines, influence technical direction, and guide the team through complex design and architectural decisions—all while ensuring the highest standards of code quality and continuous improvement in our development practices.

This is a full time position, the salary range for this role is $180,000 - $230,000 depending on level of experience and geographic location.

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About Carrum

We’re a health tech company that brings value-based care to the masses. We help employers deliver a memorable patient experience, immediately lower healthcare costs, and drive better outcomes and achieve this through the power of technology and human-centered design. Since launching in 2014, we’ve partnered with Fortune 500 employers and top hospitals across the nation. We’ve been recognized by Harvard Business School and featured in TechCrunch, The Los Angeles Times, Washington Post, and Modern Healthcare. We believe we’re only scratching the surface of our opportunity and we’re looking for incredible people like you to help us realize our full impact.

Carrum Health is an equal opportunity employer and encourages all applicants from every background and life experience.

Originally posted on Himalayas

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