• Collaborate with product managers and other software engineers to turn ideas into working software for dedicated hardware and personal computers. • Design, implement, and document new software features and enhancements to existing products. • Investigate, troubleshoot, and resolve bugs in existing software. • Write clean, well‑documented, and maintainable code that follows established team coding standards. • Provide thoughtful, constructive code reviews to support quality and knowledge sharing across the team.

• Design, configure, and optimize large-scale clusters of SQL(Postgres), MongoDB, ElasticSearch, and ClickHouse (TB–PB scale, billions of records). • Develop automation and service tooling for provisioning, monitoring, and self-healing of managed database services. • Collaborate with product and platform teams to embed best-practice data-access patterns, enforce SLAs, and review overall system design. • Instrument, benchmark, and tune query paths, indexing, memory/CPU usage, and storage layouts to ensure sub-second latencies. • Establish governance for backup/restore, disaster recovery, security, and compliance across AWS, GCP, and Azure environments.

• Design, configure, and optimize large-scale clusters of SQL(Postgres), MongoDB, ElasticSearch, and ClickHouse (TB–PB scale, billions of records). • Develop automation and service tooling for provisioning, monitoring, and self-healing of managed database services. • Collaborate with product and platform teams to embed best-practice data-access patterns, enforce SLAs, and review overall system design. • Instrument, benchmark, and tune query paths, indexing, memory/CPU usage, and storage layouts to ensure sub-second latencies. • Establish governance for backup/restore, disaster recovery, security, and compliance across AWS, GCP, and Azure environments.

• You will own and drive the technical direction of key messaging platform features, collaborating with Product, Customer Success, Data, and Engineering to design and deliver solutions that deepen patient engagement and health outcomes • You will design, build, and maintain backend messaging systems using Ruby on Rails, including SMS/voice delivery pipelines, consent management workflows, message scheduling and orchestration, and Twilio integration layers • You will share team lead responsibilities with peers, including mentoring L2 engineers, leading technical design discussions, conducting code reviews, and helping set technical direction for the Messaging team • You will contribute to architectural decisions that shape how we build and scale our messaging infrastructure, including delivery optimization, AI-driven message categorization, and multimedia messaging (MMS/RCS) • You will provide technical training and documentation for messaging systems you build and maintain, enabling support teams to monitor, troubleshoot, and measure the impact of messaging features in production • You will work closely with Product teams to understand requirements and lead technical input during solution definition, including ownership of technical scoping and active participation in Product Requirements Documents (PRDs) • You will help improve the team over time through essential team rituals, such as Kickoffs, Retrospectives, and Technical Debt Reviews • You will contribute to the team by participating in On-Call (PagerDuty) activities