• Designing and developing healthcare integrations • Implementing interoperability solutions • Reviewing interface specifications • Supporting testing, troubleshooting, debugging, and go-live readiness • Following FHA architecture and DevOps standards • Working with stakeholders including PMs and Business Analysts • Maintaining technical documentation and governance processes • Analyze existing BizTalk architecture • Design healthcare integration solutions • Develop and configure BizTalk components • Implement interoperability between: Meditech Expanse and PocketHealth Meditech Client Server and PocketHealth PocketHealth and Ministry of Health EMPI • Conduct testing and QA activities • Support UAT and production readiness • Maintain source code repositories • Produce technical documentation • Participate in project governance and stakeholder meetings

• Lead complex technical delivery • Own the delivery of complex features and systems end-to-end • Break ambiguous product problems into scalable technical solutions • Balance speed, maintainability, reliability, and customer value in decision-making • Guide implementation decisions and technical trade-offs across the stream • Drive technical excellence • Write maintainable, predictable, scalable code • Perform thoughtful technical reviews that improve both code quality and engineer capability • Shape patterns, standards, and approaches that improve consistency across the stream • Identify and resolve systemic technical issues, not just isolated bugs • Influence architecture & design • Design efficient, scalable systems with long-term maintainability in mind • Evaluate architectural trade-offs across integrations, APIs, infrastructure, and product workflows • Anticipate scaling challenges and operational risks early • Contribute to broader engineering discussions through technical leadership and peer influence • Mentor & elevate engineers • Coach junior engineers on implementation, debugging, design patterns, and engineering practices • Provide timely, actionable technical feedback • Support a culture of collaboration, ownership, accountability, and continuous improvement • Lead through example by modelling strong engineering judgement and professionalism • Improve reliability & operations • Improve deployment reliability, monitoring, and observability across the stream • Participate in and lead production incident response where needed • Drive actionable post-mortems and operational improvements • Advocate for proactive quality practices that reduce long-term operational risk • Collaborate cross-functionally • Partner closely with Product and QA to ensure the team understands what is being built, why it matters, and how quality is maintained • Simplify complex technical concepts for non-technical stakeholders • Communicate risks, dependencies, and trade-offs clearly and early

• Będziesz mieć ogromny wpływ na to, jak się rozwijamy. • Kampanie płatne - prowadzisz Meta Ads i Google Ads. Testujesz kreacje, grupy docelowe, komunikaty. • Optymalizujesz pod koszt pozyskania pacjenta, nie pod kliknięcia. Masz realny budżet i swobodę eksperymentowania. • Landing pages i konwersja - testujesz CTA, layouty, ścieżki konwersji. A/B testing to Twój chleb powszedni. • Budujesz strony, które nie tylko wyglądają dobrze, ale przede wszystkim konwertują. • Social media i społeczność - budujesz obecność VOY na Instagramie, Facebooku i TikToku. • Masz gotowe szablony i brandbook z UK, ale chcemy też Twoich pomysłów. • Nowe kanały - influencer marketing, partnerstwa, content, e-mail, fora, grupy, komentarze. • Adaptacja i lokalizacja - twoja rola to zrozumienie co zadziała w Polsce i dlaczego, • Analiza i decyzje - śledzisz metryki (CAC, konwersje, zaangażowanie), raportujesz co działa i co nie. • AI i automatyzacja - pracujemy z pełnym AI stack. Wykorzystujesz Claude i inne narzędzia.

Role Description We’re looking for a Software Engineer III who is passionate about building reliable, scalable backend systems and enjoys working across the stack when needed. You are a hands-on engineer who thrives on solving real-world problems, writing clean and maintainable code, and collaborating closely with teammates to deliver high-quality features end-to-end. You bring strong engineering fundamentals, a growth mindset, and the ability to work independently on well-scoped projects — owning medium-sized features from design through deployment in alignment with our engineering best practices. You’re comfortable contributing to technical discussions, making thoughtful trade-offs, and following established architectural patterns as you deepen your understanding of our systems. This role is fully remote, based in India and offers the opportunity to meaningfully influence backend architecture, shape engineering best practices, and work with a mission-driven, high-performing team. What you’ll own - Own and deliver small to medium-sized backend features end-to-end: - From technical discovery and design through implementation, testing, deployment and iteration. - Take technical ownership of one or more non-critical backend services or components: - Ensuring they remain reliable, maintainable, well-documented, and easy to extend. - Write clean, modular, testable code: - Primarily in Ruby, Ruby on Rails, and Python, while contributing to frontend code when needed to support full-stack feature delivery. - Contribute to the design and evolution of our APIs: - Including GraphQL and REST endpoints that power frontend and partner-facing applications, following established architectural patterns and best practices. - Ensure strong observability and operational health of owned services: - Through logging, monitoring, alerting, and contributing to root-cause analysis and follow-through improvements. - Actively participate in technical discussions: - Bringing thoughtful perspectives that balance simplicity, long-term maintainability, and performance as you deepen your understanding of Perch’s systems. - Support team productivity through high-quality code reviews and collaboration: - Sharing context, helping unblock others, and contributing to a strong engineering culture. What you’ll do - Design and build scalable, resilient backend systems using Ruby on Rails, Python and PostgreSQL. - Contribute to implementation of complex features and integrations, including external systems such as Salesforce. - Take technical design decisions independently for your features. - Own and evolve GraphQL services that power frontend and partner-facing applications. - Improve system reliability through testing, monitoring, alerting, and operational best practices. - Ship production-ready code frequently using a modern CI/CD pipeline. - Review code and designs with a strong focus on maintainability, performance, and long-term impact. Qualifications - 4+ years of experience building and operating high-availability backend systems. - Demonstrated experience delivering backend features and owning systems. - Strong fundamentals in system design, API design, and data modelling. - Ability to clearly communicate technical decisions and trade-offs to both technical and non-technical stakeholders. - Actively represent engineering team in key discussions with US stakeholders. - Proven experience mentoring junior engineers and raising the technical bar of a team. - Comfortable working in ambiguous problem spaces and iterating toward robust solutions. Requirements - Strong experience with Python or Ruby, including proficiency in at least one web framework: Ruby on Rails, FastAPI, Django or Flask. - Working knowledge of ReactJS, with the ability to contribute to frontend components to support full-stack delivery. - Advanced SQL skills and experience with PostgreSQL or similar relational databases. - Hands-on experience with AWS services such as S3, SQS, SES, EventBridge, or similar cloud-native services. - Containerization using Docker. - Exposure to distributed systems or platform engineering. - Familiarity with background jobs, async processing, and event-driven workflows. Bonus points for - Experience integrating with Salesforce or other enterprise platforms. - Experience designing and owning GraphQL APIs (Apollo or similar). - Strong opinions (loosely held) on backend architecture, scalability, and system design. - Exposure to AI-assisted engineering — such as using modern AI tools for coding, debugging, testing, documentation, or exploring LLM-based workflows in backend systems. - Familiarity with observability and distributed tracing tools such as OpenTelemetry, Jaeger, Prometheus, or similar. - Experience with container orchestration and deployment using Kubernetes and Helm charts. - Passion for sustainability, clean energy, and building mission-driven products. Benefits - Competitive compensation based on market standards. - Flexible Leave Policy. - Office is in the heart of the city in case you need to step in for any purpose. - Medical Insurance (1+5 Family Members) including accident policy and life insurance. - Annual performance cycle. - Quarterly team engagement activities and rewards & recognitions. - L&D programs to foster professional growth. - A supportive engineering culture that values diversity, empathy, teamwork, trust, and efficiency.