Senior Backend Engineer - Postgres, API, Ruby on Rails
Terminal
Software Engineering
Costa Rica
Posted on Feb 18, 2026
About Everly Health
Everly Health's mission is to transform lives with modern, diagnostics-driven care, and we believe that the future of healthcare is meeting people where they are. Headquartered in Austin, Texas, Everly Health is the parent company to Everlywell, Everly Health Solutions, Natalist, and Everly Diagnostics. We've set a new standard of people-focused, diagnostic-driven care that puts patients at the center of their own health journey.
About The Role
At Everly Health, we are dedicated to transforming the healthcare industry through innovative technology solutions. We are seeking a Senior Backend Rails Engineer to join our dynamic team. In this role, you will be responsible for designing, building, and maintaining efficient, reusable, and reliable Ruby on Rails code. You will work closely with cross-functional teams to develop and enhance our healthcare platform, ensuring seamless integration with both internal and external APIs.
What You’ll Do
Everly Health's mission is to transform lives with modern, diagnostics-driven care, and we believe that the future of healthcare is meeting people where they are. Headquartered in Austin, Texas, Everly Health is the parent company to Everlywell, Everly Health Solutions, Natalist, and Everly Diagnostics. We've set a new standard of people-focused, diagnostic-driven care that puts patients at the center of their own health journey.
About The Role
At Everly Health, we are dedicated to transforming the healthcare industry through innovative technology solutions. We are seeking a Senior Backend Rails Engineer to join our dynamic team. In this role, you will be responsible for designing, building, and maintaining efficient, reusable, and reliable Ruby on Rails code. You will work closely with cross-functional teams to develop and enhance our healthcare platform, ensuring seamless integration with both internal and external APIs.
What You’ll Do
- Design, build, and maintain efficient, reusable, and reliable Ruby on Rails code. - Integrate user-facing elements developed by front-end developers with server-side logic. - Identify bottlenecks and bugs, and devise solutions to these problems. - Help maintain code quality, organization, and automation. - Collaborate with product managers and other stakeholders to understand requirements and deliver solutions. - Stay updated with the latest industry trends and technologies to ensure our platform remains cutting-edge.
- Strong proficiency in Ruby on Rails and Postgres. - Experience with external and internal API integrations. - Familiarity with AI coding technologies such as Cursor. - Excellent problem-solving skills and attention to detail. - Ability to work collaboratively in a team environment. - Strong communication skills and the ability to articulate technical concepts to non-technical stakeholders.