Software Engineer

Job not on LinkedIn

🕒 4 days ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🖥 Software Engineer

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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ExactCare

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2009

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

💰 Private Equity Round on 2016-03

Healthcare • Healthcare Insurance • Pharmaceuticals

ExactCare is a leading pharmacy care management provider that specializes in medication management for individuals with complex, chronic medical needs. With operations in all 50 states and Washington, D. C. , ExactCare supports more than 100,000 people nationwide, helping them manage their medications in assisted living, long-term care facilities, and at home. Partnering with healthcare organizations, ExactCare aims to improve clinical outcomes by ensuring better medication adherence, reducing readmissions, and lowering overall healthcare costs.

📋 Description

• Design, develop, and maintain features on the existing EHR platform using Ruby on Rails across front-end and back-end layers • Build and modify user-facing views and interactions • Implement business logic, services, and data access • Triage, debug, and resolve production EHR defects through root-cause analysis • Design and build new features and enhancements from requirements through implementation and testing • Write, optimize, and troubleshoot complex SQL queries involving clinical and patient-related data structures • Participate in sprint planning, daily standups, backlog refinement, sprint reviews, and retrospectives • Deliver against sprint timelines with product owners, QA, and other engineers • Write and maintain automated tests and participate in code reviews • Follow secure coding practices for systems handling protected health information • Use AI tools for documentation, code generation and refactoring, test data, scripts, diagrams, code execution, and validation

🎯 Requirements

• Bachelor's degree in Computer Science, Information Systems, Engineering, or a related field, or equivalent practical experience • 3+ years of professional software development experience using Ruby, preferably Ruby on Rails • Full-stack experience with HTML, CSS, JavaScript, Rails view/UI technologies, Rails, ActiveRecord, and service/business logic layers • Strong SQL skills, including complex queries, query optimization, and relational database schemas such as PostgreSQL or MySQL • Experience resolving defects in live production applications and performing root-cause analysis • Experience developing new features within an existing, mature codebase • Exposure to software development in a healthcare environment, ideally involving an EHR or clinical system • Experience working in an agile/scrum environment with tools such as Jira or Azure DevOps • Experience with automated testing frameworks such as RSpec or Capybara and Git-based version control • Practical experience using AI-assisted development tools such as GitHub Copilot or Claude • Strong written and verbal communication skills • Direct experience working on or supporting an EHR platform such as Epic, Cerner, athenahealth, or similar • Familiarity with HL7 or FHIR • Familiarity with HIPAA and PHI handling requirements • Exposure to pharmacy or other clinical workflows • Experience with CI/CD pipelines and modern front-end frameworks or Rails tooling such as Turbo, Stimulus, or React • Applicants must be eligible to work in this country

🏖️ Benefits

• Medical, dental, and vision coverage • Flexible spending • Company-paid life insurance • Company-paid short-term disability • Voluntary benefits • 401(k) • Paid Time Off • Paid holidays