Software Engineer
Open Position: Software Engineer - Survey Application
Location: Remote
Reports To: Sr. Director of Data Science and Insights
About Us:
At HST Pathways, we’re passionate about transforming healthcare. Our innovative software empowers surgery centers to provide care that’s not only more cost-efficient but also leads to better outcomes for patients. Backed by Bain Capital, we’re a profitable, fully remote SaaS company that’s growing quickly and entering an exciting new stage of expansion. With that growth comes opportunity—for us, our customers, and the people who join our team.
What We’re Looking For:
We’re looking for someone who is authentic, inspiring, and motivated to grow. You’re a quick learner who enjoys working in a fast-paced, evolving environment. You value diversity and inclusion and want to be part of a company that puts people first. Our values resonate with you, and you’re ready to embody them in your daily work.
In this role, you’ll roll up your sleeves and take on a high-volume workload with energy and enthusiasm. You are data-driven and results-oriented, but you also know the importance of building strong relationships and contributing to a positive team culture. Most importantly, you’re excited about the chance to make an impact—not only within our company but also in the broader healthcare community we serve.
Why Join Us:
At HST Pathways, you’ll find more than just a job — you’ll find a place to grow, contribute, and belong. We offer the flexibility of remote work and the stability of a well-backed, profitable company. You’ll collaborate with talented teammates who are passionate about healthcare innovation and committed to each other’s success.
Responsibilities:
We’re looking for a highly autonomous Full Stack Engineer to own and evolve a survey application built on Ruby on Rails. This role is ideal for someone who thrives in a high-ownership environment and is excited to leverage AI as a core part of the development workflow.
You’ll be the primary technical driver of the product—designing, building, and scaling features end-to-end—while using modern AI tools to accelerate development and expand what a single engineer can accomplish.
Own the full lifecycle of the survey application (design, development, deployment, maintenance)
Build and maintain features using Ruby on Rails across the full stack
Architect and deploy cloud-native solutions on AWS (ECS, CloudFormation, load balancers, etc.)
Design scalable, reliable backend systems and responsive user experiences
Embrace an AI-first development strategy
Evaluate and integrate emerging technologies, including voice AI and conversational interfaces
Monitor performance, troubleshoot issues, and continuously improve system reliability
Establish best practices for code quality, testing, and deployment as a solo engineer
Deep experience using AI coding tools (e.g., Augment, ChatGPT, Cursor, Claude, etc.) in daily workflowsAbility to guide, review, and validate AI-generated code, not just generate it
Strong intuition for when and how to rely on AI vs. manual implementation
Interest in integrating AI capabilities (e.g., voice, NLP, automation) into products
Mindset & OwnershipComfortable operating as the sole engineer on a product
Strong problem-solving skills and ability to make architectural decisions independently
Eagerness to learn new technologies quickly (especially in AI/voice space)
Pragmatic and product-focused—able to balance speed with quality
Qualifications:Strong experience with Ruby on Rails (5+ years preferred)
Full stack development experience (frontend + backend)
Hands-on experience building and deploying applications in AWS, including:ECS (or similar container orchestration)
CloudFormation (or infrastructure-as-code equivalents)
Load balancers, networking, and scaling patterns
Experience designing and maintaining production-grade systems
Preferred Qualifications:Experience with voice AI platforms or conversational UX
Experience with frontend development, especially React and NextJS
Experience with CI/CD pipelines and DevOps best practices
Startup or early-stage product experience
Team Culture + Values:One Team: We win together, support each other, and share credit.
Inclusion: We respect differences and welcome every voice.
Transparency: We’re open, honest, and clear about our goals.
Agility: We move fast, test ideas, and learn as we go.
Empathy: We listen, care, and anticipate others’ needs.
Growth Mindset: We stay curious, keep learning, and aim to improve every day.
Proactivity: We act thoughtfully, own outcomes, and bring our best selves to work.
Perks & Benefits:Remote work environment
Health benefits paid for employees
Flexible Paid Time Off Policy
11 company holidays per year
Paid parental leave
401K with matching contributions
Learning and development allowance
A diverse, inclusive, and fun team!
HST Pathways celebrates diversity and is steadfast in fostering an inclusive work environment where employees feel valued, respected, and engaged. We champion and nurture a culture where inclusiveness is instinctive and fuels innovation, connection, and a strong sense of “One Team”. HST is deeply committed to representing and reflecting the unique experiences, perspectives and viewpoints of our employees, customers, and the communities we serve.
Apply To This Job
Location: Remote
Reports To: Sr. Director of Data Science and Insights
About Us:
At HST Pathways, we’re passionate about transforming healthcare. Our innovative software empowers surgery centers to provide care that’s not only more cost-efficient but also leads to better outcomes for patients. Backed by Bain Capital, we’re a profitable, fully remote SaaS company that’s growing quickly and entering an exciting new stage of expansion. With that growth comes opportunity—for us, our customers, and the people who join our team.
What We’re Looking For:
We’re looking for someone who is authentic, inspiring, and motivated to grow. You’re a quick learner who enjoys working in a fast-paced, evolving environment. You value diversity and inclusion and want to be part of a company that puts people first. Our values resonate with you, and you’re ready to embody them in your daily work.
In this role, you’ll roll up your sleeves and take on a high-volume workload with energy and enthusiasm. You are data-driven and results-oriented, but you also know the importance of building strong relationships and contributing to a positive team culture. Most importantly, you’re excited about the chance to make an impact—not only within our company but also in the broader healthcare community we serve.
Why Join Us:
At HST Pathways, you’ll find more than just a job — you’ll find a place to grow, contribute, and belong. We offer the flexibility of remote work and the stability of a well-backed, profitable company. You’ll collaborate with talented teammates who are passionate about healthcare innovation and committed to each other’s success.
Responsibilities:
We’re looking for a highly autonomous Full Stack Engineer to own and evolve a survey application built on Ruby on Rails. This role is ideal for someone who thrives in a high-ownership environment and is excited to leverage AI as a core part of the development workflow.
You’ll be the primary technical driver of the product—designing, building, and scaling features end-to-end—while using modern AI tools to accelerate development and expand what a single engineer can accomplish.
Own the full lifecycle of the survey application (design, development, deployment, maintenance)
Build and maintain features using Ruby on Rails across the full stack
Architect and deploy cloud-native solutions on AWS (ECS, CloudFormation, load balancers, etc.)
Design scalable, reliable backend systems and responsive user experiences
Embrace an AI-first development strategy
Evaluate and integrate emerging technologies, including voice AI and conversational interfaces
Monitor performance, troubleshoot issues, and continuously improve system reliability
Establish best practices for code quality, testing, and deployment as a solo engineer
Deep experience using AI coding tools (e.g., Augment, ChatGPT, Cursor, Claude, etc.) in daily workflowsAbility to guide, review, and validate AI-generated code, not just generate it
Strong intuition for when and how to rely on AI vs. manual implementation
Interest in integrating AI capabilities (e.g., voice, NLP, automation) into products
Mindset & OwnershipComfortable operating as the sole engineer on a product
Strong problem-solving skills and ability to make architectural decisions independently
Eagerness to learn new technologies quickly (especially in AI/voice space)
Pragmatic and product-focused—able to balance speed with quality
Qualifications:Strong experience with Ruby on Rails (5+ years preferred)
Full stack development experience (frontend + backend)
Hands-on experience building and deploying applications in AWS, including:ECS (or similar container orchestration)
CloudFormation (or infrastructure-as-code equivalents)
Load balancers, networking, and scaling patterns
Experience designing and maintaining production-grade systems
Preferred Qualifications:Experience with voice AI platforms or conversational UX
Experience with frontend development, especially React and NextJS
Experience with CI/CD pipelines and DevOps best practices
Startup or early-stage product experience
Team Culture + Values:One Team: We win together, support each other, and share credit.
Inclusion: We respect differences and welcome every voice.
Transparency: We’re open, honest, and clear about our goals.
Agility: We move fast, test ideas, and learn as we go.
Empathy: We listen, care, and anticipate others’ needs.
Growth Mindset: We stay curious, keep learning, and aim to improve every day.
Proactivity: We act thoughtfully, own outcomes, and bring our best selves to work.
Perks & Benefits:Remote work environment
Health benefits paid for employees
Flexible Paid Time Off Policy
11 company holidays per year
Paid parental leave
401K with matching contributions
Learning and development allowance
A diverse, inclusive, and fun team!
HST Pathways celebrates diversity and is steadfast in fostering an inclusive work environment where employees feel valued, respected, and engaged. We champion and nurture a culture where inclusiveness is instinctive and fuels innovation, connection, and a strong sense of “One Team”. HST is deeply committed to representing and reflecting the unique experiences, perspectives and viewpoints of our employees, customers, and the communities we serve.
Apply To This Job