Senior Full-Stack Ruby on Rails Developer (End-to-End Ownership, Healthcare Platform)
Own and develop a growing healthcare platform built with Ruby on Rails, taking genuine end-to-end responsibility. Build new functionality, improve existing systems, manage integrations and REST APIs, and support production environments. Strong commercial Ruby on Rails experience plus full-stack capability (backend and frontend) are required.
Key Highlights
Key Responsibilities
Technical Skills Required
Benefits & Perks
Nice to Have
Job Description
🚀 Full Stack Ruby on Rails Developer
💷 £60,000 – £65,000
📍 Remote anywhere in the UK
We're hiring an experienced Full Stack Ruby on Rails Developer to take genuine end-to-end ownership of a growing healthcare platform used to support thousands of people across the UK.
This isn't a role where you'll own one small component within a huge engineering team.
You'll be joining a growing digital function and taking ownership of a suite of in-house products built on Ruby on Rails, with the freedom to influence architecture, technical standards and how the platform evolves as the organisation continues to scale.
The environment:
• Ruby on Rails
• PostgreSQL
• JavaScript
• Hotwire – Turbo / Stimulus
• Bootstrap / Tailwind CSS
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• REST APIs
• Heroku / AWS
• GitHub
• Twilio and third-party integrations
You'll be working across the full product lifecycle - building new functionality, improving existing
systems, managing integrations and APIs, supporting production environments and helping bring more of the platform's technical ownership in-house.
We're particularly interested in developers who have:
✅ Strong commercial Ruby on Rails experience
✅ Worked across both backend and frontend development
✅ Built and integrated REST APIs
✅ Experience with PostgreSQL
✅ Exposure to AWS and/or Heroku
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✅ Confidence working with Git / GitHub and modern development practices
✅ The ability to take ownership of a product with minimal oversight
Experience within healthcare, regulated environments, security, authentication, CI/CD or native
mobile integrations would be a bonus, but isn't essential.
What makes the opportunity particularly interesting is the level of ownership. You'll have direct access to senior leadership, work within a flat digital structure and have a genuine say in how the technology develops.
💷 £60,000 – £65,000
🏠 Fully remote anywhere in the UK
📍 Lincoln office available if preferred
📄 Permanent, full-time
If you're a Ruby engineer looking for more autonomy, broader technical ownership and the opportunity to work on software with a real-world impact, I'd be keen to speak.
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