Develop and optimize Ruby on Rails backend services, design APIs with GraphQL, collaborate with teams, and write clean, test-driven code.
At Fullscript, we’re not just changing healthcare—we’re making it whole.
We help 100,000+ healthcare practitioners support 10 million patients with a platform that delivers evidence-based health solutions, diagnostic support, and practitioner tools—all in one place.
Healthcare today is disconnected. We’re fixing that. Fullscript makes it easier for practitioners to treat the whole person, not just symptoms, so patients get the support they need—when they need it.
We’re building a better way—one where healthcare is connected, complete, and built for impact.
BUILD. SOLVE. IMPACT. REPEAT.
You don’t just write code—you craft scalable systems that solve real problems.At Fullscript, we move fast because healthcare needs to move faster. We ship clean, high-performance code that powers seamless experiences for practitioners and patients.
You'll work with Ruby on Rails and GraphQL APIs, optimizing backend services that drive impact. You’ll join a collaborative, mission-driven team obsessed with building great software.
🔗 How we build:Fullscript Developer Handbook
WHAT YOU’LL DO:
- Develop and scale the backend. Build and optimize Ruby on Rails services that power Fullscript
- Design and refine APIs. Ensure GraphQL services are fast, reliable, and easy to maintain.
- Ship features that matter. Work with frontend teams to enhance core functionality.
- Write clean, test-driven code. Follow best practices to keep code maintainable.
- Optimize for efficiency. Improve performance and scalability for high-volume traffic.
- Collaborate and grow. Share knowledge and learn with a high-performing team.
WHAT MAKES YOU A GREAT FIT:
- You’re a software engineer first. You take pride in writing scalable, maintainable code.
- You know Ruby on Rails. You have hands-on experience building and maintaining production applications.
- You’re comfortable with JavaScript or JS frameworks (React, Vue, AngularJS, Next or similar)). You can confidently contribute to the frontend when needed and enjoy working across the stack.
- You think in systems. You understand how backend services connect, scale, and evolve.
- You build APIs with purpose. You know GraphQL and how to design efficient, well-structured APIs.
- You thrive in collaboration. You work well across teams—frontend, product, and fellow backend devs.
Bonus points if you:
- Have experience scaling high-traffic Rails applications.
- Have worked with React or GraphQL.
- Are passionate about healthcare innovation.
WHAT YOU GET:
- Flexible PTO & competitive pay—rest fuels performance.
- Customizable benefits—flexible coverage, paramedical services, and an HSA.
- Fullscript discounts—save on wellness products.
- Continuous learning—training budget + company-wide initiatives.
- Wherever You Work Well—hybrid and remote flexibility.
Why Fullscript?
Great work happens when people are supported, challenged, and inspired. Here, you’ll be part of a team that:
⬦ Values innovation—we push boundaries and always look for better ways.
⬦ Supports growth—through learning, mentorship, and meaningful work.
⬦ Cares about balance—with flexible work options and time off when you need it.
📌 Apply now—let’s build the future of healthcare, together.
Fullscript is an equal-opportunity employer committed to creating an inclusive workplace. Accommodations are available upon request—email [email protected] for support.
Before joining the team, all candidates who receive and accept an offer will complete a background check.
We use AI tools to support parts of our hiring process, like screening and reviewing responses. Final decisions are always made by people. This process complies with privacy and employment laws across Canada and the U.S.
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🚀 MORE INFO: www.fullscript.com | www.rupahealth.com | Follow us on social media @fullscriptHQ
🔥 IN THE NEWS: Fullscript acquires Rupa Health
📺 Let’s make healthcare whole
Top Skills
Angularjs
GraphQL
JavaScript
Next
React
Ruby On Rails
Vue
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With roots dating back to 1642, Montreal is often recognized for its French-inspired architecture and cobblestone streets lined with traditional shops and cafés. But what truly sets the city apart is how it blends its rich tradition with a modern edge, reflected in its evolving skyline and fast-growing tech industry. According to economic promotion agency Montréal International, the city ranks among the top in North America to invest in artificial intelligence, making it le spot idéal for job seekers who want the best of both worlds.
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