Staff Full Stack Engineer

Teladoc Health • Lewisville, TX

6d • $190,000 - $210,000 • Hybrid

About The Position

Join the team leading the next evolution of virtual care. At Teladoc Health, you are empowered to bring your true self to work while helping millions of people live their healthiest lives. Here you will be part of a high-performance culture where colleagues embrace challenges, drive transformative solutions, and create opportunities for growth. Together, we’re transforming how better health happens. Location: This role requires on-site work a minimum of two days per week at our Lewisville, TX office; it is not a remote position. Summary of Position We are seeking a Staff Full Stack Engineer who is a hands-on technical leader with deep experience in Ruby on Rails and NodeJS, and a strong track record of designing, building, and modernizing scalable enterprise applications. This role requires an individual who can provide technical direction, establish engineering standards, drive architectural improvements, and contribute directly to the delivery of high-quality solutions.

Requirements

• Bachelor’s degree in Computer Science, Engineering, Business Management, or related field.
• 12+ years of professional software engineering experience.
• 8+ years of hands-on experience building and maintaining production applications using Ruby on Rails and NodeJS/ReactJS.
• 7+ years designing, deploying, and operating cloud-native applications on AWS or Azure.
• 5+ years architecting and implementing microservices and building REST and/or GraphQL APIs, including authentication/authorization frameworks such as OAuth2, OIDC, JWT.
• Demonstrated experience leading 2–4 cross-team engineering initiatives, such as modernization programs, monolith-to-microservices decomposition, platform upgrades, or major resiliency improvements.
• Proven ability to diagnose and resolve complex production issues, including performance tuning, scalability challenges, and root cause analysis.
• Experience working with Kubernetes for container orchestration (deployments, scaling, configs, observability).
• Experience building and maintaining CI/CD pipelines using tools such as Jenkins, GitHub Actions, or equivalent.

Nice To Haves

• Master’s degree in a related field.
• Experience creating internal platforms/self-service capabilities that improve developer experience and delivery throughput.
• Leading/Mentoring team members on best practices and explaining technical concepts.
• Knowledge of performance optimization, system reliability, and observability in high-scale production systems.
• Familiarity with platform development in healthcare, fintech, or other regulated environments.

Responsibilities

• Lead the architecture, design, development, and support of full stack applications using Ruby on Rails on the backend and ReactJS on the frontend.
• Establish, implement, and uphold engineering standards related to code quality, maintainability, linting, secure coding, and performance across applications built on the Ruby technology stack
• Drive application modernization initiatives, including decomposition of legacy monolithic systems into microservices-oriented architectures where appropriate
• Contribute to cloud-native solution design and operational maturity across environments hosted in Azure/AWS involving Kubernettes, CI/CD Tools like Jenkins and GitHub Actions
• Build and enhance unit, integration, and automated test coverage using RSpec and other relevant tools to ensure application stability and quality
• Participate in technical roadmap planning, solution reviews, and architecture decisions to ensure systems are scalable, resilient, and aligned to business goals

Benefits

• In addition to a base salary, this position is eligible for a performance bonus and benefits (subject to eligibility requirements) listed here: Teladoc Health Benefits 2026.
• We follow a Flexible Vacation Policy, intended for rest, relaxation, and personal time.
• You will also receive 80 hours of Paid Sick, Safe, and Caregiver Leave annually.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level