Sr. Software Engineer - Patient Services

Rula
Los Angeles, California, United StatesFull-timePosted Sep 2, 2026

About the role

We believe that mental health is just as important as physical health. We recognize that mental health issues can be complex and multifaceted, and we are dedicated to treating the whole person, not just the symptoms.

We aim to create a world where mental health is no longer stigmatized or marginalized, but rather is embraced as an integral part of one's overall well-being.

We believe that by providing quality care that is both evidence-based and compassionate, we can empower individuals to take charge of their mental health and achieve their full potential. We are passionate about making a positive impact on the lives of those struggling with mental health issues and we strive to be a force for positive change in the field of mental healthcare.

Rula is a remote-first company. We currently hire in most U.S. states, with the exception of Hawaii.

About the Role

At Rula, exceptional patient outcomes are powered by world-class engineering. As a Senior Software Engineer on our Patient Services team, you won’t just maintain existing systems—you will architect the high-throughput, distributed platform that serves as the single source of truth for all patient data across Rula. We are currently undergoing a period of hyper-scale, and you will lead the technical strategy for one of our highest-impact initiatives: re-engineering our core backend data systems to be massively scalable, resilient, and fault-tolerant.

In this critical role, you will tackle complex distributed systems challenges where system performance, uptime, and data integrity directly impact real human lives seeking mental healthcare. You will drive zero-to-one architectural decisions during a pivotal growth phase while acting as both a technical leader and a force multiplier for the team. Beyond designing foundational infrastructure, you will mentor high-performing engineers, establish operational rigor, and partner directly with product managers and cross-functional teams to shape both our engineering roadmap and product vision. If you are excited to build the foundational systems that make high-quality mental healthcare accessible for everyone, this role is for you.

Required Qualifications

4+ years of related professional experience

Experience building distributed and event driven systems.

Experience with microservice development

Experience working on cross-functional teams to bridge the gap between technical and non-technical stakeholders

Fluency in AI assisted development tools and frameworks. Able to leverage AI assisted coding tools to improve velocity and automate boilerplate tasks while setting and maintaining the right quality guardrails

Experience mentoring others, reviewing architectures, and establishing design patterns.

Preferred Qualifications

Degree in Computer Science or equivalent practical experience

Experience being on-call and driving sustainable operational improvements in a customer facing product

Prior experience in early-stage and/or high-growth startup environments

Previous experience in products with high reliability/accuracy requirements (finance, healthcare, mission critical systems, etc.)

Experience with NodeJs and Kafka

We're serious about your well-being! As part of our team, full-time employees receive:

100% remote work environment: Working hours to support a healthy work-life balance, ensuring you can meet both professional and personal commitments (must be based in United States, currently not hiring in Hawaii)

Attractive pay and benefits: Full transparency of pay ranges regardless of where you live in the United States

Comprehensive health benefits: Medical, dental, vision, life, disability, and FSA/HSA

401(k) plan access: Start saving for your future

Generous time-off policies: Including 2 company-wide shutdown weeks each year for self-care (for most employees)

Paid parental leave: Available for all parents, including birthing, non-birthing, adopting, and fostering

Employee Assistance Program (EAP): Supporting your mental and physical health

Quarterly department stipend: Fun team-building activities or in-person gatherings

Community and employee resource groups: Participate in groups that celebrate employee identity and lived experiences, fostering a sense of community and belonging for all

Home office stipend: New hire home office stipend & $50 monthly stipend to help cover internet or cell phone expenses

Wellness at Rula program: Year-round wellness initiatives and a $50/month wellness stipend

Our team

We believe that diversity, equity, and inclusion are fundamental to our mission of making mental healthcare work for everyone. We are dedicated to having a culture of inclusion that will support our employees in feeling safe, seen, heard, and valued.

Responsibilities

  • Architect high-throughput, distributed platform for patient data
  • Lead technical strategy for re-engineering core backend data systems
  • Mentor high-performing engineers
  • Establish operational rigor
  • Partner with product managers and cross-functional teams

Qualifications

  • 4+ years of related professional experience
  • Experience building distributed and event-driven systems
  • Experience with microservice development
  • Fluency in AI-assisted development tools
  • Experience mentoring others and establishing design patterns

Benefits

  • 100% remote work environment
  • Comprehensive health benefits
  • 401(k) plan access
  • Generous time-off policies
  • Paid parental leave
  • Employee Assistance Program (EAP)
  • Quarterly department stipend
  • Community and employee resource groups
  • Home office stipend
  • Wellness at Rula program

Skills mentioned

System DesignDistributed SystemsMicroservicesEvent-Driven ArchitectureBackend DevelopmentNode.jsApache KafkaPerformance OptimizationDebuggingGenerative AI

About Rula

Path is now Rula! Follow our NEW LinkedIn company page - linkedin.com/company/rulahealth Learn more about our rebrand - https://www.rula.com/blog/brand-announcement/ Path is a healthcare company powered by technology. We’re a teletherapy company that doesn’t compromise on quality — we measure progress and prioritize patient outcomes. Path takes a patient-first approach, where treatment is more accessible, personalized, and effective. With Path, it’s easy to find a high-quality therapist or psychiatric practitioner who meets your unique needs, accepts insurance, and is taking new patients. For providers, Path offers the flexibility of private practice, while also filling caseloads and offering the necessary behind-the-scenes support. Path handles the marketing, credentialing, billing, and admin tasks so providers can focus on what they love: providing care to those in need. With no minimum caseload required and guaranteed payments, Path is a trusted partner for more than 8,000 therapists nationwide and has hundreds of 5-star reviews. Our mission is to make mental healthcare work for everyone. Path is a 100% remote healthtech company and we’re hiring! We have teams who specialize in the areas of Clinical, Finance, Operations, Marketing, Engineering, Product, and more. We're excited to bring people onto the team who are committed to changing how mental health is treated. To learn more about Path Mental Health, visit pathmentalhealth.com. If you’re a provider, visit pathmentalhealth.com/provider-sign-up.

Mental Health Care201-500 employees100% Remote