Overview

Designing, developing, and maintaining Ruby on Rails services for HIPAA-compliant patient data management, laboratory system integrations, and clinical recommendation engines. Developing Elixir/Phoenix applications utilizing OTP patterns and supervision trees for high-concurrency, fault-tolerant systems requiring 24/7 reliability. Designing and implementing event-driven architectures using RabbitMQ, including defining service boundaries, selecting appropriate consistency models, and establishing retry and error-handling strategies. Managing production infrastructure using Terraform, including capacity planning, high-availability architecture design, and cost optimization. Conducting thorough code reviews focused on architectural quality, system design improvements, technical debt management, and mentoring junior team members. Working across multiple repositories at varying maturity levels, making strategic decisions regarding legacy system refactoring, service c...