Senior Software Engineer I - Ruby on Rails with Sidekiq
Company: RELX
Location: Philadelphia, PA
Salary: $86.6k - $144.4k per year
Type: Full-time
Posted: 2026-09-18
About this role
Senior Software Engineer: Clinical Data Platform · Wellsheet at Elsevier
About Wellsheet at Elsevier: Wellsheet is a clinical decision support platform used by more than 20,000 providers across 100+ hospitals. We embed directly in the EHR (Epic, Cerner, Athena) and put AI-generated clinical context in front of clinicians at the bedside. In 2026 Wellsheet became part of Elsevier's Clinical Solutions group, and we're now building the next generation of our product: a new clinical AI experience shipping to our first hospital clients in early 2027, backed by an integration platform we've run in production for years. We're a small, all-senior engineering team. You'll own real surface area from your first weeks, work directly with the people who built the system, and ship software that clinicians use during patient care. No healthcare background is required. We train the clinical and interoperability domain; we hire for engineering judgment.
About the team The Platform squad runs the machinery underneath everything clinicians see: real-time EHR sync across Epic, Cerner, and Athena, FHIR ingestion for 100+ hospitals, and vocabulary normalization across 125+ clinical terminologies. The squad is led directly by the technical leader behind Wellsheet's platform. Its next major build, which you'll help kick off, is the platform API that other Elsevier clinical products and internal teams will consume. The squad also owns the internal tooling for managing the platform and the health of the stack itself, from framework upgrades to developer tooling.
Our stack today is Ruby on Rails with Sidekiq on AWS (ECS, Aurora PostgreSQL), with a TypeScript frontend where our tools need one. The work is mostly backend, but internal tools need real interfaces, and this squad builds its own. We don't require prior experience in any of the stack.
About the role You will build the platform API alongside the squad lead: own endpoints, contracts, and the extraction wo...