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Principal Engineer

US Remote🌐 Remote💼 Full-time🗓 2026-07-28 → 2026-09-25

Core

Technical cornerstone shaping multi-year architectural vision for patient-facing and practice-facing features (Payments, Scheduling, RCM, Mobile) serving 40,000+ healthcare practices.

Role type

Principal Engineer (Strategy & Architecture)

Builds

Core application platforms for Payments, Scheduling, Forms, Business Experience, and Revenue Cycle Management

Domain

Healthcare technology / Fintech

Deliverable

production ML models | product features | infrastructure

Required skills

Distributed systems architecture, Event streaming (Kafka, Pub/Sub), Scalable data stores (PostgreSQL, NoSQL), Cloud-native infrastructure (GCP/AWS, Kubernetes), Backend engineering (Go, Python, Java, C#), Technical due diligence, Cross-team problem solving, Strategic technical leadership, Mentorship

Preferred skills

Compliance-heavy environment experience (healthcare/fintech), AI/ML infrastructure integration, Open source contributions, Data platform architecture

Technologies

Kafka, Google Pub/Sub, PostgreSQL, Vitess, Spanner, Bigtable, Redis, Kubernetes, GCP, AWS

Responsibilities

Own multi-year technical vision for application platforms, Drive architectural coherence across multiple teams, Solve company-level cross-boundary technical problems, Mentor Staff and Senior Engineers, Shape company-wide engineering standards

Seniority

Principal, strategy & mentorship

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