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# Principal Software Engineer

- **Company:** Prescryptive Health, Inc.
- **Location:** United States
- **Experience:** Expert
- **Salary:** $185,000.0 - $255,000.0
- **Contract:** Permanent contract
- **Skills:** Application Programming Interfaces (APIs), Artificial Intelligence, C Sharp (Programming Language), Cloud Computing, Cloud Engineering, Collaborative Software, Software Design Patterns, DevOps, Programming Tools, Microsoft Software, Systems Development Life Cycle, Software Engineering, SQL Databases, Systems Architecture, TypeScript, ReactJS, Fast Healthcare Interoperability Resources, Caching, Reliability of Systems, Electronic Medical Records, Event Driven Architecture, Containerization, Health Level Seven International, Graphql, Data Management, Cloud Optimization, Data Pipelines, Golang
- **Published:** August 29, 2026
- **Apply:** https://www.careerbuilder.com/job-details/principal-software-engineer-il--e001b96c-ddc1-43d6-bd7f-ef42c75a16ea

## About the Role

* 10+ years of software development experience, having progressed from shipping great software to shaping how organizations approach building it
 * Deep architectural experience designing systems that span multiple services, teams, or domains
 * Exceptional hands-on engineering skills across the full stack, with the ability to go deep on the hardest problems in any part of the system
 * Strong proficiency across multiple languages and comfortable ramping quickly on ones you haven't used before. Our stack includes Go, TypeScript, C#, and React.
 * Proven ability to own the full software development lifecycle, from requirements and design through construction, testing, deployment, and production operations
 * Experience with cloud architecture and resource-efficient infrastructure design at scale
 * Full ownership mentality that extends beyond your own code to the health of systems, culture, and teams around you
 * Strong understanding of SQL databases, caching layers, event-driven architectures, and data pipeline design
 * Pragmatic technical judgment that optimizes for the right solution given real constraints, not the theoretically perfect one
 * Track record of driving technical alignment across teams with competing priorities
 * Enthusiasm for leveraging AI-assisted development tools and emerging technologies
 * Ability to translate between business language and technical language fluently, in both directions
 * Must have permission to work in the US on a permanent basis

Ideally you'll also have

 * Experience with healthcare data standards (HL7, FHIR) or regulated industry environments
 * Experience with GraphQL, event-driven data pipelines, or healthcare integration patterns (EHR, PMS, PBM)
 * Advanced DevOps and platform engineering experience including Infrastructure as Code, containerization, and observability at scale, Application Programming Interface (API), Architectural Design, Architectural Services, Artificial Intelligence (AI), B2B eCommerce, Caching, Cloud Architecture, Cloud Computing, Construction, Cost Analysis, Customer Relations, Data Management, Design Patterns Programming Methodologies, DevOps, Emerging Technology, Engineering, Feasibility Analysis, GraphQL, HL7 (Health Level 7), Healthcare, Identify Issues, Leadership, LinkedIn, Make-Versus-Buy Analysis, Medical Record System, Mentoring, Microsoft C# (C Sharp), On Call, Prescription Drugs, Problem Solving Skills, Programming Tools, React.js, Risk, SQL Databases, Software Development, Software Development Lifecycle (SDLC), Software Engineering, Strategic Planning, System Architecture, Systems Reliability, Technical Leadership, Technical Strategy, Technical/Engineering Design, Testing

## Description

As a Principal Software Engineer, you'll shape how the organization builds software. That means setting technical direction across teams, making architectural bets with lasting impact, and ensuring the organization focuses its energy on the problems that matter most. Your impact will show up in the systems you build, the quality of technical decisions across the organization, the alignment you create between teams, and the clarity you bring to complex problems.

You'll work directly with engineering leadership, domain leads, and technical product managers to connect technical strategy to business outcomes. This is one of a small number of roles shaping the company's technical future, and it requires someone who can walk into an unclear situation and leave it with a clear technical path forward.

What you will do

 * Elevate the technical judgment of engineers around you through design reviews, architectural guidance, and mentorship
 * Troubleshoot and drive resolution of the hardest cross-system issues in our stack
 * Participate in on-call rotation to ensure system reliability and rapid issue resolution
 * Engage directly with product and executive stakeholders to assess feasibility, cost, and risk of strategic initiatives
 * Drive architectural decisions and technical direction across multiple teams and systems
 * Directly build and ship software that tackles the hardest, most ambiguous technical problems in our stack
 * Set the engineering standard through your own code, design patterns, and technical approach
 * Own cross-cutting concerns: scalability, reliability, security posture, and cloud cost efficiency
 * Identify converging efforts across teams and consolidate before they become compounding tech debt
 * Design and evolve system architectures for our B2B portals, collaboration tools, internal platforms, and customer-facing APIs
 * Evaluate build-vs-buy decisions, technology bets, and system design tradeoffs with direct business impact


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