> Markdown version of [/jobs/ext/2718392-principal-software-engineer](https://www.wearedevelopers.com/jobs/ext/2718392-principal-software-engineer). Every page supports `.md` or `Accept: text/markdown`. Links point to the HTML versions so they work for humans too. Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md).

---

# Principal Software Engineer

- **Company:** Protera Health, Inc.
- **Location:** United States (Remote available)
- **Experience:** Expert
- **Contract:** Permanent contract
- **Skills:** Application Programming Interfaces (APIs), Artificial Intelligence, Amazon Web Services, Cloud Computing, Databases, Information Engineering, Software Debugging, EHealth, Python (Programming Language), PostgreSQL, Salesforce.Com, Systems Integration, Fast Healthcare Interoperability Resources, System Availability, Electronic Medical Records, Backend, Kubernetes, Production Code, Health Level Seven International, Graphql, Tools for Reporting, Terraform, Data Pipelines, Docker, Elixir
- **Published:** September 4, 2026
- **Apply:** https://startup.jobs/principal-software-engineer-remote-full-time-elixir-ai-healthcare-protera-health-9717447

## About the Role

We are looking for someone who has already operated at at Principal Engineer scope or equivalent, and still wants to spend their time writing production code.

You should have:

 * Deep hands-on experience with Elixir / Phoenix including LiveView
 * Experienced in AI engineering techniques and tools
 * Strong full-stack ability, including experience with API's and backend systems, Python and modern data engineering techniques and systems
 * Experience building and operating production systems used by real customers
 * Strong database experience, especially PostgreSQL or similar relational systems
 * Comfort with cloud infrastructure, monitoring, security, and production support
 * Strong judgment about when to move fast and when correctness, privacy, compliance, or reliability require extra care
 * Excellent communication with technical and non-technical stakeholders
 * Meaningful healthcare technology experience in heavily compliant systems, such as HIPAA-regulated software, patient applications, clinician workflows, EMR/EHR integrations, payer workflows, claims, care management, and digital health operations

Pluses include:

Knowledge and experience with Salesforce development, GraphQL, FHIR, HL7, healthcare APIs, AWS, Terraform, Docker, Kubernetes, or AI-enabled internal tooling.

## Description

You will be our most senior full-time individual contributor engineer. We now need an exceptional full-time engineer who can own day-to-day technical execution, write production code, and help run the show from a software standpoint.

You will report directly to the President / CTO. You will collaborate with clinicians, enrollment, operations, analytics, commercial leaders, and occasionally clients or health plan partners.

This is a hands-on builder role. You should expect to code full-time, own major systems, make technical decisions, debug production issues, improve reliability, and turn ambiguous healthcare workflows into simple, durable software.

What You'll Own

You will help build and own major parts of the Protera platform, including:

 * Patient onboarding, engagement, and portal workflows
 * Clinician workflows, scheduling, documentation support, and care coordination
 * Enrollment, call center, and internal operations tooling
 * Data pipelines, reporting infrastructure, and partner-facing analytics
 * Integrations with EMRs, CRM systems, analytics tools, and healthcare vendors
 * AI-assisted internal tools that improve speed, accuracy, and operational leverage
 * Platform reliability, security, observability, performance, and maintainability

You may join client, payer, or partner calls when useful so you can understand the real-world problems our software must solve.


## Related Videos

- [Putting the Graph In GraphQL With The Neo4j GraphQL Library](https://www.wearedevelopers.com/videos/257-putting-the-graph-in-graphql-with-the-neo4j-graphql-library)
- [Docker Compose: Rediscovered](https://www.wearedevelopers.com/videos/1978-docker-compose-rediscovered)
- [Bringing digital education to refugee and host communities in remote regions of Africa](https://www.wearedevelopers.com/videos/644-bringing-digital-education-to-refugee-and-host-communities-in-remote-regions-of-africa)
- [Shipping Faster with Less: Render on Cloud Hosting, AI Workloads, and the Future of DevOps](https://www.wearedevelopers.com/videos/1894-shipping-faster-with-less-render-on-cloud-hosting-ai-workloads-and-the-future-of-devops)
- [GraphQL + Apollo + Next.js: A Lovely Trio](https://www.wearedevelopers.com/videos/311-graphql-apollo-next-js-a-lovely-trio)
- [Docker build without Docker](https://www.wearedevelopers.com/videos/100114-docker-build-without-docker)

## Related Articles

- [Fully Remote Software Engineer Jobs](https://www.wearedevelopers.com/magazine/447-fully-remote-software-engineer-jobs)
- [Where To Find Software Engineering Jobs](https://www.wearedevelopers.com/magazine/396-where-to-find-software-engineering-jobs)
- [Find a Developer Job: 12 Best Job Sites For Developers](https://www.wearedevelopers.com/magazine/165-find-a-developer-job-12-best-job-sites-for-developers)
- [The 12 Best Jobs for Software Engineers](https://www.wearedevelopers.com/magazine/401-the-12-best-jobs-for-software-engineers)
- [Highest Paying Tech Companies for Developers](https://www.wearedevelopers.com/magazine/220-highest-paying-tech-companies-for-developers)
- [The Prompt Engineer ✍️](https://www.wearedevelopers.com/magazine/216-the-prompt-engineer)