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Principal Software Engineer at Futurhealth. Location Information: USA. Role Overview. We’re looking for a Principal Software Engineer to help us evolve our platform architecture, improve product velocity, and scale thoughtfully across front and back-end systems. This role will be instrumental in connecting medical, payments, product, and operational teams through technology—and will set the standard for engineering excellence across the stack.. The Role. As Principal Software Engineer, you will:. Serve as a senior technical leader and individual contributor across backend and frontend initiatives—balancing depth with breadth.. Design, build, and evolve services and APIs that support core patient experiences, provider workflows, and operational tools.. Architect and refine scalable frontend systems that deliver high-quality, accessible user experiences on web and mobile.. Own technical direction and set coding standards for critical systems, collaborating across engineering, product, and design.. Lead by example in code quality, documentation, and mentorship of engineers across levels.. Ensure privacy, security, and compliance (HIPAA, SOC 2, etc.) are integrated into how we build.. Drive performance, observability, and testability across the full stack.. Contribute to engineering roadmap planning and influence build-vs-buy and system rearchitecture decisions.. What You’ll Work On. Multi-service architecture powering our member onboarding, prescription management, and care plan tracking.. Frontend component library and design system that serves both patient and clinician-facing experiences.. Data pipelines that power real-time eligibility checks, clinical decision support, and personalized health journeys.. Tools and APIs used by our clinical, customer success, and growth marketing teams.. Integration with third-party platforms for scheduling, messaging, and health data exchange.. Who You Are. 12+ years of professional software engineering experience, with 2+ years in a Staff or Principal-level role.. Strong experience with . React/TypeScript. and building production-grade frontend systems.. Deep backend experience in . Node.js. , . PostgreSQL. , and event-driven architectures; bonus for familiarity with NestJS.. Comfort working in cloud environments—preferably . GCP. or AWS—with CI/CD and infrastructure as code tooling.. You’ve worked in fast-paced environments and can balance long-term platform vision with short-term product needs.. You prioritize business context—you're driven by delivering impact, not just shipping features.. You are deeply collaborative, with a strong product mindset and excellent written communication skills.. Experience in healthcare or regulated industries a plus (but not required).. Nice to Have. Familiarity with mobile development frameworks (React Native, Expo).. Experience building healthcare products or working with clinical teams.. Prior exposure to modern data stack tools (Snowflake, dbt, Airbyte, etc.).. Experience mentoring engineers and influencing cross-functional stakeholders..  . The pay range for this role is $200,000 - 240,000. . We offer a competitive salary package and may include variable compensation. Actual compensation is based on factors such as the candidate's location, skills, qualifications, and experience.