Principal Engineer – Full-Stack

Job not on LinkedIn

November 25

🌲 North Carolina – Remote

Although this job is listed in North Carolina, this company may be open to hiring remote in other states.

💵 $185k - $215k / year

⏰ Full Time

🔴 Lead

🧑‍💻 Full-stack Engineer

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Siftwell

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Healthcare Insurance • Artificial Intelligence • SaaS

Siftwell is a healthcare analytics SaaS that provides whole-member intelligence for community health plans and managed care organizations. Its AI-powered platform integrates clinical data with social determinants and environmental factors to surface hidden member risks and deliver prioritized, actionable care recommendations that work with existing resources and workflows, enabling targeted outreach and improved member outcomes within days.

11 - 50 employees

Founded 2022

⚕️ Healthcare Insurance

🤖 Artificial Intelligence

☁️ SaaS

📋 Description

• Own Siftwell’s engineering function, serving as both strategic lead and hands-on builder across backend, middleware, and frontend systems. • Define and evolve the technical architecture and roadmap in partnership with the CTO and VP of Data Science & Strategy, ensuring scalable, secure, and modern systems that support business growth. • Design, build, and maintain full-stack applications from architecture to deployment using modern frameworks and best practices. • Scale and evolve Siftwell’s production systems to meet growing customer and business needs, driving measurable impact through resilient architecture. • Contribute directly to codebase development while guiding engineering best practices and standards. • Lead adoption of modern engineering and AI-assisted development tools to improve delivery speed, reliability, and scalability while ensuring compliance and security. • Guide platform, infrastructure, and DevOps decisions across AWS, data storage, networking, and deployment, partnering with the tech team to meet InfoSec, compliance, and reliability goals. • Partner with the data science team to operationalize models, pipelines, and analytics into production-ready systems. • Collaborate with product and compliance leaders to translate business and regulatory needs into elegant, maintainable engineering solutions. • Implement and enforce best practices in code quality, testing, CI/CD, and security aligned with HITRUST, SOC 2 and HIPAA standards. • Shape and communicate Siftwell’s engineering strategy and technical point of view, providing clear technical direction and rationale to leadership and cross-functional teams. • Foster a high-performance, collaborative engineering culture, mentoring others and setting the foundation for a scalable, world-class team.

🎯 Requirements

• Bachelor’s degree and minimum 8 years of progressive experience in software engineering, with a focus on full-stack development and system architecture. • Demonstrated experience leading design, build, and delivery of enterprise web applications from end to end. • Hands-on expertise across full-stack development, data engineering, and DevOps, ideally within a small or fast-moving startup environment. • Demonstrated experience architecting and delivering a full production system or platform from concept through launch. • Proven ability to design and maintain scalable systems in AWS ecosystems, including S3, RDS, EC2, ECS/ECR, and Elastic Beanstalk. • Familiarity with AI-enabled engineering practices (e.g., automated testing, code generation, or intelligent monitoring) in SaaS or data-driven environments, including experience with Claude Code, Codex, Cursor, and Droid/Factory.ai. • Track record of building and launching innovative products that balance technical excellence with business needs. • Strong communication and collaboration skills, with the ability to work closely with technical and non-technical stakeholders.

🏖️ Benefits

• Comprehensive health, dental, and vision insurance • Short-term disability coverage • 401(k) retirement plan with company matching • Unlimited paid time off to rest and recharge • Opportunities for ongoing professional development and learning