Principal Engineer

🔥 3 minutes ago

🦀 Maryland, Minnesota, +2 more states – Remote

🦀 Maryland – Remote ❄️ Minnesota – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote

💵 $215.8k - $269.8k / year

⏰ Full Time

🔴 Lead

🧑‍💻 Full-stack Engineer

👻 Ghost score 11%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Fuze Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

☁️ SaaS

💊 Pharmaceuticals

Healthcare • SaaS • Pharmaceuticals

Fuze Health is a technology-led healthcare company that provides integrated pharmacy solutions, clinical services, and data-driven software to healthcare organizations, payers, employers, and life sciences partners. Through its FuzeRx digital pharmacy, Fuze Services clinical programs, and Fuze Technologies platform, it delivers API-powered prescription fulfillment, telehealth, diagnostics and genomics, patient engagement, and analytics to improve access, adherence, early identification of conditions, and outcomes at scale.

📋 Description

• Define and evolve the target architecture for FuzeRx’s core B2B and consumer platforms • Drive the technical roadmap to transition legacy systems into modern, scalable, and highly cohesive architectures • Lead design and implementation of technically challenging initiatives, including high-volume API integrations, pharmacy fulfillment logistics, and distributed data consistency • Mentor Staff, Senior, and Mid-level engineers • Institute design reviews, pairing sessions, and technical brown-bags • Establish and enforce coding, testing, CI/CD, and security-by-design standards • Collaborate with Product Management, Engineering Managers, and Pharmacy Operations • Partner with InfoSec to architect systems supporting HIPAA and SOC2 compliance, patient data privacy, and secure messaging • Lead initiatives to optimize performance, reduce latency, and improve PostgreSQL and AWS database efficiency • Evaluate tools, frameworks, and AWS services through proof-of-concepts • Serve as a Tier 1 technical escalation point for critical architectural outages

🎯 Requirements

• Bachelor’s degree in Computer Science, Software Engineering, or a related technical discipline • 10+ years of progressive, hands-on experience in software engineering and systems design • 3+ years operating at a Staff, Principal, or equivalent senior architectural level, driving technical initiatives across multiple teams • Extensive background in building and scaling distributed, high-throughput, and highly available B2B SaaS or transactional systems • Standard business hours; expected to serve as a Tier 1 technical escalation point for critical architectural outages • Mastery of modern cloud architectures • Deep, hands-on expertise in AWS, PostgreSQL, Ruby on Rails, Python, TypeScript, and JavaScript • Familiarity with Slack, GSuite, and Jira • Exceptional communication skills with the ability to explain complex technical trade-offs to non-technical executives and stakeholders • Proven ability to design and implement complex distributed systems, optimize complex relational database queries, and establish automated deployment pipelines • Deep domain expertise in HealthTech, Digital Pharmacy, or highly regulated environments • Advanced knowledge of healthcare data interoperability standards such as HL7, FHIR, and NCPDP • Experience with electronic health record (EHR) integrations • Experience leading a major architectural paradigm shift at scale • Applicants must be authorized to work for any employer in the U.S. • Must reside in one of the approved states listed in the posting • Ability to work at a computer terminal with monitor, keyboard, and mouse for extended periods • Ability to stoop, bend, reach, make repetitive wrist, hand, and finger motions, and move light objects up to 20 pounds • Ability to communicate verbally, discern auditory information, and visually perceive details

🏖️ Benefits

• Dental insurance • Vision insurance • Multiple group medical plans • 401(k) retirement savings plan • Group life insurance • Accidental death and dismemberment (AD&D) insurance • Flexible spending account (FSA) • Health savings account (HSA) • Commuter benefits • Employer-paid short-term disability (STD) insurance • Employer-paid long-term disability (LTD) insurance • Supplemental spouse life insurance • Legal insurance • Employee assistance program • Home health testing kits • Fertility medication discount program • Flexible vacation time • Accrued paid sick time • 10 paid holidays • 2 floating holidays for full time non-exempt employees • Eight weeks of paid parental leave for eligible employees • Additional paid weeks for the birthing parent • 4 weeks paid caregiver leave • Lifestyle Spending Account allowance each month • Incentive/bonus eligible • Equity eligible