Principal Engineer

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Fuze Health

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 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 • Architect systems supporting HIPAA and SOC2 compliance, patient-data privacy, and secure messaging • Optimize performance, reduce latency, and improve database efficiency in PostgreSQL and AWS infrastructure • Evaluate tools, frameworks, and AWS services through proof-of-concepts • Serve as a Tier 1 technical escalation point for critical architectural outages • Report to the VP of Engineering

🎯 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 across multiple teams • Extensive experience building and scaling distributed, high-throughput, highly available B2B SaaS or transactional systems • Availability during standard business hours • 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 • Ability to explain complex technical trade-offs to non-technical executives and stakeholders • Proven ability to design and implement complex distributed systems • Experience optimizing complex relational database queries • Experience establishing automated deployment pipelines • Deep domain expertise in HealthTech, Digital Pharmacy, or highly regulated environments • Advanced knowledge of HL7, FHIR, NCPDP, and EHR integrations • Experience leading a major architectural paradigm shift at scale • Ability to work at a computer terminal for extended periods and perform the stated physical requirements • Must be authorized to work for any employer in the U.S.; no visa sponsorship or transfer is available

🏖️ Benefits

• Dental, vision, and 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 (STD) and 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, with additional paid weeks for the birthing parent • 4 weeks paid caregiver leave • Lifestyle Spending Account allowance each month • Reasonable accommodation for qualified individuals with disabilities

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