Principal Software Engineer

🔥 6 minutes ago

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Monogram Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2019

⚕️ Healthcare Insurance

🤝 B2B

👥 B2C

Healthcare Insurance • B2B • B2C

Monogram Health is a leading multispecialty provider that delivers in-home, evidence-based care and benefit management for patients with complex, multiple chronic conditions, with a strong focus on chronic kidney disease and related metabolic, cardiovascular, pulmonary, and behavioral health needs. The company coordinates multispecialty clinical teams (nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care), provides 24/7 home-based support including home dialysis and medication management, and partners with payers and physician groups to improve outcomes, reduce hospitalizations, and lower costs.

📋 Description

• Sets the technical vision and long-term architecture strategy for the engineering organization • Serves as the highest individual contributor authority on technology decisions, platform direction, and engineering excellence • Partners with executive leadership (VP, SVP, CTO) to align technology strategy with business objectives — bridging technical and business domains to drive decisions • Drives organization-wide initiatives — platform modernization, build-vs-buy decisions, technical debt reduction, and innovation programs • Evaluates emerging technologies and industry trends; determines applicability and leads adoption where valuable • Coaches and develops Staff and Senior Engineers; raises the bar for technical leadership and hiring standards across the organization • Establishes governance frameworks for architecture, security, data, and operational practices; represents engineering in vendor, partner, and industry evaluations • Leads post-incident reviews and drives systemic improvements to reliability, security, and operational resilience • Champions AI-assisted development practices across the engineering organization; evaluates tools, defines usage patterns, and drives adoption to improve velocity and quality at scale • Participates in a shared on-call rotation to support production reliability and patient safety; on-call rotates across the team and volume is generally low

🎯 Requirements

• Bachelor's degree in Computer Science, Engineering, Information Technology, or a related field — or equivalent practical experience; Master's or advanced degree strongly preferred • Minimum of ten (10) years of professional engineering experience with significant time in senior technical leadership roles • Proficiency in one or more backend languages/frameworks (e.g., .NET Core/C#, Node.js, Python, Java) • Experience building and consuming RESTful APIs, microservices, and event-driven architectures • Experience with Azure cloud services (App Services, Functions, Service Bus, Key Vault) • Proficiency with relational databases (SQL Server, Azure SQL) and ORM frameworks • Working knowledge of Git, Azure DevOps, CI/CD pipelines, and automated testing practices • Expert-level proficiency across multiple domains — software, data, infrastructure, security, or platform engineering • Proven track record of setting technical vision and strategy that drove measurable business outcomes • Extensive experience leading cross-organizational technical initiatives and influencing without direct authority • Demonstrated experience leveraging AI-assisted development tools and workflows to improve engineering velocity and quality • Demonstrated communication skills — able to present to executives, influence peers, and mentor at all levels • Advanced understanding of healthcare technology, compliance requirements (HIPAA, HITRUST, SOC2), and regulatory environments preferred • Experience scaling engineering organizations and practices in high-growth or complex environments • Familiarity with healthcare interoperability standards (HL7, FHIR) preferred

🏖️ Benefits

• Comprehensive Benefits - Medical, dental, and vision insurance • employee assistance program • employer-paid and voluntary life insurance • disability insurance • health and flexible spending accounts • Competitive compensation • 401k with employer match • financial wellness resources • Paid holidays • flexible vacation time/PSSL • paid parental leave • Work life assistance resources • physical wellness perks • mental health support • employee referral program • BenefitHub for employee discounts