Principal Software Engineer

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🔴 Lead

🧑‍💻 Full-stack Engineer

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

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.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Vytalize Health

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

☁️ SaaS

⚕️ Healthcare Insurance

💰 $100M Series C - Vytalize Health on 2023-02

Healthcare • SaaS • Healthcare Insurance

Vytalize Health is a healthcare technology and services company that helps primary care practices and Accountable Care Organizations (ACOs) transition to value-based care. It combines data-driven analytics, virtual and in-home clinical support, and care management services to improve patient outcomes, enable Medicare-approved remote services for chronic conditions, and help practices earn shared savings under value-based contracts. Vytalize partners with independent PCPs, group practices, community health centers and existing ACOs to deliver clinical enablement, practice-tailored workflows, and performance insights.

📋 Description

• Design, build, and operate the clinical decision support and API-driven data delivery platform • Lead design and implementation of the CDS Hooks platform, including card orchestration, hook context handling, EHR-side logic orchestration, and downstream data service integration • Own CDS Hook API contracts and evolution, ensuring SMART CDS Hooks compliance and performance and reliability optimization • Lead technical integration with EMR systems including Epic, NextGen, Athena, and ECW • Design, build, and maintain public-facing REST and event-driven APIs exposing clinical data, quality metrics, care gaps, attribution data, and decision support content • Establish API contracts, versioning strategies, and deprecation policies • Implement API security patterns including OAuth 2.0, scope-based authorization, rate limiting, and audit logging • Design and optimize real-time or near-real-time data pipelines feeding CDS Hooks and APIs • Design and implement testing and QA frameworks for CDS Hooks and APIs across EMR systems • Establish reliability metrics and SLAs for latency, availability, freshness, and API performance • Define and measure clinical impact metrics including CDS adoption, clinician interaction rates, workflow integration success, and patient outcome influence • Design and implement monitoring, alerting, failure detection, graceful degradation, and incident recovery • Partner with Data Reliability Engineering to operate clinical data delivery SLAs • Establish engineering standards for API design, data schemas, integration patterns, interoperability, documentation, and OpenAPI specifications • Partner with Data Engineering to align upstream data models, gold-layer datasets, and platform capabilities • Serve as technical authority on SMART CDS Hooks, FHIR, HL7, CDS Hooks, and EHR integration patterns • Collaborate with Product, Clinical Operations, and Business stakeholders to translate clinical workflows into platform features • Advise EMR partners, healthcare systems, and external API consumers • Ensure CDS and API services comply with HIPAA, state regulations, payer mandates, and other healthcare requirements • Partner with IT Security and Compliance on access controls, audit logging, encryption, and data protection • Design and implement audit trails for clinical data access and support compliance audits and reporting • Mentor team members through design reviews, pairing, and architectural guidance • Document systems, designs, processes, and procedures

🎯 Requirements

• 8+ years of experience designing, building, and operating API platforms, service-oriented systems, or backend infrastructure at scale • Demonstrated experience operating at a senior or staff-level individual contributor scope, owning complex systems end-to-end • 3+ years of direct experience with healthcare data integrations, EMR workflows, clinical data exchange, or healthcare interoperability standards (FHIR, HL7, CDA, claims data) • 2+ years of hands-on experience with CDS Hooks, SMART on FHIR, or similar clinical decision support APIs • Strong experience designing and operating REST APIs, including contract design, versioning, error handling, and authentication/authorization patterns • Deep understanding of healthcare data integrations, EMR workflows, and interoperability patterns (FHIR, HL7, CDS Hooks, SMART on FHIR) • Expertise in designing for reliability, SLAs, and operational metrics; ability to translate clinical requirements into technical SLOs • Experience defining and measuring API performance metrics (latency, availability, error rates); familiarity with SLA monitoring and enforcement • Strong systems thinking with ability to design for scale, reliability, maintainability, and resilience • Proficiency in modern backend languages (Python, Java, Go, or similar); comfort reading and reviewing code across languages • Experience with cloud platforms (AWS, Databricks, GCP) and containerized services (Docker, Kubernetes, or managed services) • Proven ability to partner effectively across engineering, product, analytics, clinical operations, and business teams • Clear written and verbal communication skills, particularly for explaining technical concepts and tradeoffs to clinicians and non-specialists • Comfortable working in a fast-moving, ambiguous environment with healthcare compliance and regulatory constraints • Strong plus: Hands-on experience with CDS Hooks specification and SMART on FHIR implementations in production healthcare environments • Strong plus: Experience implementing and testing CDS Hooks across multiple EMR systems (Epic, NextGen, Athena, ECW) including clinical workflow validation • Strong plus: Familiarity with healthcare data formats and standards: FHIR resources (Patient, Condition, Medication, etc.), CCD/C-CDA, claims data (837s, 835s), HL7 v2 or v3 • Strong plus: Experience designing and operating real-time or near-real-time data pipelines feeding clinical applications and decision support systems • Strong plus: Knowledge of value-based care metrics, care gaps, quality measures (NQF, HEDIS), and HCC/RAF risk stratification • Strong plus: Experience with API management platforms, developer portals, or partner ecosystem / API monetization patterns • Strong plus: Familiarity with OAuth 2.0, OIDC, SAML, and federated identity patterns in healthcare systems • Strong plus: Experience with CI/CD pipelines, infrastructure-as-code, and safe deployment practices • Strong plus: Background supporting provider-facing platforms or external clinical partners; deep understanding of provider workflows and constraints • Strong plus: Experience in a healthcare startup or high-growth healthcare technology environment • Strong plus: Familiarity with healthcare data governance, interoperability regulations (21st Century Cures, ONC rules), and clinical data quality frameworks • Strong plus: Experience with API testing frameworks and quality assurance for distributed systems

🏖️ Benefits

• Competitive base compensation • Annual bonus potential • Health benefits effective on start date • Health & Wellness Program; up to $300 per quarter for your overall well-being available on start date • 401K plan effective on the first of the month after your start date; 100% of up to 4% of your annual salary • Unlimited (or generous) paid "Vytal Time", and 5 paid sick days after your first 90 days • Company paid STD/LTD • Technology setup • Ability to help build a market leader in value-based healthcare at a rapidly growing organization