Principal Software Engineer

Essen Medical Associates • Bronx, NY

3d • Hybrid

About The Position

We're hiring a Principal Software Engineer to set the technical direction and own the architecture of our core systems. This is a hands-on senior leadership role. You'll design and evolve foundational systems (APIs, data flows, infrastructure patterns, reliability standards) while acting as a force multiplier for the engineering team.

Requirements

• 7+ years of professional software engineering experience, with principal-level impact in at least one prior role
• Designed and operated large-scale distributed systems in production
• Strong backend engineering background; comfortable working across the full stack
• Excellent architectural judgment and ability to translate messy, real-world problems into clean technical designs
• Comfortable owning systems end-to-end, from design through production operations

Nice To Haves

• Health tech experience or familiarity with EHR systems (eClinicalWorks, Ellkay, Redox, FHIR)
• Experience with HIPAA-compliant systems and healthcare data
• Experience scaling a multi-tenant SaaS platform
• Experience building clinical rules engines or decision support systems
• Public speaking or writing on technical topics

Responsibilities

• Platform-wide architecture across backend services and infrastructure
• Technical scoping and design for cross-cutting initiatives (EHR integrations, multi-tenancy, scaling)
• Reliability, scalability, and operational excellence
• Developer experience and internal tooling
• Engineering standards and best practices
• High-impact system redesigns and architectural improvements
• Engineering leverage through mentorship and code review

What This Job Offers

• Job Type: Full-time
• Career Level: Principal
• Education Level: No Education Listed