Principal Software Engineer
About The Position
Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high-quality, compassionate care to some of the state’s most vulnerable and underserved residents. Founded in 1999, we’ve grown from a single primary care office into a network of 50+ locations offering urgent care, primary care and specialty services, from women’s health to endocrinology and psychiatry. We also provide nursing home support, care management, and in-home care through our Essen House Calls program. Guided by a Population Health model, our team of 500+ providers deliver care in-person, at home, or via telehealth, ensuring patients get the support they need when and where they need it. We’re looking for talented, motivated individuals to join our growing team. Whether you’re a medical provider, administrator, or operations professional, there’s a career here for you. Join us in making a real difference in the health of our community. 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
- Experience working in healthcare, EHR integrations, or compliance-heavy environments is a significant plus
- 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
- Deep dive into platform architecture, codebase, and infrastructure
- Audit scaling bottlenecks and reliability risks
- Build strong working relationships with the engineering team and clinical stakeholders
- Identify 2-3 high-leverage platform improvements
- Ship at least one meaningful architectural fix
- Own the technical design for a major architectural initiative
- Refine or establish platform-wide engineering standards
- Improve observability and reliability patterns across services
- Begin scoping and architecting work for other engineers to execute
- Recognized as the technical authority for your domain
- Delivering on your first major initiative
- Actively shaping the technical roadmap alongside product and leadership
- Mentoring engineers and raising the bar on code quality and design rigor
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What This Job Offers
Job Type
Full-time
Career Level
Principal
Education Level
No Education Listed
