Principal Software Engineer
essen medical associatesBronx (NY)
Principal Software Engineer
Posted 6 days ago
essen medical associatesBronx (NY)
SENIORITY
Lead
About the role
Principal Software Engineer 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.
Job Summary
Position title: Principal Software Engineer
Job Summary:
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.
Responsibilities:
- What you'll own
- 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 30/60/90-day plan
- Days 0 to 30 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
- Days 31-60 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
- Days 61-90 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
Qualifications:
- What we're looking for 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
Our stack: Python (FastAPI), React/TypeScript, MSSQL, Redis, Azure (Container Apps, Static Web Apps, DevOps Pipelines), Terraform.
Nice to have:
- 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
LocationBased in the Bronx, co-located with Essen Health Care. We sit next to the care coordinators, clinicians, and operators who use the platform every day and work in a community that we serve. Instead of scheduling a user research session, you can walk down the block and see someone using what you built.
Hybrid:
3 days on-site, 2 days remote. Why this role You'll shape the technical foundation of a platform that's live, growing, and directly improving healthcare for underserved communities.
Equal Opportunity Employer:
Essen Health Care and ecares health are Equal Opportunity Employers and are committed to creating an inclusive, diverse, and equitable workplace for all.
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