
Principal Engineer
Fuze Health3 months ago
Base Salary
$210k - $262k/yr
Responsibilities
- Define and evolve the target architecture and technical roadmap for FuzeRx’s core B2B and consumer platforms.
- Lead design and implementation of high-volume API integrations, pharmacy fulfillment logistics, distributed data consistency, and other complex initiatives.
- Mentor Staff, Senior, and Mid-level engineers through design reviews, pairing sessions, and technical presentations.
- Establish engineering standards covering coding guidelines, testing frameworks, deployment pipeline strategies, and security-by-design principles.
- Partner with Product Management, Engineering Managers, Pharmacy Operations, and InfoSec to align architectures with business, clinical, privacy, and compliance needs.
- Improve system performance, latency, database efficiency, scalability, and reliability across PostgreSQL and AWS infrastructure.
- Evaluate tools, frameworks, and AWS services through proof-of-concepts.
- Serve as a Tier 1 technical escalation point for critical architectural outages during standard business hours.
Requirements
- Bachelor’s degree in Computer Science, Software Engineering, or a related technical discipline is required.
- 10+ years of progressive hands-on software engineering and systems-design experience are required.
- 3+ years operating at a Staff, Principal, or equivalent senior architectural level across multiple teams are required.
- Extensive experience building and scaling distributed, high-throughput, highly available B2B SaaS or transactional systems is required.
- Deep hands-on expertise in AWS, PostgreSQL, Ruby on Rails, Python, TypeScript, and JavaScript is required.
- Experience designing complex distributed systems, optimizing relational database queries, and establishing automated deployment pipelines is required.
- Experience with healthcare data interoperability standards such as HL7, FHIR, and NCPDP, plus electronic health record integrations, is preferred.
- Experience in HealthTech, digital pharmacy, or highly regulated environments is preferred.
- Experience leading large-scale architectural shifts and contributions to open source or technology conferences are preferred.
- Applicants must be authorized to work for any U.S. employer; visa sponsorship is not available.
- Applicants must reside in one of the states listed in the posting.
Benefits
- Full-time benefits include dental, vision, medical plans, 401(k), life insurance, AD&D insurance, FSA, HSA, commuter benefits, disability insurance, supplemental insurance, an employee assistance program, home health testing kits, and a fertility medication discount program.
- Benefits include flexible vacation time, accrued paid sick time, 10 paid holidays, floating holidays for eligible full-time non-exempt employees, paid parental leave, paid caregiver leave, and a monthly Lifestyle Spending Account allowance.
- The role requires standard business hours, is limited to applicants residing in specified U.S. states, and requires authorization to work for any U.S. employer without visa sponsorship.
Tech Stack
About Fuze Health
Fuze Health’s foundation is a combination of proven, technology-powered innovators – Truepill, LetsGetChecked and Alto Pharmacy. Together, we have the shared vision, advanced capabilities and talented teams to deliver next-generation solutions that patients and healthcare partners need today and into the future. We put patients first in everything we do, empowering millions to digitally connect with care providers, essential health resources and needed treatments. We are dedicated to enabling healthcare partners – care providers, employers, health plans and life sciences companies – to evolve and modernize to meet their most pressing needs.