Essen Medical Associates

Principal Software Engineer

Essen Medical Associates
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2 months ago
Bronx, NY, USAStaff+

Responsibilities

  • Own platform-wide architecture across backend services and infrastructure.
  • Lead technical scoping and design for cross-cutting initiatives, including EHR integrations, multi-tenancy, and scaling.
  • Improve reliability, scalability, observability, and operational excellence across services.
  • Design and deliver high-impact system redesigns and architectural improvements.
  • Develop engineering standards, best practices, and internal developer tooling.
  • Mentor engineers, conduct code reviews, and scope architectural work for other engineers.
  • Partner with product, engineering leadership, clinical stakeholders, and operators to shape the technical roadmap.
  • Audit bottlenecks and reliability risks and deliver meaningful architectural fixes during the initial 90 days.

Requirements

  • 7+ years of professional software engineering experience, including principal-level impact in at least one prior role.
  • Experience designing and operating large-scale distributed systems in production.
  • Strong backend engineering background with the ability to work across the full stack.
  • Excellent architectural judgment and ability to translate complex real-world problems into clear technical designs.
  • Experience owning systems end-to-end from design through production operations.
  • Healthcare, EHR integration, or compliance-heavy environment experience is a significant plus.
  • Experience with health technology, EHR systems, HIPAA-compliant healthcare data, multi-tenant SaaS platforms, or clinical rules and decision-support systems is preferred.
  • Public speaking or technical writing experience is preferred.

Benefits

  • Hybrid work arrangement with three days onsite and two days remote.
  • Bronx-based role colocated with care coordinators, clinicians, and operators.
  • Opportunity to shape a live healthcare platform serving underserved communities.

Tech Stack

AzureFastAPIMicrosoft SQL ServerPythonReactRedisTerraformTypeScript

Categories

Essen Medical Associates

About Essen Medical Associates

501-1,000 employees

Essen Medical Associates operates a privately held, multi-specialty healthcare network providing primary care, urgent care, specialty services, and in-home house calls across New York City and Westchester. Founded in 1999 and headquartered in the Bronx, it delivers care in clinics, nursing homes, patients’ homes, and via telehealth. The group runs 50+ locations focused on integrated, population-health–oriented services for diverse and medically underserved communities.

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