Principal Engineer

Fuze Health

. Define and evolve the target architecture for FuzeRx’s core B2B and consumer platforms .

Posted 10/14/2026full-timeRemote • United StatesLead💰 $215,840 - $269,800 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in defining and evolving target architectures for B2B and consumer platforms, with a strong focus on modern cloud architectures, AWS, and PostgreSQL. Proven ability to lead technical initiatives, mentor engineering teams, and ensure compliance with healthcare data standards.

Highest-signal resume keywords

AWS ExpertisePostgreSQL OptimizationB2B SaaS ArchitectureHIPAA ComplianceTechnical Leadership

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Software EngineeringSystems DesignAPI IntegrationDistributed SystemsRuby on RailsPythonTypeScriptJavaScriptDatabase Query OptimizationCI/CD Standards

Soft Skills

Exceptional CommunicationMentoring

Tools & Technologies

SlackGSuiteJira

Industry Keywords

HealthTechDigital PharmacyHealthcare Data InteroperabilityHL7FHIRNCPDPEHR Integrations

Tech Stack

Tools & technologies

AWSCloudDistributed SystemsJavaScriptPostgresPythonRubyRuby on RailsTypeScript

About the role

Key responsibilities & impact

Define and evolve the target architecture for FuzeRx’s core B2B and consumer platforms
Drive the technical roadmap to transition legacy systems into modern, scalable, and highly cohesive architectures
Lead design and implementation of technically challenging initiatives, including high-volume API integrations, pharmacy fulfillment logistics, and distributed data consistency
Mentor Staff, Senior, and Mid-level engineers
Institute design reviews, pairing sessions, and technical brown-bags
Establish and enforce coding, testing, CI/CD, and security-by-design standards
Collaborate with Product Management, Engineering Managers, and Pharmacy Operations
Partner with InfoSec to architect systems supporting HIPAA and SOC2 compliance, patient data privacy, and secure messaging
Lead initiatives to optimize performance, reduce latency, and improve PostgreSQL and AWS database efficiency
Evaluate tools, frameworks, and AWS services through proof-of-concepts
Serve as a Tier 1 technical escalation point for critical architectural outages

Requirements

What you’ll need

Bachelor’s degree in Computer Science, Software Engineering, or a related technical discipline
10+ years of progressive, hands-on experience in software engineering and systems design
3+ years operating at a Staff, Principal, or equivalent senior architectural level, driving technical initiatives across multiple teams
Extensive background in building and scaling distributed, high-throughput, and highly available B2B SaaS or transactional systems
Standard business hours; expected to serve as a Tier 1 technical escalation point for critical architectural outages
Mastery of modern cloud architectures
Deep, hands-on expertise in AWS, PostgreSQL, Ruby on Rails, Python, TypeScript, and JavaScript
Familiarity with Slack, GSuite, and Jira
Exceptional communication skills with the ability to explain complex technical trade-offs to non-technical executives and stakeholders
Proven ability to design and implement complex distributed systems, optimize complex relational database queries, and establish automated deployment pipelines
Deep domain expertise in HealthTech, Digital Pharmacy, or highly regulated environments
Advanced knowledge of healthcare data interoperability standards such as HL7, FHIR, and NCPDP
Experience with electronic health record (EHR) integrations
Experience leading a major architectural paradigm shift at scale
Applicants must be authorized to work for any employer in the U.S.
Must reside in one of the approved states listed in the posting
Ability to work at a computer terminal with monitor, keyboard, and mouse for extended periods
Ability to stoop, bend, reach, make repetitive wrist, hand, and finger motions, and move light objects up to 20 pounds
Ability to communicate verbally, discern auditory information, and visually perceive details

Benefits

Comp & perks

Dental insurance
Vision insurance
Multiple group medical plans
401(k) retirement savings plan
Group life insurance
Accidental death and dismemberment (AD&D) insurance
Flexible spending account (FSA)
Health savings account (HSA)
Commuter benefits
Employer-paid short-term disability (STD) insurance
Employer-paid long-term disability (LTD) insurance
Supplemental spouse life insurance
Legal insurance
Employee assistance program
Home health testing kits
Fertility medication discount program
Flexible vacation time
Accrued paid sick time
10 paid holidays
2 floating holidays for full time non-exempt employees
Eight weeks of paid parental leave for eligible employees
Additional paid weeks for the birthing parent
4 weeks paid caregiver leave
Lifestyle Spending Account allowance each month
Incentive/bonus eligible
Equity eligible