Principal Engineer

Fuze Health

Principal Engineer driving overarching technical vision and architectural strategy at Fuze Health. Collaborating with teams to enhance healthcare solutions using modern cloud architectures.

Posted 5/28/2026full-timeRemote • Alabama, Arizona, California, Colorado, Connecticut, Florida, Hawaii, Idaho, Illinois, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Minnesota, Missouri, Montana, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Virginia, Washington, Wisconsin • 🇺🇸 United StatesLead💰 $209,600 - $262,000 per yearWebsite

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 the design and implementation of the most technically challenging initiatives, such as high-volume API integrations, complex pharmacy fulfillment logistics, and distributed data consistency.
Serve as a mentor and force multiplier for Staff, Senior, and Mid-level engineers.
Establish and enforce engineering standards across the organization, including coding guidelines, testing frameworks, CI/CD pipeline strategies, and security-by-design principles.
Collaborate deeply with Product Management, Engineering Managers, and Pharmacy Operations to ensure technical architectures align with long-term business goals and clinical requirements.
Partner with the InfoSec team to architect systems that natively support strict healthcare compliance standards (HIPAA, SOC2).
Spearhead initiatives to optimize system performance, reduce latency, and improve database efficiency within our PostgreSQL and AWS infrastructure.
Continuously evaluate new tools, frameworks, and AWS services, running proof-of-concepts (POCs) to determine their viability for improving the FuzeRx ecosystem.

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 and demonstrable, deep, hands-on expertise in AWS, PostgreSQL, Ruby on Rails, Python, TypeScript, and JavaScript.
Familiarity with standard corporate tools (Slack, GSuite, 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.

Benefits

Comp & perks

dental
vision
multiple group medical plans to choose from
401(k) retirement savings plan
group life insurance
accidental death and dismemberment (AD&D) insurance
flexible spending account (FSA) and health savings account (HSA)
commuter benefits
employer-paid short-term (STD) and long-term disability (LTD) insurance
additional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, home health testing kits, and a 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
a Lifestyle Spending Account allowance each month

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

software engineeringsystems designAPI integrationspharmacy fulfillment logisticsdatabase efficiencycloud architecturesPostgreSQLRuby on RailsPythonTypeScript

Soft Skills

mentorshipcommunicationcollaborationproblem-solvingleadership