Principal Engineer

Fuze Health

Principal Engineer shaping scalable, secure architecture for Fuze Health’s digital pharmacy and patient-care platforms. Leading distributed systems, cloud infrastructure, and engineering standards across product squads.

Posted 8/10/2026full-timeRemote • California, Maryland, Texas • 🇺🇸 United StatesLead💰 $209,600 - $262,000 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 and compliance with HIPAA and SOC2 standards. Proven ability to lead complex system designs, optimize database performance, and mentor engineering teams in a highly regulated HealthTech environment.

Highest-signal resume keywords

AWS ExpertisePostgreSQL OptimizationB2B SaaS ArchitectureHIPAA ComplianceTeam Mentorship

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Software EngineeringSystems DesignAPI IntegrationDistributed SystemsCloud ArchitectureRuby on RailsPythonTypeScriptJavaScriptDatabase Query Optimization

Soft Skills

Technical CommunicationCollaborationMentoring

Tools & Technologies

SlackGSuiteJiraCI/CD ToolsAutomated Deployment Pipelines

Industry Keywords

HealthTechDigital PharmacyEHR IntegrationsHL7FHIRNCPDP

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 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
Architect systems supporting HIPAA and SOC2 compliance, patient-data privacy, and secure messaging
Optimize performance, reduce latency, and improve database efficiency in 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
Report to the VP of Engineering

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 across multiple teams
Extensive experience building and scaling distributed, high-throughput, highly available B2B SaaS or transactional systems
Availability during standard business hours
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
Ability to explain complex technical trade-offs to non-technical executives and stakeholders
Proven ability to design and implement complex distributed systems
Experience optimizing complex relational database queries
Experience establishing automated deployment pipelines
Deep domain expertise in HealthTech, Digital Pharmacy, or highly regulated environments
Advanced knowledge of HL7, FHIR, NCPDP, and EHR integrations
Experience leading a major architectural paradigm shift at scale
Ability to work at a computer terminal for extended periods and perform the stated physical requirements
Must be authorized to work for any employer in the U.S.; no visa sponsorship or transfer is available

Benefits

Comp & perks

Dental, vision, and 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 (STD) and 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, with additional paid weeks for the birthing parent
4 weeks paid caregiver leave
Lifestyle Spending Account allowance each month
Reasonable accommodation for qualified individuals with disabilities