Principal Software Engineer

Monogram Health

Principal Software Engineer at Monogram Health overseeing technical direction, driving innovation in healthcare technology for patient engagement and workflows.

Posted 7/23/2026full-timeRemote • 🇺🇸 United StatesLeadWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in setting technical vision and architecture strategy while leading cross-organizational initiatives to drive measurable business outcomes. Proficient in backend development, cloud services, and healthcare technology compliance, with a strong focus on AI-assisted development practices.

Highest-signal resume keywords

Technical Vision SettingBackend Development (C#, Node.js, Python, Java)Azure Cloud ServicesAI-Assisted Development ToolsHealthcare Compliance (HIPAA, HITRUST, SOC2)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Backend Languages/FrameworksRESTful APIsMicroservicesEvent-Driven ArchitecturesRelational Databases (SQL Server, Azure SQL)ORM FrameworksCI/CD PipelinesAutomated Testing PracticesTechnical LeadershipCross-Organizational Initiatives

Soft Skills

Communication SkillsMentoringInfluencing Without Authority

Tools & Technologies

Azure DevOpsGitAzure App ServicesAzure FunctionsAzure Service BusAzure Key Vault

Industry Keywords

Healthcare TechnologyCompliance RequirementsRegulatory EnvironmentsHealthcare Interoperability Standards (HL7, FHIR)

Tech Stack

Tools & technologies

AzureCloudJavaJavaScriptMicroservices.NETNode.jsPythonSQLVault

About the role

Key responsibilities & impact

Sets the technical vision and long-term architecture strategy for the engineering organization
Serves as the highest individual contributor authority on technology decisions, platform direction, and engineering excellence
Partners with executive leadership (VP, SVP, CTO) to align technology strategy with business objectives — bridging technical and business domains to drive decisions
Drives organization-wide initiatives — platform modernization, build-vs-buy decisions, technical debt reduction, and innovation programs
Evaluates emerging technologies and industry trends; determines applicability and leads adoption where valuable
Coaches and develops Staff and Senior Engineers; raises the bar for technical leadership and hiring standards across the organization
Establishes governance frameworks for architecture, security, data, and operational practices; represents engineering in vendor, partner, and industry evaluations
Leads post-incident reviews and drives systemic improvements to reliability, security, and operational resilience
Champions AI-assisted development practices across the engineering organization; evaluates tools, defines usage patterns, and drives adoption to improve velocity and quality at scale
Participates in a shared on-call rotation to support production reliability and patient safety; on-call rotates across the team and volume is generally low

Requirements

What you’ll need

Bachelor's degree in Computer Science, Engineering, Information Technology, or a related field — or equivalent practical experience; Master's or advanced degree strongly preferred
Minimum of ten (10) years of professional engineering experience with significant time in senior technical leadership roles
Proficiency in one or more backend languages/frameworks (e.g., .NET Core/C#, Node.js, Python, Java)
Experience building and consuming RESTful APIs, microservices, and event-driven architectures
Experience with Azure cloud services (App Services, Functions, Service Bus, Key Vault)
Proficiency with relational databases (SQL Server, Azure SQL) and ORM frameworks
Working knowledge of Git, Azure DevOps, CI/CD pipelines, and automated testing practices
Expert-level proficiency across multiple domains — software, data, infrastructure, security, or platform engineering
Proven track record of setting technical vision and strategy that drove measurable business outcomes
Extensive experience leading cross-organizational technical initiatives and influencing without direct authority
Demonstrated experience leveraging AI-assisted development tools and workflows to improve engineering velocity and quality
Demonstrated communication skills — able to present to executives, influence peers, and mentor at all levels
Advanced understanding of healthcare technology, compliance requirements (HIPAA, HITRUST, SOC2), and regulatory environments preferred
Experience scaling engineering organizations and practices in high-growth or complex environments
Familiarity with healthcare interoperability standards (HL7, FHIR) preferred

Benefits

Comp & perks

Comprehensive Benefits - Medical, dental, and vision insurance
employee assistance program
employer-paid and voluntary life insurance
disability insurance
health and flexible spending accounts
Competitive compensation
401k with employer match
financial wellness resources
Paid holidays
flexible vacation time/PSSL
paid parental leave
Work life assistance resources
physical wellness perks
mental health support
employee referral program
BenefitHub for employee discounts