Full Stack Engineer, Principal

Blue Shield of CA; Houston (TX); Hybrid; USD 120,000 - 170,000; Full time

Job summary

Blue Shield of CA is seeking a Senior Full Stack Engineer to architect mission-critical healthcare applications, from polished front-ends to high-performance backends. You will collaborate across product, design, QA, security and platform teams, delivering end-to-end systems with a pragmatic balance of architecture and delivery speed.

The role emphasizes leadership, continuous learning, and the ability to thrive in dynamic, evolving priorities while communicating complex concepts to both

Qualifications

• 10+ years of full stack development experience.
• Proficiency with modern front-end frameworks (React/Vue/Angular) and JavaScript/TypeScript.
• Experience building backend services and APIs with .NET/Java/Node.js/Python.
• Strong SQL/NoSQL knowledge and RESTful integrations.
• Cloud-native apps experience; Azure preferred, AWS/GCP acceptable.
• Containerization experience with Docker.
• Familiarity with IaC tools to provision cloud resources.
• Experience with CI/CD pipelines and version control systems.
• Experience using AI-assisted coding tools in professional development.
• Experience in regulated environments (healthcare) preferred.

Responsibilities

Skills

Full stack development

Collaboration

Communication

AI-assisted coding tools

Healthcare domain awareness

Education

BA/BS in Computer Science or equivalent

Tools

React

Angular/Vue

TypeScript

.NET/Java/Node.js/Python

Azure

Docker

Terraform / IaC

CI/CD (GitHub/GitLab)

Job description

Role

As a Full Stack Engineer in the healthcare space, you'll architect seamless, missioncritical applications that clinicians and patients depend on. From polished interfaces to highperformance backends, you'll shape technology that improves care delivery and enhances lives.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Knowledge and Experience

• 10+ years of experience in full stack development
• BA/BS in Computer Science or equivalent
• Proficiency in modern front-end frameworks (React, Vue, Angular or similar) and JavaScript/TypeScript
• Experience building backend services and APIs using .NET, Java, Node.js, Python, or similar technologies
• Strong knowledge of SQL (e.g., MS SQL Server, Oracle) and/or NoSQL databases and RESTful integrations
• Experience developing cloud-native applications (Azure preferred; AWS/GCP acceptable)
• Experience with containerization (e.g., Docker)
• Familiarity using Infrastructure as Code (e.g., Ansible, Bicep, ARM, Terraform) to provision and manage cloud resources
• Working knowledge of CI/CD pipelines and version control systems (e.g., GitHub, GitLab, Bitbucket)
• Experience using AI-assisted coding tools in professional software development (e.g., GitHub Copilot, Cursor, Claude, or similar)
• Experience working in regulated environments (e.g., healthcare) preferred
• Familiarity with healthcare interoperability standards or enterprise healthcare platforms (e.g., Epic) preferred
• End-to-end ownership mindset - thinks about UI, logic, and data as one cohesive system
• Engineering pragmatism - balances ideal architecture with delivery speed and business value
• AI-augmented builder - leverages AI tools effectively while maintaining strong engineering judgment
• Effective collaboration with product, design, QA, security, and platform teams
• Ability to operate in dynamic, evolving environments with shifting priorities
• Clear communication of technical concepts to both technical and non-technical stakeholders

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

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