Full Stack Engineer, Principal

Blue Shield of CA; Seattle (WA); Hybrid; USD 160,000 - 230,000; Full time

Job summary

Blue Shield of CA is seeking a Senior Full Stack Engineer to design and deliver mission-critical healthcare applications. You will own frontend and backend components, align with product, design, QA, security, and platform teams, and push for pragmatic, value-driven solutions in a regulated environment.

You should bring 10+ years in full stack, strong experience with modern JS frameworks, backend services, databases, cloud, containers, IaC, and AI-assisted coding tools.

Qualifications

• 10+ years in full stack development across frontend and backend.
• Degree in Computer Science or equivalent.
• Strong experience with modern JS frameworks and TypeScript.
• Proficient with backend services and RESTful APIs.
• Strong SQL/NoSQL and data integration skills.
• Experience building cloud-native apps on Azure preferred.
• Experience with Docker and containerization.
• Familiarity with IaC tools like Terraform, Ansible, ARM, or Bicep.
• CI/CD pipelines and Git-based version control experience.
• Experience using AI-assisted coding tools in professional settings.
• Healthcare domain knowledge and regulatory exposure is a plus.

Responsibilities

• Architect, design, and implement full-stack features end-to-end.
• Collaborate across product, design, QA, security, and platform teams.
• Balance pragmatic delivery with solid engineering decisions while driving value.

Skills

Full stack development

Frontend frameworks

JavaScript/TypeScript

Backend services & APIs

SQL/NoSQL databases

Cloud-native apps

Docker

CI/CD pipelines

IaC

AI-assisted coding tools

Healthcare/regulatory knowledge

Education

BA/BS in Computer Science or equivalent

Tools

GitHub

GitLab

Bitbucket

Azure

AWS/GCP

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.

#LI-JA1