Lead Engineer

Essen Health Care; New York (NY); On-site; USD 180,000 - 250,000; Full time

Job summary

Essen Health Care in New York is seeking a Lead Engineer to shape technology strategy and develop scalable healthcare solutions. You will provide oversight across multiple engineering teams, lead architectural discussions, and drive technology innovation.

The ideal candidate has 8+ years of software engineering experience, with a proven track record in healthcare systems and technical leadership. This position offers a competitive salary and the chance to impact patient care directly.

Qualifications

• Minimum 8+ years of software engineering experience, with at least 4 years in senior technical leadership roles.
• Proven track record of architecting and delivering large-scale, complex healthcare systems.
• Strong background in cloud platforms and data architecture.

Responsibilities

• Lead technical design reviews and provide feedback on architecture decisions.
• Architect data infrastructure solutions that support analytics and reporting needs.
• Drive architectural decisions that enable scalability, reliability, and maintainability.

Skills

Software engineering

Technical leadership

Distributed systems

Cloud platforms

Database design

Healthcare data systems

Tools

Azure

HL7

FHIR

Job description

About Us

Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high‑quality, compassionate care to some of the state’s most vulnerable and underserved residents. Founded in 1999, we’ve grown from a single primary care office into a network of 50+ locations offering urgent care, primary care and specialty services, from women’s health to endocrinology and psychiatry. We also provide nursing home support, care management, and in‑home care through our Essen House Calls program. Guided by a Population Health model, our team of 500+ providers deliver care in‑person, at home, or via telehealth, ensuring patients get the support they need when and where they need it.

Position Overview

As a Lead Engineer at Essen Health Care, you’ll play a pivotal role in shaping our technology strategy and driving the development of scalable healthcare solutions. You’ll work at the intersection of healthcare and technology, leading initiatives that directly impact patient care and clinical operations.

Engineering Oversight & Technical Leadership

• Provide technical oversight and architectural guidance across multiple engineering teams
• Define and maintain technical standards, best practices, and architectural patterns
• Lead technical design reviews and provide constructive feedback on architecture decisions
• Drive technical excellence through code reviews, documentation, and knowledge sharing
• Identify and mitigate technical risks across projects and initiatives
• Champion engineering excellence and mentor team members in technical best practices

Technology Strategy & Innovation

• Partner with CTO to develop and execute technology roadmap aligned with business goals
• Evaluate emerging technologies and recommend strategic adoption opportunities
• Drive architectural decisions that enable scalability, reliability, and maintainability
• Lead proof‑of‑concept initiatives for new technologies and approaches
• Collaborate with product teams to ensure technical feasibility of proposed features
• Balance technical debt management with new feature development

Data & Analytics Leadership

• Architect data infrastructure solutions that support analytics and reporting needs
• Design scalable data pipelines and ETL processes for healthcare data
• Ensure data security and compliance with healthcare regulations
• Guide implementation of analytics tools and dashboards
• Champion data‑driven decision making across engineering teams
• Collaborate with data science teams on machine learning initiatives

Experience

• Minimum 8+ years of software engineering experience, with at least 4 years in senior technical leadership roles
• Proven track record of architecting and delivering large‑scale, complex healthcare systems
• Demonstrated experience leading and mentoring engineering teams
• Strong history of successful technical project delivery in regulated environments
• Experience with healthcare data systems and EMR integrations

Technical Expertise

• Expert‑level proficiency in multiple programming languages and frameworks
• Deep understanding of distributed systems and microservices architecture
• Strong background in cloud platforms (Azure)
• Experience with healthcare data standards (HL7, FHIR)
• Expertise in database design and optimization
• Knowledge of security best practices and HIPAA compliance
• Proficiency in CI/CD practices and DevOps methodologies

System Design & Architecture Experience

• Experience designing and implementing distributed systems
• Track record of building scalable, cloud‑native applications
• History of successful database architecture and optimization
• Experience with microservices architecture and API design
• Background in security architecture and compliance implementations

Salary: $180,000–$250,000

Equal Opportunity Employer

Essen Health Care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.