Principal Engineer

Fuze Health; United States; On-site; USD 209,600 - 262,000; Full time

Benefits offered by this job

Dental and vision coverage

401(k) retirement plan

Life insurance

FSA and HSA options

Commuter benefits

Disability insurance

Parental leave

Paid holidays

Lifestyle Spending Account

Job summary

Fuze Health is seeking a Principal Engineer (Digital Pharmacy) to define the architectural vision and guide multi-squad execution. You will lead high‑level technical strategy, shaping scalable, secure systems for FuzeRx and related platforms.

You will mentor engineers, drive standards, and partner with product, ops, and security to ensure HIPAA/SOC2 compliance while improving performance on AWS and PostgreSQL stacks.

Qualifications

• 10+ years of software engineering and systems design experience.
• 3+ years in staff/principal level, driving initiatives across teams.
• Deep experience with distributed, high-throughput SaaS or transactional systems.

Responsibilities

• Define and evolve target architecture for core platforms.
• Lead design and implementation of high-volume API integrations and logistics.
• Mentor staff and senior engineers, enforce design reviews and CI/CD practices.
• Establish engineering standards, testing frameworks, and security-by-design.
• Collaborate with PM, Engineering Managers, and Pharmacy Ops on goals.
• Partner with InfoSec to meet HIPAA and SOC2 compliance.
• Improve performance, latency, and database efficiency in AWS/PostgreSQL.
• Evaluate new tools and run POCs for the ecosystem.

Skills

AWS

PostgreSQL

Ruby on Rails

Python

TypeScript

JavaScript

Architectural leadership

Cloud architecture

Education

Bachelor's degree

Tools

Jira

Job description

Job Title: Principal Engineer (Digital Pharmacy)

As a Principal Engineer at Fuze Health/FuzeRx, you are a top-tier technical leader and individual contributor who drives the overarching technical vision and architectural strategy across our engineering organization. Reporting to the VP of Engineering, you will operate across multiple product squads, guiding the design and execution of our most complex, mission-critical systems. By setting the standard for engineering excellence and leveraging our core stack (AWS, PostgreSQL, Ruby on Rails, Python, and TypeScript/JavaScript), you will ensure our digital pharmacy, API-powered fulfillment, and patient care platforms are highly scalable, performant, and secure. This role is essential to our mission, directly enabling FuzeRx to process high volumes of healthcare transactions reliably while maintaining strict compliance and improving patient outcomes.

Key Responsibilities

• Architectural Vision & Strategy: 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 highly cohesive architectures.
• Complex Problem Solving: Lead the design and implementation of the most technically challenging initiatives, such as high-volume API integrations, complex pharmacy fulfillment logistics, and distributed data consistency.
• Technical Mentorship & Leadership: Serve as a mentor and force multiplier for Staff, Senior, and Mid-level engineers. Elevate the engineering culture by instituting rigorous design reviews, pairing sessions, and technical brown-bags.
• Standards & Best Practices: Establish and enforce engineering standards across the organization, including coding guidelines, testing frameworks, CI/CD pipeline strategies, and security-by-design principles.
• Cross-Functional Partnership: Collaborate deeply with Product Management, Engineering Managers, and Pharmacy Operations to ensure technical architectures align with long-term business goals and clinical requirements.
• Regulatory & Security Compliance: Partner with the InfoSec team to architect systems that natively support strict healthcare compliance standards (HIPAA, SOC2), ensuring patient data privacy and secure messaging.
• Performance & Reliability: Spearhead initiatives to optimize system performance, reduce latency, and improve database efficiency within our PostgreSQL and AWS infrastructure.
• Technology Evaluation: Continuously evaluate new tools, frameworks, and AWS services, running proof-of-concepts (POCs) to determine their viability for improving the FuzeRx ecosystem.

Required Experience & Qualifications

• Education: Bachelor’s degree in Computer Science, Software Engineering, or a related technical discipline.
• Experience: 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, driving technical initiatives across multiple teams.
• Industry Experience: Extensive background in building and scaling distributed, high‑throughput, and highly available B2B SaaS or transactional systems.
• Tools & Tech Stack: Mastery of modern cloud architectures and demonstrable, deep, hands‑on expertise in AWS, PostgreSQL, Ruby on Rails, Python, TypeScript, and JavaScript. Familiarity with standard corporate tools (Slack, GSuite, Jira).
• Other Desired Experience: Exceptional communication skills with the ability to explain complex technical trade‑offs to non‑technical executives and stakeholders. A strong bias for action and pragmatism over architectural purity.
• Measurable Expertise: Proven ability to design and implement complex distributed systems, optimize complex relational database queries, and establish automated deployment pipelines.

Preferred Qualifications

• Education: Master’s degree in Computer Science, System Engineering, or related field.
• Other Desired Experience: Active contributions to the open‑source community or experience speaking at technology conferences.
• Specific Required Expertise: Deep domain expertise in HealthTech, Digital Pharmacy, or highly regulated environments.
• Advanced knowledge of healthcare data interoperability standards (e.g., HL7, FHIR, NCPDP) and electronic health record (EHR) integrations.
• Experience leading a major architectural paradigm shift (e.g., monolith to microservices or event‑driven architecture) at scale.

Physical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. The role also requires the ability to effectively communicate through verbal interactions, discern auditory information, and visually perceive details to perform essential job functions.

Salary Range: $209,600 - $262,000

Location Requirement: Individuals must reside in the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Virginia, Washington (WA), Wisconsin.

Employment Authorization Requirement: Applicants must be authorized to work for any employer in the U.S. Alto Pharmacy, Fuze Health, LetsGetChecked, and Fuze Care Services can not take over, transfer, or sponsor any visa type at this time.

Full‑time employee benefits include: dental, vision, and multiple group medical plans to choose from, a 401(k) retirement savings plan, group life insurance, accidental death and dismemberment (AD&D) insurance, flexible spending account (FSA) and health savings account (HSA), commuter benefits, employer‑paid short‑term and long‑term disability insurance, and additional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, home health testing kits, and a fertility medication discount program). Employees are also provided 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, additional paid weeks for the birthing parent, 4 weeks paid caregiver leave, and a Lifestyle Spending Account allowance each month.

At Fuze Health, we are committed to fostering an inclusive environment that celebrates diversity in all its forms. We believe that the diversity of thought, background, and experience strengthens our teams and drives innovation. We are an equal‑opportunity employer and do not discriminate on the basis of race, ethnicity, religion, color, place of birth, sex, gender identity or expression, sexual orientation, age, marital status, military service status, or disability status. Our goal is to ensure that everyone feels valued and empowered to thrive.