D+H

Principal Software Engineer

D+H$130K — $155K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree or equivalent work experience
  • 10+ years of professional experience delivering and operating production software
  • Record of leading complex technical initiatives across multiple engineering or product teams
  • Demonstrated ability in delivering full stack solutions
  • Strong hands-on experience with distributed systems and RESTful APIs
  • Experience with relational data design, automated testing, and CI/CD practices
  • Excellent communication and technical judgment skills.

Responsibilities

  • Lead complex, multi-team initiatives from discovery through delivery and production operation.
  • Define architectures and roadmaps across various tech stacks and infrastructures.
  • Prototype, design, code, debug, review, and implement critical work.
  • Create alignment across teams with clear technical decisions.
  • Establish patterns and standards for consistent delivery.
  • Identify systemic risks related to security and performance.
  • Mentor engineers and technical leaders while influencing practices.

Benefits

  • Flexible work environment with hybrid model (2 days onsite per week)
  • Opportunities for professional development and learning
  • Collaborative culture that values adaptability and curiosity
  • Access to resources that empower associates to be their best
  • Commitment to pay transparency and equitable practices.
Full Job Description
Provide hands-on technical leadership for complex healthcare revenue cycle management solutions. You will lead initiatives across multiple product and engineering teams while staying close to architecture, code, data, user experience, infrastructure, and production operations.

This is an individual contributor role with broad influence. You will turn ambiguous customer and business problems into clear technical direction, align teams around practical solutions, and improve engineering effectiveness across the organization.

We value engineers who are curious, adaptable, and eager to learn and share what they discover. You will help multiple teams improve how they build software, including the responsible and effective use of AI-assisted development practices.

This is a hybrid position, expectation is 2 days a week onsite in Raleigh office

What you will do
  • Lead complex, multi-team initiatives from discovery through delivery and production operation.
  • Define architectures and roadmaps across databases, .NET services and APIs, Angular applications, integrations, AWS infrastructure, and deployment platforms.
  • Stay hands-on by prototyping, designing, coding, debugging, reviewing, and implementing critical or high-risk work.
  • Create alignment across teams by making technical decisions, tradeoffs, risks, dependencies, and evolution paths clear.
  • Establish shared patterns and standards that help teams deliver consistently without becoming a bottleneck.
  • Identify and address systemic risks in security, scalability, resilience, performance, data, cost, and developer experience.
  • Lead modernization of large or long-lived systems while protecting customer value and operational stability.
  • Set quality standards through design reviews, testing strategy, observability, incident learning, and operational readiness.
  • Mentor engineers and technical leaders and influence engineering practices without relying on direct authority.
  • Evaluate emerging technologies and AI-assisted development practices, establish useful patterns, and share guidance across teams.
  • Help teams learn from delivery and production feedback through documentation, technical discussions, demos, and communities of practice.
What you bring
Required
  • Bachelor's degree or equivalent work experience.
  • 10+ years of professional experience delivering and operating production software.
  • A record of leading complex technical initiatives across multiple engineering or product teams.
  • Demonstrated ability to deliver full stack solutions across relational data, backend services and APIs, Angular frontend applications, cloud infrastructure, and production operations.
  • Strong hands-on experience with distributed systems, RESTful APIs, and asynchronous messaging.
  • Strong experience with relational data design, automated testing, CI/CD, observability, security, and operational resilience.
  • Experience designing, deploying, and operating cloud applications and infrastructure, preferably on AWS.
  • Excellent communication, technical judgment, and ability to create alignment without direct reporting authority.
Preferred
  • Healthcare, revenue cycle management, EHR, or practice management experience.
  • HL7, FHIR, EDI, HIPAA, secure handling of regulated data, or other healthcare interoperability experience.
  • SQL Server, PostgreSQL, Redis, Snowflake, Docker, Kubernetes, Terraform, or CloudFormation.
  • Experience defining platform standards, reference architectures, or shared engineering capabilities.
  • Leadership of modernization, migration, integration, or re-platforming efforts.
  • CloudWatch, Datadog, Splunk, or similar observability tools.
  • Experience evaluating and using AI-assisted development tools such as GitHub Copilot, Claude Code, or Cursor with strong review, testing, and data-protection practices.
Technology environment

AWS, Azure, MSSQL, PostgreSQL, C#, .NET, TypeScript, Angular, OpenSearch, Snowflake, Docker, Terraform, GitHub Actions, Azure DevOps, Splunk, and GitHub. Experience with every technology is not required; strong fundamentals and the ability to learn are important.

Compensation for this job is subject to market conditions, geographic considerations, the candidate's unique skills and experience, state and local laws, and budget. Our commitment to pay transparency is a testament to our dedication to creating a fair, equitable, and inclusive workplace. By continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation practices reflect the value we place on our associates' unique contributions and support their professional growth.

Enhancing Lives and Building Careers

Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work and to further their professional development. Together, we are In the Network. Interested in learning more?

Take a look at our Culture, Benefits, Early Talent Program, and Additional Openings.

Visa Sponsorship is not offered for this position.

About D+H

D+H is committed to being the technology partner that financial services organizations trust and rely on to build deeper and more profitable relationships with their own customers. In 1875, when D+H was founded, They may have looked a lot different than we do today, but the core of that commitment – being a trusted provider to our customers – has never changed. They have remained committed to delivering solutions that power our customers’ businesses in increasingly competitive markets. They are proud of their strong and vibrant history - it drives their culture and the way they do business today.

Veradigm Careers

Joining Veradigm presents an unparalleled opportunity to advance a career in healthcare technology with a company at the forefront of innovation and leadership. Veradigm, a leader in providing cutting-edge healthcare solutions, offers a range of job opportunities designed to empower professional growth and personal achievement.

Explore Career Opportunities

Veradigm is actively hiring and seeks professionals who are passionate about making a significant impact in the healthcare industry. With a variety of positions available, from technical roles to customer support, Veradigm ensures that every team member can find a place to excel.

Internship Programs

Veradigm's internship programs offer a robust introduction to the healthcare technology sector, providing hands-on experience and valuable networking opportunities. Interns at Veradigm gain practical skills and knowledge, setting the stage for future employment in a dynamic and evolving industry.

Professional Growth and Development

Veradigm is committed to the professional growth of its employees, offering extensive training and development programs. These initiatives are designed to enhance skills and foster innovation, ensuring that every team member can achieve their career aspirations within the company.

Diversity and Inclusion

At Veradigm, diversity is celebrated and actively promoted through comprehensive diversity training programs. The company believes that a diverse team enriches the workplace culture and drives the innovation that Veradigm is known for.

Benefits and Culture

Employees at Veradigm enjoy a range of benefits that support both their professional and personal lives. The company culture emphasizes teamwork, leadership, and the well-being of its staff, creating an environment where individuals can thrive.

Applying for a Position

Candidates interested in joining Veradigm are encouraged to explore available job opportunities on the Veradigm Careers page. The application process typically involves submitting a resume, completing an interview, and demonstrating how one's skills and experiences align with the company's needs.

Stay Connected with Veradigm Jobs

To stay informed about new openings and company news, potential candidates can sign up for job alert emails. These updates provide insights into Veradigm and highlight how the company continues to lead and innovate within the healthcare sector.

Networking and Career Advancement

Veradigm supports a vibrant professional community where networking and peer interactions are encouraged. This community helps foster relationships that can lead to career advancement and continued employment opportunities within the company.

Join the Veradigm Team

Veradigm is looking for curious, creative, and solution-driven team players. Search open positions that match your skills and interests on the Veradigm Jobs portal and discover how you can contribute to a leader in healthcare technology.

READ CAREERS BLOG

Stay ahead with career tips, insider perspectives, and industry-leading insights you can put to use today—all from the people who work at Veradigm. Explore how Veradigm is shaping the future of healthcare and how you can be a part of this exciting journey.
Learn more about D+H
Industry
Founded
1875

Similar Jobs

More Jobs at D+H

More Healthcare Jobs

Find similar Principal Software Engineer jobs: