Principal Software Engineer

NxT Level

$250K — $275K *
Healthcare
11 - 15 years of experience
Job Overview by Ladders

Qualifications

  • 15+ years of software engineering experience with a strong technical breadth and depth
  • Proven track record in delivering complex, high-impact enterprise SaaS projects across multiple teams
  • Ability to define and execute technical vision and strategy at scale
  • Expertise in TypeScript, Python, GraphQL, and PostgreSQL
  • Experience incorporating AI coding assistants for productivity enhancements
  • Strong fundamentals in full-stack development, system design, and cloud infrastructure (AWS preferred)
  • Familiarity with CI/CD, Docker, Kubernetes, and DevOps practices
  • Strong project leadership in planning, risk management, and execution

Responsibilities

  • Architect and design scalable and high-performance systems
  • Own the technical design and delivery of multi-system projects
  • Set coding standards and core libraries across teams
  • Translate strategic objectives into technical roadmaps and execute them
  • Partner with product and business leaders to drive technical decisions
  • Anticipate risks and proactively mitigate them
  • Champion the adoption of AI coding tools to enhance developer productivity
  • Mentor senior engineers and influence cross-team initiatives

Benefits

  • Impact at an enterprise scale in a healthtech company addressing healthcare inefficiencies
  • Opportunity for true principal-level responsibilities with a focus on architecture and hands-on execution
  • Leverage AI-assisted development to improve engineering processes
Full Job Description
Principal Engineer (AI-Augmented Full-Stack, Platform Leadership)

Location: New York City (Hybrid/Onsite as applicable)
Compensation: $250,000 - $275,000 + equity

The Role

Our client is hiring a Principal-level Engineer to drive transformative impact across their platform and product engineering organization. This is a senior technical leadership role for someone who can solve ambiguous, cross-team problems, define architectural standards, and shape technical direction-while still being highly hands-on.

You'll lead and execute multi-system technical roadmaps tied to business outcomes, act as a force multiplier for the org, and champion AI-augmented development practices to improve engineering velocity and quality.

What You'll Do

Technical Leadership
  • Architect and design systems affecting large portions of the business with strong focus on scalability, maintainability, and performance
  • Own technical design and delivery of complex, multi-system projects and critical infrastructure
  • Set direction on code standards, system patterns, and core libraries used across teams
  • Drive substantial improvements in platform stability, performance, and scalability

Strategic Impact
  • Translate strategic objectives into clear technical roadmaps and deliver them end-to-end
  • Partner cross-functionally with product and business leaders to influence technical and business decisions
  • Anticipate risks in major initiatives and proactively mitigate them
  • Facilitate cross-team alignment and drive decisions across groups with competing priorities

AI-Augmented Development
  • Champion adoption of AI coding tools (e.g., Claude Code, GitHub Copilot, Cursor) to improve developer velocity
  • Establish best practices for AI-assisted code generation, review, and refactoring
  • Integrate AI tools into the engineering lifecycle and measure productivity improvements

Mentorship & Influence
  • Mentor senior engineers and serve as a force multiplier across the organization
  • Influence without formal authority and drive adoption of cross-team technical initiatives

Tech Stack (Core)
  • TypeScript, Python, GraphQL, PostgreSQL
  • Cloud infrastructure: AWS preferred
  • DevOps/CI/CD + containerization: Docker, Kubernetes

What Our Client Is Looking For

Required
  • 15+ years of software engineering experience with strong technical breadth and depth
  • Track record delivering complex, high-impact projects spanning multiple teams in enterprise SaaS environments
  • Proven ability to define and execute technical vision and strategy at scale
  • Expert proficiency in TypeScript, Python, GraphQL, and PostgreSQL
  • Experience adopting AI coding assistants and improving team productivity through their use
  • Strong full-stack, system design, and cloud fundamentals (AWS preferred)
  • Experience with CI/CD, containerization (Docker/Kubernetes), and DevOps practices
  • Strong program/project leadership: planning, risk mgmt, milestones, rollout, and maintenance
  • Excellent communication and ability to influence across stakeholders without formal authority

Preferred
  • Healthcare technology experience and familiarity with compliance standards (HIPAA / HITRUST)
  • Track record building and deploying user-facing AI products, or deploying/integrating AI/ML models
  • Domain familiarity with medical billing, healthcare administration, or clinical workflows
  • Open source contributions or technical publications

Why This Role
  • Enterprise-scale impact in a mission-driven healthtech environment tackling massive healthcare waste
  • True principal scope: multi-team architecture leadership + hands-on execution
  • Direct leverage: improving the platform while upgrading how the engineering org ships using AI-assisted development practices

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