Principal Software Engineer

Principal Software Engineer

Job Category

Information Technology

Requisition Number

PRINC006543

Posting Details

Posted

July 22, 2026

Full-Time

Remote

LocationsShowing 1 location

Remote

Remote, USA

Job Details

Description

Position

Principal Software Engineer

As Principal Software Engineer at Monogram Health, this role will be responsible for technical oversight for the design, build, and maintenance of applications and services that power clinical workflows and patient engagement, including APIs, background services, and web applications within the Azure ecosystem.

The Principal Engineer is the most senior individual contributor in the engineering organization, serving as the technical conscience and visionary for engineering at Monogram Health. They set the technical direction for the organization, drive innovation, and operate as a trusted advisor to executive leadership on technology strategy. Principal Engineers have outsized impact - shaping how the entire engineering team builds, operates, and evolves systems. They lead by influence, not authority, and are accountable for the long-term health of the technology platform.

Responsibilities

Sets the technical vision and long-term architecture strategy for the engineering organization

Serves as the highest individual contributor authority on technology decisions, platform direction, and engineering excellence

Partners with executive leadership (VP, SVP, CTO) to align technology strategy with business objectives — bridging technical and business domains to drive decisions

Drives organization-wide initiatives — platform modernization, build-vs-buy decisions, technical debt reduction, and innovation programs

Evaluates emerging technologies and industry trends; determines applicability and leads adoption where valuable

Coaches and develops Staff and Senior Engineers; raises the bar for technical leadership and hiring standards across the organization

Establishes governance frameworks for architecture, security, data, and operational practices; represents engineering in vendor, partner, and industry evaluations

Leads post-incident reviews and drives systemic improvements to reliability, security, and operational resilience

Champions AI-assisted development practices across the engineering organization; evaluates tools, defines usage patterns, and drives adoption to improve velocity and quality at scale

Participates in a shared on-call rotation to support production reliability and patient safety; on-call rotates across the team and volume is generally low

Position Requirements

Bachelor's degree in Computer Science, Engineering, Information Technology, or a related field — or equivalent practical experience; Master's or advanced degree strongly preferred

Minimum of ten (10) years of professional engineering experience with significant time in senior technical leadership roles

Proficiency in one or more backend languages/frameworks (e.g., .NET Core/C#, Node.js, Python, Java)

Experience building and consuming RESTful APIs, microservices, and event-driven architectures

Experience with Azure cloud services (App Services, Functions, Service Bus, Key Vault)

Proficiency with relational databases (SQL Server, Azure SQL) and ORM frameworks

Working knowledge of Git, Azure DevOps, CI/CD pipelines, and automated testing practices

Expert-level proficiency across multiple domains — software, data, infrastructure, security, or platform engineering

Proven track record of setting technical vision and strategy that drove measurable business outcomes

Extensive experience leading cross-organizational technical initiatives and influencing without direct authority

Demonstrated experience leveraging AI-assisted development tools and workflows to improve engineering velocity and quality

Demonstrated communication skills — able to present to executives, influence peers, and mentor at all levels

Advanced understanding of healthcare technology, compliance requirements (HIPAA, HITRUST, SOC2), and regulatory environments preferred

Experience scaling engineering organizations and practices in high-growth or complex environments

Familiarity with healthcare interoperability standards (HL7, FHIR) preferred

Benefits

Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts

Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources

Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave

Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts

About Monogram Health

Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.

Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.

Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.