The Role
Lead design, architecture, and hands-on implementation of scalable healthcare SaaS systems. Drive interoperability (HL7, FHIR, EDI), mentor engineers, liaise with stakeholders, manage technical risk, and ensure quality, performance, security, and innovation.
Summary Generated by Built In
HHAeXchange is the leading technology platform for home and community-based care. Founded in 2008, HHAeXchange was born out of an idea to create a fully comprehensive end-to-end homecare solution to help people who are aging or have disabilities thrive in their homes and communities. Our employees are passionate about transforming the healthcare space by building the only homecare ecosystem that fully connects patients, personal care providers, managed care organizations, and states.
We are seeking a Principal Software Engineer to lead the design, development, and maintenance of our enterprise web application platform. This role requires a senior technical leader who can drive scalable, secure, and accessible solutions, mentor engineering teams, and collaborate with cross-functional stakeholders to deliver high-quality software in the healthcare domain.
The ideal candidate combines hands-on technical expertise with strategic vision, embraces best practices for security and accessibility, and is passionate about building systems that are reliable, compliant, and innovative.
To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
This is a fully remote opportunity for candidates located in the EST or CST time zones within the US only.
Essential Job Duties
- Hands-on Development: Contribute as a senior individual contributor to the development and maintenance of critical enterprise web platform components, ensuring adherence to architectural standards, security best practices, and accessibility guidelines.
- Technical & Architectural Leadership: Lead the end-to-end design, implementation, and evolution of enterprise-scale web systems that are scalable, reliable, secure, high-performing, and compliant with healthcare and accessibility standards.
- Technical Strategy & Prioritization: Define and drive technical priorities, standards, and expectations. Ensure teams have the guidance, tooling, and frameworks needed to deliver consistently secure and accessible solutions.
- Quality, Security & Accessibility Ownership: Own system-wide quality attributes, including performance, reliability, security, and accessibility. Establish design reviews, code reviews, and validation practices to meet both functional and non-functional requirements.
- Architectural Innovation & Governance: Identify architectural gaps and modernization opportunities. Introduce and govern new technologies, patterns, and practices that improve scalability, security posture, and accessibility compliance.
- Stakeholder Engagement: Act as a primary technical advisor to stakeholders, aligning engineering decisions with business strategy, risk management, security policies, and accessibility objectives.
- Risk Management: Proactively identify technical and operational risks, define mitigation strategies, and guide teams through complex trade-offs to maintain system stability, compliance, and delivery timelines.
- Cross-Functional Collaboration: Partner with Product Managers, Product Owners, UX/UI teams, and other stakeholders to define scope, assess feasibility, and translate business requirements into robust, scalable, secure, and accessible technical solutions.
- Technical Mentorship: Serve as a senior technical authority, mentoring engineers, shaping architectural decisions, and raising the engineering bar across teams through influence and example.
- Industry Awareness: Stay current with emerging technologies, healthcare standards, accessibility guidelines (WCAG, ADA), and security best practices. Recommend forward-looking solutions to maintain a strong competitive and compliance advantage.
Other Job Duties
- Other duties as assigned by supervisor or HHAeXchange leader.
Travel Requirements
- Travel up to 10%-25%, including overnight travel
Required Education, Experience, Certifications and Skills
- Bachelor's or master's degree in Computer Science, Engineering, or a related field, or equivalent significant industry experience.
- 8+ years of professional software engineering experience, with deep expertise in full-stack enterprise web application development within a product-focused organization.
- Proven experience architecting, building, and delivering large-scale, high-performance, and highly available SaaS platforms.
- 5+ years of experience in the healthcare domain, with strong understanding of healthcare systems, data privacy, and regulatory compliance requirements.
- Strong hands-on experience with cloud platforms (AWS), including microservices, serverless architectures, and cloud-native design patterns.
- Hands-on experience with modern web frameworks and platforms, including Angular, ASP.NET, and Node.js.
- Proficiency in C#/.NET and Python, with a track record of building and operating high-volume, production-grade web services.
- Solid understanding of data storage technologies, including relational databases (PostgreSQL, SQL Server) and NoSQL systems, with the ability to diagnose and resolve performance and scalability bottlenecks.
- Experience with containerization and orchestration technologies such as Docker and Kubernetes.
- Strong understanding of application security, identity and access management, and secure coding practices, with experience building compliant systems (HIPAA, OWASP).
- Familiarity with accessibility standards (WCAG, ADA) and building inclusive, accessible web applications at enterprise scale.
- AI-Driven Development: Utilize modern AI tools (e.g., CursorAI, GitHub Copilot) to accelerate development, refactoring, and documentation while maintaining code integrity.
- Exposure to AI/ML-enabled solutions particularly within healthcare or patient-care workflows.
- Excellent troubleshooting and debugging skills across complex, distributed systems.
- Experience working in Agile environments and driving DevOps practices, including CI/CD, observability, and operational excellence.
- Proven technical leadership with a strong track record of mentoring engineers and influencing architectural decisions across teams.
- Strong analytical and problem-solving skills, capable of delivering pragmatic, scalable, and innovative solutions.
- Excellent verbal and written communication skills, able to clearly articulate complex technical concepts to both technical and non-technical stakeholders.
- Curiosity and ownership mindset, with a passion for understanding complex codebases and continuously improving system design and quality.
- Willingness to explore and adopt AI tools responsibly to enhance productivity and innovation in your role
The base salary range for this US-based, full-time, and exempt position is $165,000-180,000/yr, not including variable compensation. An employee’s exact starting salary will be based on various factors including but not limited to experience, education, training, merit, location, and the ability to exemplify the HHAeXchange core values.
This is a benefits-eligible position. HHAeXchange offers competitive health plans, paid time-off, company paid holidays, 401K retirement program with a Company elected match, including other company sponsored programs.
HHAeXchange is an equal-opportunity employer. The Company offers employment opportunities to all applicants and employees without regard to race, color, religion, national origin, sex, sexual orientation, gender identity or expression, age, disability, medical condition, marital status, veteran status, citizenship, genetic information, hairstyles, or any other status protected by local or federal law.
Skills Required
- B.S. or M.S. in Computer Science, Engineering, or equivalent industry experience.
- 8+ years of software engineering experience in a software product company.
- Extensive experience architecting, building, and delivering complex SaaS solutions in cloud environments (AWS or similar).
- Experience with microservices and serverless architectures.
- 5+ years hands-on healthcare industry experience and strong experience with FHIR and HL7 interoperability standards.
- Experience with EDI and healthcare transaction processing.
- Proficiency in modern programming languages: Java (required).
- Proficiency in modern programming languages: C# (required).
- Experience with Python (preferred).
- Solid understanding of relational (SQL Server, PostgreSQL) and NoSQL database systems.
- Proven leadership and mentoring experience guiding engineering teams.
- Experience with Agile methodologies and DevOps practices.
- Strong verbal and written communication skills.
- Experience building and maintaining high-volume, production-grade solutions.
- Experience with Mirth Connect (highly beneficial).
- Willingness to explore and adopt AI tools responsibly to enhance productivity.
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The Company
What We Do
At HHAeXchange, we believe that healthcare should be simple, effective, and transparent. Since 2008, HHAeXchange has been at the forefront of delivering better homecare by helping payers and providers achieve operational efficiency, increase compliance, and improve patient outcomes. Today, HHAeXchange is the premiere homecare management software for the Medicaid LTSS population. Our acquisition of Annkissam, a leading provider of enterprise software for self-direction services, allows us to deliver the most complete, end-to-end homecare management solution in the market. We act as the single source of truth in connecting providers, payers, and members through our intuitive web-based platform, enabling unparalleled communication, transparency, and visibility.
