The Role
Lead technical direction for the ControlCheck team, design cross-domain systems (frontend, backend, infra), drive architectural decisions for Ruby on Rails and FastAPI services, de-couple and scale microservices, debug distributed systems, mentor senior engineers, coordinate cross-team dependencies, and influence engineering roadmaps without direct people management.
Summary Generated by Built In
At Bluesight, our mission is to create groundbreaking solutions that increase efficiency, safety and visibility for health systems, hospital pharmacy, and pharmaceutical manufacturers. We empower our customers to deliver the right medicine to the right patient at the right time, every time. We are a high growth healthcare information technology company with a start-up 'vibe' but over 3,000 customers using our proven solutions.
Bluesight is looking for a Staff Software Engineer to help us redefine and grow our suite of healthcare data products in support of the company's mission of powering hospital and pharmacy operations. Our hospital and pharmacy customers rely on us to keep their patients safe and their pharmacies running smoothly while delighting them with every release. Through our controlled substance tracking platform, we're committed to improving medication management and compliance for our nation's healthcare providers — and our data operations and products are the backbone of that mission.
As a Staff Software Engineer on the ControlCheck team, you'll help lead technical direction — contributing to critical architectural decisions, elevating the team's collective technical execution, and driving cross-team initiatives that extend beyond any single feature or sprint. This is a technical leadership role, not a people-management one: your impact is measured by how much you help multiply the team around you, not just what you personally ship.
You can expect to
- Help set technical direction for the ControlCheck team, designing work that spans multiple domains (front-end, back-end, infrastructure) over months, not sprints
- Contribute to critical architectural decisions for services built on Ruby on Rails and Python FastAPI, deployed via Terraform and guide the team on architectural choices.
- Make critical technical and architectural calls within the timelines the team needs.
- Drive proactive de-coupling of services and application of sound microservices patterns as ControlCheck scales.
- Identify and resolve the hardest technical problems in the codebase — expert-level debugging across distributed systems and complex applications
- Help elevate the whole team's technical ability and execution — the goal is doubling (or more) the team's collective output, not just personal 5–10x contributions
- Lead cross-team dependency management and coordinate cross-discipline efforts with Product, QA, and adjacent engineering teams while maintaining productive relationships across the organization.
- Communicate large systems and technical tradeoffs clearly to both engineering and non-technical stakeholders, including in roadmap and planning conversations
- Influence at the Engineering Manager level — partner closely with your EM and fellow technical leads on team execution, hiring signal, and technical roadmap and provide technical guidance across the broader engineering team, not just direct collaborators.
- Mentor senior engineers and serve as an escalation point for the team's most difficult technical challenges
- Maintain a "customer service" mentality toward the rest of the team — your job is to help make everyone else's work better
Qualifications and Requirements
- 9+ years of professional software engineering experience, with demonstrated depth across the full stack
- Acute specialization in one or more areas (front-end, back-end, or infrastructure) combined with working knowledge across the rest of the stack
- Track record of contributing to technical direction for a team and driving multi-month, cross-domain initiatives to completion
- Strong understanding of relational database systems (MySQL), with experience designing for scale
- Experience with Infrastructure as Code (Terraform) and owning production services end-to-end
- Demonstrated ability to influence architectural decisions across multiple teams, not just your own including long-term architectural direction.
- Excellent communication skills — able to describe large systems and complex tradeoffs to non-technical stakeholders and drive alignment across teams
- A leadership style rooted in service and collaboration: you measure your success by the team's output, not just your own
- Experience mentoring senior engineers and building technical judgment in others
- Comfortable co-leading technical direction alongside other senior technical voices on the team
- Database administration experience, preferably AWS Aurora MySQL
- Experience integrating Electronic Health Record (EHR) data into enterprise software
- Prior experience in a regulated/compliance-driven healthcare or controlled-substance domain
- Experience applying AI and LLMs — AWS ecosystem preferred (e.g., AWS Bedrock or similar managed AI services)
Nice to Have
What you'll get from us
- Ownership of problems of scale, technical debt, and security that shape what's possible in medication intelligence
- Room to be creative and choose your own path
- Trust in your sense of ownership
- Dedicated budget for training and career development
- Coworkers who you'll learn from, who will push you, and who are looking to learn from you
This position is a remote position and open to applicants in the continental United States.
Why Bluesight?
Bluesight’s culture is built on innovation and teamwork. There’s room to grow and opportunities to take initiative. You will partner with sharp, motivated teammates looking to disrupt a massive industry—and have fun doing it. We truly believe that where you work and what you do matters. Join us as we revolutionize the hospital pharmacy landscape!
-Competitive salary
-Time off when you need it – unlimited vacation days!
-Generous insurance coverage
-401k program with a company match
-Fun, collaborative culture!
EOE AA M/F/VET/Disability
All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of race, religion, color, national origin, sex, protected veteran status, disability, or any other basis protected by federal, state or local laws.
Skills Required
- 9+ years of professional software engineering experience with demonstrated full-stack depth
- Acute specialization in one or more areas (front-end, back-end, or infrastructure) with working knowledge across the stack
- Track record of contributing to technical direction and driving multi-month, cross-domain initiatives to completion
- Strong understanding of relational database systems (MySQL) and experience designing for scale
- Experience with Infrastructure as Code (Terraform) and owning production services end-to-end
- Demonstrated ability to influence architectural decisions across multiple teams and define long-term architecture
- Excellent communication skills; able to describe large systems and tradeoffs to non-technical stakeholders
- Leadership style rooted in service and collaboration, focused on elevating team output
- Experience mentoring senior engineers and building technical judgment in others
- Comfortable co-leading technical direction alongside other senior technical voices
- Experience with Ruby on Rails and Python FastAPI (architecting or contributing to services built on these frameworks)
- Database administration experience, preferably AWS Aurora MySQL
- Experience integrating Electronic Health Record (EHR) data into enterprise software
- Prior experience in a regulated/compliance-driven healthcare or controlled-substance domain
- Experience applying AI and LLMs, AWS ecosystem experience (e.g., AWS Bedrock)
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The Company
What We Do
Bluesight solves supply chain inefficiencies and reduces risk by using AI and machine learning to surface actionable analytics for every step of the medication lifecycle. Through our suite of Medication Intelligence™ solutions, Bluesight brings simplicity, visibility, and predictability to the complex world of medication management. More than 1,600 U.S. and Canadian hospitals utilize Bluesight solutions to optimize their hospital’s pharmacy practices by improving efficiency, reducing medication costs, and increasing compliance and safety.
