Fuze Health, Inc. logo

Principal Engineer

Job Overview

Location

Remote, United States

Job Type

Full-time

Category

Software Engineering

Date Posted

June 3, 2026

Full Job Description

đź“‹ Description

  • • As a Principal Engineer at Fuze Health/FuzeRx, you are a top-tier technical leader and individual contributor who drives the overarching technical vision and architectural strategy across the engineering organization, reporting to the VP of Engineering and operating across multiple product squads to guide the design and execution of mission-critical systems.
  • • You will define and evolve the target architecture for FuzeRx’s core B2B and consumer platforms, lead the design and implementation of technically challenging initiatives like high-volume API integrations and distributed data consistency, and establish engineering standards across coding guidelines, testing frameworks, CI/CD pipelines, and security-by-design principles.
  • • You will serve as a mentor and force multiplier for Staff, Senior, and Mid-level engineers, elevate engineering culture through design reviews and technical brown-bags, and collaborate deeply with Product Management, Engineering Managers, and Pharmacy Operations to align technical architectures with business goals and clinical requirements.
  • • You will partner with InfoSec to ensure HIPAA and SOC2 compliance, spearhead performance and reliability optimizations in PostgreSQL and AWS infrastructure, and continuously evaluate new tools and frameworks via proof-of-concepts to improve the FuzeRx ecosystem.

🎯 Requirements

  • • Bachelor’s degree in Computer Science, Software Engineering, or a related technical discipline
  • • 10+ years of progressive, hands-on experience in software engineering and systems design, with 3+ years at a Staff, Principal, or equivalent senior architectural level driving technical initiatives across multiple teams
  • • Mastery of modern cloud architectures and demonstrable, deep, hands-on expertise in AWS, PostgreSQL, Ruby on Rails, Python, and TypeScript/JavaScript

🏖️ Benefits

  • • Dental, vision, and multiple group medical plans to choose from
  • • 401(k) retirement savings plan, group life insurance, accidental death and dismemberment (AD&D) insurance, flexible spending account (FSA) and health savings account (HSA)
  • • Employer-paid short-term (STD) and long-term disability (LTD) insurance, commuter benefits, and additional supplemental insurance plans (spouse life insurance, legal insurance, employee assistance program, home health testing kits, fertility medication discount program)
  • • Flexible vacation time, accrued paid sick time, 10 paid holidays, (2 floating holidays for full-time non-exempt employees), eight weeks of paid parental leave for eligible employees, additional paid weeks for the birthing parent, 4 weeks paid caregiver leave, and a monthly Lifestyle Spending Account allowance

Skills & Technologies

Python
JavaScript
TypeScript
Ruby
Rails
Senior
Remote
$209k-262k
Degree Required

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Fuze Health, Inc. logo
Fuze Health, Inc.
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About Fuze Health, Inc.

Fuze Health provides a cloud-based platform that integrates electronic health records, practice management, and patient engagement tools for ambulatory medical practices and behavioral health providers. The software streamlines scheduling, billing, documentation, telehealth, and analytics, enabling clinicians to reduce administrative burden and improve care coordination across multiple specialties. HIPAA-compliant and ONC-certified, the system supports interoperability via HL7 and FHIR APIs, offering real-time dashboards, customizable templates, secure messaging, and mobile access to enhance clinical workflows and patient outcomes.

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