Overview
Job Description
This role requires 3-4 days onsite in Boston, MA.
About the Company
Centum Search is representing a healthcare startup focused on building technology that improves how care is delivered, accessed, and managed. Our platform helps healthcare providers, patients, and organizations make better decisions through modern software and data-driven insights.
Our engineering team is focused on building scalable systems that can support rapid growth while maintaining high standards for reliability, security, and compliance.
The Role
We are looking for a Principal Backend Software Engineer to lead the design and development of our core backend systems. This role will focus on building scalable services and data systems that power our healthcare platform.
As a senior technical leader, you will help define architecture, establish engineering best practices, and mentor engineers while remaining deeply hands-on in the codebase.
This role reports to the engineering leadership team and will work closely with product, infrastructure, and data teams.
Responsibilities
Design and build scalable backend services and APIs that power core healthcare applications
Define system architecture and make key technical decisions for backend systems
Develop reliable and secure systems that meet healthcare regulatory and compliance requirements
Improve system performance, scalability, and reliability as the platform grows
Collaborate with product managers, data teams, and other engineers to deliver new platform capabilities
Mentor engineers and contribute to technical leadership across the engineering team
Establish engineering best practices around code quality, testing, observability, and system design
Qualifications
8–12+ years of experience in software engineering, with a focus on backend development
Strong experience designing and building distributed systems and APIs
Expertise in one or more backend languages such as Python, Go, or Scala
Experience working with relational and non-relational databases
Strong experience with cloud platforms such as AWS, GCP, or Azure
Experience building and operating scalable systems in production environments
Ability to lead technical architecture while remaining hands-on
Preferred Qualifications
Experience working in healthcare, healthtech, or regulated environments
Familiarity with healthcare data standards such as FHIR or HL7
Experience with event-driven systems, microservices architecture, and distributed systems
Experience building secure systems that handle sensitive data (HIPAA-compliant systems)
Experience mentoring engineers or acting as a technical lead
What Youll Work On
Core backend platform services
Data infrastructure and integrations with healthcare systems
APIs used by clinicians, patients, and partners
Systems that support secure healthcare data exchange
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