{bc}
Apply
paycor

Principal Engineer

Clinical Ink
Remote, USA
Full-time
Senior Level
Remote
Discovered 1 months ago

Full Job Posting

  • Own the backend and platform architecture: service boundaries, the modular/domain-aligned design, data flow, tenant isolation, and the public API surface the mobile app and integrations depend on.
  • Author and steward architecture and design records — intended-use statements, system/software requirements, ADRs — and keep them traceable through to verification. Make the architecture legible to everyone who builds on it.
  • Own the infrastructure and production-reliability backbone: infrastructure-as-code (Terraform), the AWS runtime (ECS Fargate, RDS), CI/CD pipelines, and the security posture (secrets, IAM, least-privilege, HIPAA controls).
  • Set the observability and operability bar: SLOs/SLIs and error budgets; metrics, traces, and logs (CloudWatch, Sentry, OpenTelemetry); actionable alerting; and a humane, well-designed on-call. Design systems to be operated, not just shipped.
  • Drive the build-vs-buy and significant-change decisions, and weigh each against phase impact (consumer → sponsor trials → SaMD).
  • Set the bar for correctness and safety as design inputs: scoring parity across implementations, idempotency and retries in integrations, encryption and least-privilege, and the controls that prove the code is right.
  • Go deep where it matters — design and build the hardest backend pieces yourself (services, data contracts, third-party adapters), and review the rest.
  • Multiply the team with AI-augmented workflows: design the agentic patterns, skills, and guardrails the team uses to build faster without lowering the bar.
  • Partner with the Director and regulatory/clinical stakeholders to turn product and compliance intent into a buildable, defensible technical plan.
  • Deep backend engineering experience (we use Python / FastAPI / SQLAlchemy / Postgres on AWS; equivalent depth in another modern stack transfers) and a track record of owning architecture for a non-trivial system.
  • Demonstrated ability to design distributed/service systems: API design, data modeling, async/eventing, integration patterns (OAuth, webhooks, retries, idempotency).
  • Owned production reliability for a real system — you’ve designed for observability, set SLOs, carried a pager, and made infrastructure/IaC calls (Terraform / AWS or equivalent). You treat “how it runs and how we know” as part of the architecture.
  • A genuine drive to build and ship — you bias toward working software and measurable impact, and you bring others with you.
  • Fluency with AI coding agents as part of how you work, plus the judgment to verify and own what they produce.
  • Clear technical writing — you make complex systems understandable to engineers, clinicians, and executives alike.
  • Health / regulated / safety-critical software (SaMD, IEC 62304, ISO 14971, HIPAA, FDA pathways).
  • Healthcare data and interoperability (FHIR, wearables — Withings / Polar / Whoop / Fitbit, Apple Health / Health Connect).
  • Data/analytics at scale (Snowflake, dbt, de-identification pipelines).
  • Mobile-adjacent experience (Flutter) or on-device scoring.

Apply for this job in 1 click

Skip the repetitive application forms

Install the Base Career Chrome Extension and autofill job applications across major job boards with your profile.

Sarah M.James T.Maya R.

Trusted by over 500,000 job seekers on Base Career

Start Free Today

More from this employer

More jobs at Clinical Ink

Director, Supply Chain and Logistics

Horsham, USA

Discovered 1 weeks agoFull-time

Billing & Collections Analyst

Philadelphia, USA

Discovered 1 weeks agoFull-time

Go-to-Market Strategist

, USA

Discovered 2 weeks agoFull-time

VP, eClinical Solutions Sales

, USA

Discovered 2 weeks agoFull-time

Director, Enterprise AI Governance and Strategy

, USA

Discovered 2 weeks agoFull-time

AI Engineer

, USA

Discovered 2 weeks agoFull-time

Product Owner

, USA

Discovered 2 weeks ago

Sr. Director, Business Development

, USA

Discovered 3 weeks agoFull-time