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Salary
≈ $132k – $257k per year (Estimated)
Location
Remote (United States, UTC-6 – UTC-5 hours)
Seniority
Principal · 8+ years exp
Employment
Full-Time

Confirmed on the employer's own hiring board on Oct 2, 2026. First seen by Alion on Sep 28, 2026. HHAeXchange scores B on the Alion truth index.

Overview
Company
Impact
Profile match
HHAeXchange is a comprehensive homecare software solution that connects different stakeholders in the homecare industry, including providers, state Medicaid programs, managed care organizations (MCOs), and caregivers. It offers a platform that ensures efficiency, communication, transparency, and compliance in managing homecare services. With tools for EVV (Electronic Visit Verification), billing, payroll, scheduling, and a caregiver mobile app, HHAeXchange improves care outcomes and operational efficiency.

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.

The Principal Software Engineer will play a critical role in designing, developing, and implementing advanced healthcare solutions, including transaction processing systems, integrations with industry standards (HL7, FHIR, EDI), and data management platforms. As a key leader of our engineering team, you will collaborate with cross-functional teams to guide the technical strategy, deliver scalable, secure, and high-performance solutions. You will also mentor junior engineers, provide technical oversight, and ensure the team is aligned with the overall strategic vision.You are responsible for ensuring that all software developed by one or more teams at HHA meets our standards for quality, performance, scalability, availability and security by working alongside team members to develop innovative solutions to customer problems.

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 position is open for candidates who are located within the EST or CST time zones within the US only.

Essential Job Duties

  • Hands-on Development: Contribute directly to the development of key platform features and components as an individual contributor, ensuring alignment with overall project goals.
  • Leadership in Design: Lead the end-to-end design and development of advanced healthcare software systems, ensuring they are scalable, reliable, secure, and high-performing.
  • Architect Healthcare Solutions: Design and implement solutions for healthcare transaction processing that comply with industry standards, including EDI, HL7, and FHIR.
  • Team Enablement and Prioritization: Clearly communicate priorities and expectations to the team, ensuring they have the support and resources to complete their work effectively.
  • Quality Ownership: Take full ownership of the quality of all team-delivered features, ensuring they meet both functional and non-functional requirements with well-thought-out designs.
  • Drive Architectural Innovation: Identify gaps or areas for improvement in existing patterns. Promote a culture of experimentation and innovation by encouraging the exploration of new technologies, tools, and methodologies that can drive competitive advantages.
  • Stakeholder Engagement: Act as the primary technical liaison for executive stakeholders, ensuring clear communication and alignment between engineering and business strategies.
  • Risk Management: Identify potential technical risks early in the development lifecycle and implement strategies to mitigate them, ensuring that projects remain on track and within scope.
  • Cross-Functional Collaboration: Partner with Product Managers, Product Owners, and other stakeholders to define project scope, assess feasibility, and translate business needs into robust technical solutions.
  • Technical Mentorship: Act as a senior technical resource, providing guidance, mentorship, and leadership to engineering teams, cultivating a culture of innovation, accountability, and excellence.
  • Stay Ahead of Industry Trends: Continuously monitor emerging healthcare technologies and trends, recommending cutting-edge solutions to maintain a competitive edge.

Other Job Duties

  • Other duties as assigned by supervisor or HHAeXchange leader.

Travel Requirements

  • Travel up to 10%, including overnight travel.

Required Education, Experience, Certifications and Skills

    • B.S. or M.S. degree in Computer Science, Engineering, or similar field, or a related field, or equivalent significant industry experience.
    • 8+ years of experience in software engineering within a software product company, with a focus on developing scalable, high-performance systems.
    • Extensive experience architecting, building and delivering complex, high-performance SaaS solutions deployed in cloud environments (AWS or similar) using microservices and serverless architectures.
    • 5+ years of hands-on experience in the healthcare industry, particularly in developing products for healthcare transactions. Must have strong experience with healthcare interoperability standards such as FHIR and HL7.
    • Proficient in modern programming languages such as Java, C#, and Python (preferred), with experience in building and maintaining high volume production-grade solutions.
    • Solid understanding of database systems, both relational (SQL Server, PostgreSQL) and NoSQL.
    • Proven leadership skills with experience mentoring and guiding engineering teams, fostering a culture of excellence and collaboration.
    • Experience with Agile methodologies and DevOps practices.
    • Strong analytical and problem-solving skills with a track record of delivering innovative, practical solutions.
    • Excellent verbal and written communication skills, with the ability to articulate complex technical concepts clearly to both technical and non-technical stakeholders.
    • Highly beneficial if you can speak Mirth fluently - Experience with Mirth Connect used in healthcare interoperability
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