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Salary
$222k – $240k per year
Location
Hybrid (Seattle, United States)
Seniority
Principal · 12+ years exp
Visa
No sponsorship (stated in the posting)

Confirmed on the employer's own hiring board on Oct 15, 2026. First seen by Alion on Oct 5, 2026. Truveta scores A on the Alion truth index.

Overview
Company
Impact
Profile match
Truveta is a healthcare data and analytics company headquartered in Bellevue, Washington, and founded in 2020. The company provides a platform that aggregates and de-identifies real-world clinical data from dozens of major US health systems to support medical research, clinical trials, and regulatory-grade evidence generation. It serves pharmaceutical companies, medical device manufacturers, and public health organizations by offering longitudinal patient records, clinical notes, and imaging data for therapeutic discovery and safety monitoring.

Principal Software Engineer - Clinical Analytics

Truveta is the world’s first health provider led data platform with a vision of Saving Lives with Data. Our mission is to enable researchers to find cures faster, empower every clinician to be an expert, and help families make the most informed decisions about their care. Achieving Truveta’s ambitious vision requires an incredible team of talented and inspired people with a special combination of health, software and big data experience who share our company values. 

This position is based out of our headquarters in the Greater Seattle area.#LI-hybrid  

Who We Need  

Truveta is building a diverse and inclusive team to tackle complex health and technical challenges. We are seeking enthusiastic new graduates who are problem-solvers, collaborative teammates, and eager to make a difference in healthcare. If you’re excited about purposeful work, joining a mission-driven team, and launching your career in a supportive environment, Truveta could be the perfect place to start. 

This Opportunity  

At Truveta, you'll help define how health systems use data to improve the quality of care. You'll work at the intersection of cloud services, analytical data platforms, and user experiences, setting the technical direction for technology that lets clinical and quality teams define, monitor, and act on the metrics that matter most. 

Health systems deserve modern, intuitive tools for measuring care quality, yet getting answers from large-scale clinical data still often takes specialized skills and long turnaround times. At Truveta, we are building a next-generation analytics platform that lets health systems securely explore their data, track performance over time, and drive measurable improvements in patient outcomes. 

We are seeking a Principal Engineer to lead the architecture and technical strategy of Truveta's clinical analytics platform. You will be both a hands-on builder and a force multiplier: designing the systems that power low-latency analytics and self-serve dashboarding, writing critical code, raising the engineering bar, and mentoring engineers across the organization. 

You will partner with Product, Design, Data, and Engineering leadership to translate the needs of health systems into a durable platform vision, then guide teams in delivering it. This role offers the opportunity to shape a foundational product area, tackle ambiguous and technically demanding problems, and make a meaningful impact on our mission of saving lives with data. 

Work Areas:  

  • Define the end-to-end architecture for clinical analytics: analytical data serving, metric definition and computation, and self-serve dashboarding and visualization for health systems. 
  • Make foundational design decisions on OLAP and analytical storage, data modeling, query performance, caching, and scalability for population-level health data. 
  • Design secure multi-tenant systems with strong data isolation, fine-grained access control, and auditability appropriate for sensitive health data. 
  • Determine how health systems define, customize, and share their own metrics and dashboards, balancing flexibility with governance, performance, and cost. 
  • Build and prototype critical components, set technical standards, and lead design and code reviews across teams. 
  • Mentor and grow engineers, and partner with other engineering leaders to align roadmaps and reduce technical risk across the broader Truveta data platform. 
  • Establish engineering practices for reliability, observability, and operational excellence in production analytics services. 

Key Qualifications  

  • BS/MS degree in Computer Science, Software Engineering, or a related technical field, or equivalent practical experience. 
  • 12+ years of experience designing, building, and operating large-scale software systems, with a track record of technical leadership on complex, multi-team initiatives. 
  • Deep experience with data, OLAP, or analytics technologies, including analytical databases, BI and dashboarding platforms, and data modeling for high-performance reporting workloads. 
  • Strong backend engineering expertise in .NET (C#), Python, or a similar language, including REST APIs, microservices, distributed systems, and cloud-native architectures on platforms such as Azure. 
  • Demonstrated ability to make and communicate sound architectural tradeoffs, and to drive alignment among engineering, product, and executive stakeholders. 
  • Proven experience mentoring engineers and raising the technical capability of a team. 
  • Strong communication skills, including the ability to write clear technical design documents and explain complex systems to diverse audiences. 

Preferred Qualifications

  • Experience building embedded analytics, self-serve BI, or data-driven products for technical or business users. 
  • Experience with multi-tenant architectures, including row-level security and tenant isolation, in regulated or sensitive-data environments. 
  • Familiarity with healthcare data, clinical quality measures, or health informatics. 
  • Experience with containerized deployments, infrastructure as code, and operating high-availability production services. 
  • Experience applying AI or natural-language interfaces to analytics and data exploration. 

Why Truveta?  

Be a part of building something special. Now is the perfect time to join Truveta. We have strong, established leadership with decades of success. We are well-funded. We are building a culture that prioritizes people and their passions across personal, professional and everything in between. Join us as we build an amazing company together. 

We Offer:  

  • Interesting and meaningful work for every career stage 
  • Great benefits package 
  • Comprehensive benefits with strong medical, dental and vision insurance plans 
  • 401K plan 
  • Professional development & training opportunities for continuous learning 
  • Work/life autonomy via flexible work hours and flexible paid time off 
  • Generous parental leave 
  • Regular team activities (virtual and in-person) 
  • The base pay for this position is $222,000 to $240,000. The pay range reflects the minimum and maximum target. Pay is based on several factors including location and may vary depending on job-related knowledge, skills, and experience. Certain roles are eligible for additional compensation such as incentive pay and stock options. 

If you are based in California, we encourage you to read this important information for California residents linked here.  

Truveta is committed to creating a diverse, inclusive, and empowering workplace. We believe that having employees, interns, and contractors with diverse backgrounds enables Truveta to better meet our mission and serve patients and health communities around the world. We recognize that opportunities in technology historically excluded and continue to disproportionately exclude Black and Indigenous people, people of color, people from working class backgrounds, people with disabilities, and LGBTQIA+ people. We strongly encourage individuals with these identities to apply even if you don’t meet all of the requirements. 

Please note that all applicants must be authorized to work in the United States for any employer as we are unable to sponsor work visas or permits (e.g., F-1 OPT, H- 1B) at this time. We appreciate your interest in the position and encourage you to explore future opportunities with us.  

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