Principal Software Engineer

About Veradigm

Veradigm is a healthcare data and technology company that connects providers, payers, and life sciences around the patient. Our Health Network Architecture (HNA) brings clinical, financial, and administrative data together across our EHR, practice management, revenue cycle, and patient engagement products, so a capability built once can serve every practice we support. Our products, including Practice Fusion, Veradigm EHR, Veradigm Practice Management, and FollowMyHealth, are used by thousands of independent practices and millions of patients.

About the role

This is an individual contributor role with broad influence. You will lead initiatives across multiple product and engineering teams while staying close to architecture, code, data, user experience, infrastructure, and production operations. You will turn ambiguous customer and business problems into clear technical direction, align teams around practical solutions, and improve engineering effectiveness across the organization.

We measure success by outcomes, not output. You will partner with product managers and designers to understand the problem and weigh in on feasibility before committing to a solution, test ideas early with customers and data, and judge results by whether they make a real difference for patients, practices, and partners. Shipping a feature is a step, not the goal.

We hold an unreasonably high bar for excellence. That means clear success criteria, designs and code that others can build on, systems that stay secure and reliable in production, and the discipline to simplify or stop work that is not delivering.

We value engineers who are curious, adaptable, and eager to learn and share what they discover. You will help multiple teams improve how they build software, including the responsible and effective use of AI-assisted development practices.

About the team

You will join the Patient Engagement group, which builds the tools patients use to schedule, check in, message their care team, pay their bill, and understand their care journey. You will work across existing and new patient engagement offerings; all integrated with our EHR products.

What you will do

• Lead complex, multi-team initiatives from discovery through delivery and production operation.
• Define architectures and roadmaps across databases, applications, integrations, cloud infrastructure, and deployment platforms.
• Stay hands-on by prototyping, designing, coding, debugging, reviewing, and implementing critical or high-risk work.
• Create alignment across teams by making technical decisions, tradeoffs, risks, dependencies, and evolution paths clear.
• Establish shared patterns and standards that help teams deliver consistently without becoming a bottleneck.
• Identify and address systemic risks in security, scalability, resilience, performance, data, cost, and developer experience.
• Lead modernization of large or long-lived systems while protecting customer value and operational stability.
• Set quality standards through design reviews, testing strategy, observability, incident learning, and operational readiness.
• Mentor engineers and technical leaders and influence engineering practices without relying on direct authority.
• Evaluate emerging technologies and AI-assisted development practices, establish useful patterns, and share guidance across teams.
• Help teams learn from delivery and production feedback through documentation, technical discussions, demos, and communities of practice.

What you bring

Required

• Bachelor's degree or equivalent work experience.
• 10+ years of professional experience delivering and operating production software.
• A record of leading complex technical initiatives across multiple engineering or product teams.
• Demonstrated ability to deliver full-stack solutions across relational data, backend services and APIs, frontend applications, cloud infrastructure, and production operations.
• Strong hands-on experience with distributed systems, RESTful APIs, and asynchronous messaging.
• Strong experience with relational data design, automated testing, CI/CD, observability, security, and operational resilience.
• A proven record of designing, deploying, and operating secure, highly available cloud-native solutions on AWS or Azure, using managed services such as:
  • Serverless compute: Lambda / Azure Functions
  • Containers: ECS and Fargate / Azure Container Apps or AKS
  • APIs and edge: API Gateway, CloudFront / Azure API Management, Front Door
  • Events and messaging: EventBridge, SQS, SNS / Event Grid, Service Bus
  • Data: RDS and Aurora, DynamoDB, S3 / Azure SQL, Cosmos DB, Blob Storage
  • Identity: Cognito, IAM / Entra External ID, Entra ID
• Working knowledge of cloud networking and security: VPC/VNet design, security groups, peering and routing, WAF, load balancers, secrets management (Secrets Manager / Key Vault), and logging and audit (CloudWatch, CloudTrail / Azure Monitor).
• Excellent communication, technical judgment, and ability to create alignment without direct reporting authority.

Preferred

• Healthcare, EHR, or practice management experience.
• HL7, FHIR, EDI, HIPAA, secure handling of regulated data, or other healthcare interoperability experience.
• SQL Server, PostgreSQL, Redis, Snowflake, Docker, Kubernetes, Terraform, or CloudFormation.
• Experience defining platform standards, reference architectures, or shared engineering capabilities.
• Leadership of modernization, migration, integration, or re-platforming efforts.
• Datadog, Splunk, or similar observability platforms.
• Experience evaluating and using AI-assisted development tools with strong review, testing, and data-protection practices.

• Patient engagement, patient portal, or digital front door experience.
• Building consumer-facing applications at scale, including identity, notifications, accessibility, and mobile.

Technology environment

AWS, Azure, SQL Server, PostgreSQL, Aurora DSQL, C#, .NET, Python (FastAPI), TypeScript (Ember, React, Angular), OpenSearch, Snowflake, Docker, Terraform, GitHub Actions, Azure DevOps, Splunk, and GitHub. Experience with every technology is not required; strong fundamentals and the ability to learn are important.

Compensation Range:

Compensation for this job is subject to market conditions, geographic considerations, the candidate’s unique skills and experience, state and local laws, and budget. Our commitment to pay transparency is a testament to our dedication to creating a fair, equitable, and inclusive workplace. By continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation practices reflect the value we place on our associates’ unique contributions and support their professional growth.

Enhancing Lives and Building Careers

Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work and to further their professional development. Together, we are In the Network. Interested in learning more?

Take a look at our Culture, Benefits, Early Talent Program, and Additional Openings.

Visa Sponsorship is not offered for this position.

At Veradigm, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of healthcare providers, life science companies, health plans, and the patients they serve. The Veradigm Network is a dynamic, open community of solutions, external partners, and cutting-edge artificial intelligence technologies that provide advanced insights, technology, and data-driven solutions. Veradigm offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings.

Veradigm’s policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category. Applicants for North American based positions with Veradigm must be legally authorized to work in the United States or Canada. Verification of employment eligibility will be required as a condition of hire. Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.

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