Principal Software Engineer

Role Description

We are hiring a Principal Software Engineer to become the senior full-time technical backbone of Protera’s engineering organization. This is not a narrow engineering job, an architecture-only role, or a 40-hour-per-week clock-in, clock-out position. We care about ownership, judgment, velocity, and outcomes. The right person will have founder-level autonomy, direct access to leadership, and the opportunity to build core systems that affect real patients, clinicians, and healthcare partners.

You will be our most senior full-time individual contributor engineer. You will report directly to the President / CTO and collaborate with clinicians, enrollment, operations, analytics, commercial leaders, and occasionally clients or health plan partners. This is a hands-on builder role where you should expect to:

• Code full-time
• Own major systems
• Make technical decisions
• Debug production issues
• Improve reliability
• Turn ambiguous healthcare workflows into simple, durable software

You will help build and own major parts of the Protera platform, including:

• Patient onboarding, engagement, and portal workflows
• Clinician workflows, scheduling, documentation support, and care coordination
• Enrollment, call center, and internal operations tooling
• Data pipelines, reporting infrastructure, and partner-facing analytics
• Integrations with EMRs, CRM systems, analytics tools, and healthcare vendors
• AI-assisted internal tools that improve speed, accuracy, and operational leverage
• Platform reliability, security, observability, performance, and maintainability

You may join client, payer, or partner calls when useful to understand the real-world problems our software must solve.

Qualifications

• Deep hands-on experience with Elixir / Phoenix including LiveView
• Experienced in AI engineering techniques and tools
• Strong full-stack ability, including experience with APIs and backend systems, Python, and modern data engineering techniques and systems
• Experience building and operating production systems used by real customers
• Strong database experience, especially PostgreSQL or similar relational systems
• Comfort with cloud infrastructure, monitoring, security, and production support
• Strong judgment about when to move fast and when correctness, privacy, compliance, or reliability require extra care
• Excellent communication with technical and non-technical stakeholders
• Meaningful healthcare technology experience in heavily compliant systems, such as HIPAA-regulated software, patient applications, clinician workflows, EMR/EHR integrations, payer workflows, claims, care management, and digital health operations

Requirements

• Knowledge and experience with Salesforce development, GraphQL, FHIR, HL7, healthcare APIs, AWS, Terraform, Docker, Kubernetes, or AI-enabled internal tooling

Benefits

• Competitive compensation for the right person, with a package based on experience including cash compensation, equity, PTO, benefits, fully remote work environment, and more