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Principal Product Engineer at well-funded healthtech infrastructure startup

Are you a seasoned engineer with deep healthcare tech experience? This New York-based, venture-backed startup is seeking a Principal Product Engineer to lead the technical evolution of their student health operating system. You'll inherit a talented team and own the architecture for critical infrastructure that handles insurance, billing, and compliance for major institutions. If you thrive in high-autonomy environments where you can influence company culture while staying hands-on with the code, this foundational role offers significant equity and the chance to solve real-world problems that directly impact student wellness.

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Location

New York, United States

Compensation

Not Disclosed

Company

Confidential company

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Role overview

Lead the technical direction of a growing engineering team at a venture-backed startup modernizing health systems for educational institutions. You will own backend architecture, HIPAA-compliant infrastructure, and critical healthcare integrations. As a foundational hire reporting to the Head of Product, you will balance high-level strategy with hands-on coding to scale the platform.

About the company

Well-funded healthtech infrastructure startup

What you will do

  • Design and scale backend architecture and data layers for products handling sensitive health data and real-time compliance.
  • Lead and mentor a distributed team of engineers while remaining hands-on with TypeScript, Node.js, and AWS infrastructure.
  • Build and manage deep integrations with clearinghouses, payers, and EHR systems to automate complex medical billing workflows.

Who this is a fit for

  • 5-10+ years of software engineering experience with a strong background in healthcare technology or revenue cycle management (RCM).
  • Proven ability to lead engineering teams and manage complex projects while maintaining a high individual coding output.
  • Expert-level proficiency in the modern web stack and a builder’s mindset focused on shipping production-ready code in fast-paced environments.

Why this role is remarkable

  • Significant equity stake and foundational influence on the engineering culture and architectural standards of a revenue-generating startup.
  • Mission-driven work building critical infrastructure that directly impacts healthcare access for thousands of students nationwide.
  • High-autonomy environment where you work directly with the CEO to solve complex RCM and data integration challenges.

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