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Principal Software Engineer

US

At FuturHealth, we're on a mission to create a product where every individual feels inspired and empowered to confidently take charge of their wellbeing. We believe in and are dedicated to offering personalized and holistic approaches to combat health concerns.

Operating at the intersection of health and technology, we provide a comprehensive range of services, including telemedicine, personalized nutrition plans, medication delivery, and insurance solutions. We believe that wellbeing is deeply personal, and the path to becoming the best version of yourself is paved with progress, not perfection. Our central focus is on utilizing scientifically-proven prescriptions and telehealth initiatives to tackle obesity head-on.

Role Overview

We’re looking for a Principal Software Engineer to help us evolve our platform architecture, improve product velocity, and scale thoughtfully across front and back-end systems. This role will be instrumental in connecting medical, payments, product, and operational teams through technology—and will set the standard for engineering excellence across the stack.

The Role

As Principal Software Engineer, you will:

  • Serve as a senior technical leader and individual contributor across backend and frontend initiatives—balancing depth with breadth.

  • Design, build, and evolve services and APIs that support core patient experiences, provider workflows, and operational tools.

  • Architect and refine scalable frontend systems that deliver high-quality, accessible user experiences on web and mobile.

  • Own technical direction and set coding standards for critical systems, collaborating across engineering, product, and design.

  • Lead by example in code quality, documentation, and mentorship of engineers across levels.

  • Ensure privacy, security, and compliance (HIPAA, SOC 2, etc.) are integrated into how we build.

  • Drive performance, observability, and testability across the full stack.

  • Contribute to engineering roadmap planning and influence build-vs-buy and system rearchitecture decisions.

What You’ll Work On

  • Multi-service architecture powering our member onboarding, prescription management, and care plan tracking.

  • Frontend component library and design system that serves both patient and clinician-facing experiences.

  • Data pipelines that power real-time eligibility checks, clinical decision support, and personalized health journeys.

  • Tools and APIs used by our clinical, customer success, and growth marketing teams.

  • Integration with third-party platforms for scheduling, messaging, and health data exchange.

Who You Are

  • 12+ years of professional software engineering experience, with 2+ years in a Staff or Principal-level role.

  • Strong experience with React/TypeScript and building production-grade frontend systems.

  • Deep backend experience in Node.js, PostgreSQL, and event-driven architectures; bonus for familiarity with NestJS.

  • Comfort working in cloud environments—preferably GCP or AWS—with CI/CD and infrastructure as code tooling.

  • You’ve worked in fast-paced environments and can balance long-term platform vision with short-term product needs.

  • You prioritize business context—you're driven by delivering impact, not just shipping features.

  • You are deeply collaborative, with a strong product mindset and excellent written communication skills.

  • Experience in healthcare or regulated industries a plus (but not required).

Nice to Have

  • Familiarity with mobile development frameworks (React Native, Expo).

  • Experience building healthcare products or working with clinical teams.

  • Prior exposure to modern data stack tools (Snowflake, dbt, Airbyte, etc.).

  • Experience mentoring engineers and influencing cross-functional stakeholders.

 

The pay range for this role is $200,000 - 240,000. We offer a competitive salary package and may include variable compensation. Actual compensation is based on factors such as the candidate's location, skills, qualifications, and experience.

Additional Company Info

Founded by a team with a proven track record of delivering exceptional experiences to over 25 million consumers, they began by revolutionizing personalized nutrition through an intuitive mobile app that adapts meal plans to individual metabolisms and preferences. With seamless integrations with food services and a thriving community of like-minded individuals, the formation of FuturHealth began to further empower people on their health journey.

Securing Series Seed Funding in December 2023, FuturHealth is backed by Corazon Capital, Oversubscribed Ventures, and InterAlpen Partners. We achieved remarkable 40X growth in 2024 and are proud to be maintaining this impressive momentum. We are currently seeking visionary people to join us in our journey to revolutionize healthcare and empower individuals to lead healthier lives. If you are passionate about making a meaningful impact and driving innovation in the health and wellness and technology space, we invite you to explore opportunities and be a part of the future of healthcare.

What we can offer: 

  • Flexibility and Balance:
    • Fully remote work policy, Unlimited Paid Time Off (PTO), 13 Company Holidays plus Floating Holiday flexibility for added personal convenience! Paid Parental Leave (US Only)
  • Comprehensive Total Rewards (US Only): Health, Dental, Vision Insurance, and Retirement (401k).
  • Wellness Support (US Only): Employee Assistance Program (EAP), Health Savings Account (HSA), and Flexible Spending Account (FSA).
  • Exclusive Perks (US Only):
    • Partnerships: SmartSpend discounts, SoFi financial tools, One Medical care, and Rightway healthcare navigation.
    • Pet Insurance: Affordable plans for your furry friends.
    • Commuter Benefits (State Specific): Simplify daily travel.
  • Tools to Thrive:
    • New hire swag and company equipment (laptop, software) for a seamless start.
    • Authentic startup exposure with opportunities to make a tangible impact.
    • A culture built on autonomy, accountability, and results-driven success.

Note: Benefits and compensation listed may vary based on the country of your employment and the nature of your employment with Futurhealth.

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