Job Title: Principal Software Engineer – Digital Care Platform (ecares health)

Company Name: Essen Health Care

Job Details: $175k-$250k/yrRemoteFull,Time

Job Url: https://hiring.cafe/viewjob/zkzz8sloejvgxqjj

Job Description: Posted 1mo agoPrincipal Software Engineer – Digital Care Platform (ecares health)@ Essen Health CareView All JobsWebsiteUnited States$175k-$250k/yrRemoteFull TimeResponsibilities:own features, design architecture, collaborate stakeholdersRequirements Summary:3+ years software engineering; experience in big tech or high-growth startups; strong system design; experience building scalable platforms; full-stack capable.
Overview:
Healthcare is broken — especially in underserved communities like the Bronx, where more than 66% of patients rely on Medicaid. Fragmented systems, outdated workflows, and disconnected data lead to poor health outcomes, clinician burnout, and unnecessary financial strain on both patients and providers.ecares health was born out of this reality. We are a healthcare technology startup spun out of Essen Health Care, one of the largest multispecialty medical groups serving the Bronx and surrounding communities. For more than two decades, Essen has delivered frontline care to tens of thousands of patients across primary care, specialty care, urgent care, home-based services, and population health programs. ecares is built directly from those real-world operations — not theory. We work hand-in-hand with Essen’s physicians, care teams, and healthcare operators to build a modern care delivery platform that connects the entire patient journey; from scheduling and care coordination to lab results, communication, and billing. Instead of rebuilding healthcare from scratch, our venture studio model allows us to integrate and orchestrate best-in-class tools into one unified, patient-centric platform. Our mission is simple but powerful: to bring concierge-level healthcare to underserved communities at scale. Because people in the Bronx deserve the same seamless, high-quality care experience as anyone else.

Job Summary:
Position title: Principal Software Engineer – Digital Care Platform (ecares health) Job Summary: Essen Healthcare is rebuilding ecares, our enterprise care coordination and patient engagement platform, into a next-generation digital health product that will redefine how providers, staff, and patients interact.eCARES sits on top of eClinicalWorks (eCW) and acts as the operational and clinical orchestration layer — bringing together scheduling, care coordination, communication, lab results, and workflow automation into one intuitive, modern platform. Our goal is to eliminate friction, reduce administrative burden, and give both providers and patients a clear, real-time understanding of the patient journey. This is not a maintenance role. This is a platform rebuild, designed to scale beyond Essen to external healthcare organizations. We are seeking a Principal Software Engineer who thrives in startup-style environments, has experience in big tech or venture-backed platforms, and wants to build something that directly impacts patient care.

Responsibilities:
What You’ll Build:You will help transform ecares into a true digital care delivery platform, including:A unified experience for:Patient schedulingProvider workflowsCare coordinationLab results and clinical data visibilityPatient communicationsA modern, intuitive UI that makes complex healthcare workflows easy to understand and useA scalable architecture that allows eCARES to be offered to external healthcare organizations as a platformDeep integrations with eClinicalWorks (eCW) and other clinical and operational systemsThis platform will power how patients are managed, how care teams collaborate, and how healthcare operations function across the organization.What You’ll DoAs a Principal Software Engineer on ecares, you will:Own large-scale features from concept to productionTranslate operational and clinical requirements into technical solutionsWork directly with:OperationsClinical leadershipProduct stakeholdersEngineering teamsDesign and implement:APIsServicesData flowsUser-facing featuresHelp define the broader technical architecture and product roadmapBuild systems that are secure, compliant, scalable, and performantDrive engineering best practices while operating in a fast-moving, startup-style environmentYour day-to-day work will involve picking up product features, designing how they should work, building them, and integrating them into a cohesive platform that serves real healthcare users.

Qualifications:
What We’re Looking ForWe are looking for engineers who are not just coders — but builders, problem-solvers, and product thinkers.You should have:3+ years of software engineering experienceExperience in big tech, high-growth startups, or bothStrong system design and architecture experienceExperience building scalable, production-grade platformsComfort working across:FrontendBackendAPIsIntegrationsExperience working with product, operations, or non-technical stakeholdersThe ability to translate real-world business and healthcare problems into technical solutionsA strong interest in healthcare, care delivery, and patient experienceHealthcare experience is a plus — but curiosity and the ability to learn complex systems quickly matters just as much.Why This Role Is DifferentThis is not just another engineering job.You will be helping to:Rebuild a mission-critical healthcare platformShape how patients experience careImprove how providers and staff work every dayCreate a product that can be sold to healthcare organizations beyond EssenYou will have real ownership, real impact, and real visibility. 

Equal Opportunity Employer:
Essen Health Care and ecares health are Equal Opportunity Employers and are committed to creating an inclusive, diverse, and equitable workplace for all.