Principal Software Engineer (Backend) - Remote
Content + Source + Freshness • 14 Feb 2026 • 95% confidence
Offer value
High value due to strong demand for backend engineering skills, leadership in a critical healthcare application, and opportunities for personal development.
- Lead engineering role in transformative healthcare project.
- Flexibility with fully remote work.
- Dynamic work environment with significant technical challenges.
Pros
- Leadership role in a company dedicated to impactful healthcare solutions.
- High technical demands suggest a stimulating work environment.
- Remote work flexibility increases appeal.
Cons
- Highly competitive environment with stringent experience requirements (10+ years).
- Potentially high workload due to complex technical challenges.
- Limited information on salary and benefits.
Who it's for
Senior / Lead • Fully Remote
Good fit
- Senior software engineers with extensive C# experience.
- Technical leaders passionate about transforming healthcare.
- Professionals interested in remote and flexible roles.
Not recommended for
- New graduates or those without leadership experience.
- Candidates expecting a low-pressure environment.
- Individuals uninterested in the healthcare sector.
Motivation fit
Key skills
About the job
Welcome to Veradigm, where our Mission is transforming health, insightfully. Join the Veradigm team and help solve many of today’s healthcare challenges being addressed by biopharma, health plans, healthcare providers, health technology partners, and the patients they serve. At Veradigm, our primary focus is on harnessing the power of research, analytics, and artificial intelligence (AI) to develop scalable data-driven solutions that bring significant value to all healthcare stakeholders. Together, we can transform healthcare and enable smarter care for millions of people.
Practice Fusion is hiring a talented engineering leader, passionate about creating life-saving technology for doctors and patients. Our cloud-based EHR is an ambitious Services Oriented Architecture hosted in AWS and written primarily in .NET, utilizing WebAPI and WCF with a combination of ASP.NET and ASP.NET Core. You will take on the challenge of solving complex technical problems to deliver vital, reliable product features to our customers.
***Principal Software Engineer - Practice Fusion***
Remote Role
Responsibilities:
As a Principal at Practice Fusion, you will be expected to fulfill a large array of technical leadership responsibilities:
- You are a hands-on architect: you code, test, and deploy solutions of premium quality that not only serve the business need but simultaneously advance the architecture of the entire system
- You design and implement critical libraries and services used by over 180 cloud microservices
- You provide technical thought leadership for the development team
- You help define the platform team roadmap
- You drive architecture decisions to advance the platform technology and improve development velocity, quality, performance, and security
- You mentor developers through coaching, code review feedback, and leading by example
- You learn from the team, identify the challenges they face, and propose technical and process solutions that alleviate those challenges
- You promote best practices, and evangelize new technologies and approaches
- You collaborate across services, UI, DevOps, and data functional areas to ensure unity of technology evolution.
As with any senior-level engineer at Practice Fusion, you will still have technical responsibilities to perform in your day-to-day.
- Architect and lead development of technical solutions that are secure, robust, performant, and scalable
- Employ technical and thought leadership to drive products from inception to release
- Work with stakeholders to ensure the solution meets business needs
- Write correct, well-factored code that is testable and maintainable, and that demonstrates best practices
- Balance engineering costs of development, testing, deployment complexity, and run-time cost, to deliver optimum value for the business and customers
- Define, document, and implement nonfunctional requirements, including performance, security, and standards compliance
- Contribute to enterprise and platform architecture roadmap and implementation
Main Duties:
- Architect complex application workflows across multiple services, messaging platforms, and data stores
- Develop and test WebAPI and WCF services that provide business logic, access a variety of data storage technologies, and interact through messaging, REST, and SOAP patterns
- Write unit tests and functional tests that cover all of your code
- Author SQL Server database schemas and stored procedures
- Write and groom stories to define, estimate, and track your team’s work
- Measure, find, and fix performance and security issues
- Advocate for the right tools for the task at hand
- Review code and provide feedback to improve code quality
- Demonstrate and evangelize best practices for coding and team processes
- Mentor developers across multiple experience levels, teams, and functional areas on best practices in coding and team process
Qualifications:
Academic and Professional Qualifications:
Bachelor's Degree in Computer Science or related discipline
Experience:
- 10+ yrs. C#/.NET experience
- 5+ yrs. in each of the following
- NET WebAPI, WCF, REST
- Relational database development
- Version control and continuous integration
- Being a leader in agile teams, enabling them to deliver secure, scalable solutions
- Designing solutions using architecture patterns (caching, type-ahead, retry policies, queuing, etc.)
- 5+ yrs. in one or more of the following:
- Cloud development (AWS, Azure, etc.)
- Document storage technologies (AWS S3, MongoDB, etc.)
- Messaging systems (AWS SQS, ActiveMQ, etc.)
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.
We strongly advocate that our associates receive all CDC recommended vaccinations in prevention of COVID-19.
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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