Principal Software Engineer (Remote, Full-time) — Elixir / AI / Healthcare

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 so you can understand the real-world problems our software must solve.

We are looking for someone who has already operated at at Principal Engineer scope or equivalent, and still wants to spend their time writing production code.

You should have:

Deep hands-on experience with Elixir / Phoenix including LiveView

Experienced in AI engineering techniques and tools

Strong full-stack ability, including experience with API’s 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

Pluses include:

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

We are building an AI-first healthcare company. AI should be part of how you write, test, refactor, debug, document, and ship software faster.

You will thrive here if you are direct, curious, fast, accountable, and comfortable with ambiguity. You understand the real problem, make sensible tradeoffs, and ship.

This is a rare opportunity to become the senior full-time technical owner inside a growing healthcare company with real customers, real patients, real revenue, and real operational complexity.

If you want to build the operating system for modern MSK care — with Elixir, AI, and real healthcare impact — we would love to meet you.