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Carrum Health Logo

Principal Full Stack Engineer

Carrum Health

$180,000 - $230,000
Aug 15, 2025
Remote, US
Apply Now

Carrum is transforming how healthcare is paid for, delivered, and experienced, aiming to eliminate surprise bills, poor quality, and high prices.

Requirements

  • You have 15+ years of experience in full-stack software development in a robust, highly available and performant multi-service ecosystem
  • You have previous professional experience being the most senior engineer on an mid-sized engineering team in a Ruby on Rails and React environment
  • You have strong experience using Postgresql SQL and NoSQL features to build out great and flexible data models
  • You have expertise in building software on top of the core AWS Services (ECS, RDS, S3, etc) and Azure services
  • You enjoy technical leadership through code reviews and system design sessions
  • You have strong expertise in designing simple and supportable software through monitoring, alerting and performance tuning
  • You enjoy mentoring engineers in building simple, scalable and reusable software and impart best practices to the team

Responsibilities

  • Take a hands-on leadership role in shaping the design, development, and optimization of both our web and mobile applications across our technology team.
  • Lead the creation of scalable, high-performance APIs and services, while contributing to and integrating with frontend components built with React and React Native.
  • Drive improvements in system architecture and performance through active leadership in code reviews, design sessions, and the continuous evolution of our development processes.
  • Work closely with our Data teams to design data models that meet both operational and analytical requirements and advise them on architectural patterns.
  • Partner with the DevOps team to leverage AWS for simple and cost-effective cloud infrastructure deployment, ensuring that systems are both performant and resilient.
  • Implement comprehensive monitoring and observability practices to guarantee the high availability, security, and scalability of our services.
  • Own key initiatives, introduce new architectural patterns, and mentor engineers to elevate the department's technical expertise.

Other

  • If you are passionate about changing healthcare and want to finally get rid of surprise bills, poor quality, and high prices, while thriving in an entrepreneurial, cutting-edge environment, we would love to connect with you.
  • You possess good communication and collaboration skills in order to drive alignment and increase effectiveness on delivery across teams
  • You have interpersonal skills and don’t have a hard time being empathetic, courteous, and friendly.
  • You are entrepreneurial and resourceful — As a member of a startup, we need people who can find creative ways to make a big impact quickly and without much direction.
  • You have experience handling deadlines, keeping many balls in the air, and prioritizing work in a fast-paced, dynamic environment.