Healthcare is transforming and the home is becoming the new center of care. As patients increasingly seek convenient, personalized healthcare options, the demand for high‑quality in‑home care is accelerating faster than ever. At Dispatch Health Management LLC, we’re leading this movement by building the world’s largest in‑home care system.
We’re a technology‑powered healthcare company with a bold vision: to deliver safer, smarter, and more connected care directly where patients need it most. Our platform enables us to scale rapidly, streamline operations, and stand apart from every other organization entering this space.
Our teams use data and intelligent systems to elevate the entire patient experience, from onboarding and active care delivery to post‑care follow‑up. This approach empowers clinicians, protects patient safety, and ensures tailored, coordinated care at every step.
If you’re passionate about shaping the future of healthcare and want to make an immediate impact on patients’ lives, you’ll find a meaningful career here. Join us as we redefine how care is delivered, one home at a time.
Team Culture
We are a remote first engineering organization with teammates across the globe. No matter where we sit, we’re united by a shared passion, using technology to transform how healthcare is delivered. We move fast, take ownership, and celebrate the impact we create together.
Our culture is built on collaboration, accountability, and trust. We tackle complex healthcare challenges that no single person or function can solve alone. We work closely across teams, support one another, and bring diverse perspectives to the table. We value curiosity, initiative, and a willingness to challenge assumptions in pursuit of better solutions.
At Dispatch Health Management LLC, every voice matters. Regardless of location or seniority, team members are encouraged to share ideas freely, experiment boldly, and push the boundaries of what’s possible. The best ideas rise, the team rallies behind them, and we build meaningful technology that makes a real difference in people’s lives.
Role Summary
We are seeking a highly experienced, hands-on Senior Principal Engineer to lead the design and evolution of centralized, cross-business systems that will support shared workflows across two previously independent product lines. This role requires deep technical expertise in modern software development, cloud infrastructure, and DevOps practices, combined with strong systems-thinking and an ability to balance business, product, and technical tradeoffs.
You will evaluate existing systems from both legacy organizations, understand current and future business requirements, and define a unified architecture strategy. You’ll also influence decisions on whether to extend existing platforms, consolidate systems, or build net-new capabilities including clear recommendations on buy vs. build.
This is both a strategic and hands-on role. You will be actively coding approximately 50% of your time at an expert level. You’ll partner with engineering teams while you are coding, designing, prototyping, diagramming, and diving into infrastructure when needed. This position will be part of a core engineering leadership team, reporting to the Head of Engineering.
Key Responsibilities
Architecture & Systems Design
- Lead the design of shared, centralized systems that support workflows across lines of business
- Perform deep technical evaluations of existing systems, codebases, infrastructure, and integration touchpoints
- Create system diagrams, reference architectures, API contracts, and migration approaches
- Define architectural guardrails, patterns, and best practices for building scalable, reliable, secure platforms
- Author technical specifications and migration plans that prioritize system reliability and data integrity
Cross-Organization Technology Strategy
- Develop a unified systems architecture strategy across the two merged organizations
- Facilitate technical decision-making around duplicate systems, consolidation opportunities, or legacy modernization
- Partner with product, engineering, and business stakeholders to define future-state platform needs
- Establish engineering standards for scalability, availability, performance, security and observability
Hands-On Technical Leadership
- Build prototypes, POCs, and reference implementations to validate architectural approaches
- Dive into code to identify bottlenecks, refactor critical paths, and guide the team through complex integrations
- Understand and influence decisions around cloud native infrastructure, deployment pipelines and data
Buy vs. Build Evaluation
- Evaluate platforms and services, including cost, integration complexity, extensibility, risk and long-term operational impact
- Make clear, data-informed recommendations on when to build internally vs. purchase and integrate commercial platforms
Collaboration & Influence
- Influence engineering leaders and teams through clarity, documentation, and strong architectural rationale
- Present architectural recommendations to senior leadership, including tradeoffs, with a focus on business impact and long-term viability
- You have already mastered the art of situational leadership, and are successful working with peers and executive audiences
Required Qualifications
Technical
- 10+ years of hands-on software engineering experience building distributed systems or large-scale SaaS products. Expert Java skills a must
- 5+ years in a Technical Leadership role (Principal, Staff or Architect) driving design decisions for teams
- Strong systems design expertise: event-driven architecture, microservices, domain-driven design, integration patterns
- Expert in at least one major cloud platform (AWS or GCP) and cloud-native architecture with 3+ years experience writing infrastructure as code, preferably Terraform
- Deep knowledge of DevOps practices: CI/CD pipelines, observability, automation, and reliability engineering
- Strong understanding of APIs, pub-sub & queuing, containerization (Docker/Kubernetes), and data platforms
- Security‑first mindset with experience embedding security into architecture decisions, including secure design patterns, threat modeling, identity and access management, data protection, and compliance considerations under the guidance of the Information Security organization
- You are experienced with and fully embrace AI assisted engineering and have a vision of when, how and where to use it
Analytical & Strategic Skills
- Experience evaluating complex legacy systems and proposing modernization or consolidation strategies
- Strong capability to evaluate third-party vendors, platforms, and tooling
- Excellent ability to balance long-term architecture direction with short-term business needs
Soft Skills
- Excellent communication, documentation, and stakeholder management chops
- Ability to work across multiple engineering teams with situational awareness, empathy and influence
- Proven track record guiding organizations through technical change and transformation
Nice To Have Experience
- Experience in post-merger/acquisition technical consolidation or unifying previously independent tech stacks
- Background in designing shared services, internal platforms, or multi-tenant systems
- Familiarity with compliance-heavy environments (healthcare, finance, etc.)
- Experience with workflow orchestration systems or business process platforms
Salary Range: $200,000 - $240,000 annual
10+ years software engineering experience, 5+ years technical leadership, expert Java, distributed systems, cloud architecture, infrastructure as code, DevOps, security, and systems design expertise.
Key Responsibilities
- designing systems
- evaluating platforms
- leading architecture
Skills & Tools
Java, AWS, GCP, Terraform, Docker, Kubernetes
Job Details
- Category: Software Development
- Seniority: Senior Level
- Commitment: Full Time
- Workplace: Remote — United States
- Salary: USD 200,000 – 240,000 / year
- Languages: English
Benefits
- 401k matching
- Generous paid time off
- Tuition reimbursement
About DispatchHealth
A technology-powered healthcare company delivering coordinated care in patients' homes. — Industry: Healthcare