Principal Software Engineer (Backend) jobs in United States
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Onos Health · 2 months ago

Principal Software Engineer (Backend)

Onos Health is a company focused on improving healthcare efficiency through an AI-driven data platform. The Principal Software Engineer (Backend) will lead the development of key platform components and work closely with the founding team to drive technical strategy and best practices.

Health CareSaaSSoftware
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H1B Sponsor Likelynote

Responsibilities

Architecting and implementing major platform components to provide actionable insights and recommendations to health plan administrators
Develop robust integrations with health care systems and build scalable data pipelines for health records, provider directories, and claims processing
Work closely with ML/LLM engineers to build and optimize models for behavioral and mental health
Establish engineering best practices and technical foundations for future team growth
Shape our technical roadmap, make key architectural decisions, and influence the company's product strategy
Develop an intelligent engine that ingests complex medical standards of care documents and evaluates provider adherence to guidelines
Design and implement sophisticated anomaly detection systems to identify fraudulent or abusive providers
Build ML pipelines to analyze large amounts of medical records and automate recommendations for clinical reviewers
Scale our systems to process millions of healthcare records while maintaining strict security and compliance requirements

Qualification

PythonData engineeringBackend web developmentAWSDjangoPostgreSQLMachine learningTeam leadershipCollaborationAttention to detail

Required

5+ years experience building robust and well-architected software applications
Customer obsessed and motivated to make an impact in the healthcare space
Expertise with data engineering and backend web development practices
A hands-on leader and collaborative team player with an attention to the details

Preferred

Significant experience working with healthcare data and with HIPAA best practices
Worked with machine learning and large language models for end-user applications
Built and managed teams of engineers on major software projects

Benefits

Flexible hybrid arrangement: 1-2 days/week at San Francisco office (financial district), remote-first culture
Unlimited vacation policy
Paid parental leave
Medical, dental, and vision insurance
Pre-tax commuter benefits
401(k)
Significant equity as an early employee
Ground-floor opportunity to help build a team and culture
Regular team events and offsites
Company-provided equipment and home office setup

Company

Onos Health

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Onos Health is a health tech company that offers clinical teams a behavioral health platform to streamline workflows and cut admin tasks.

H1B Sponsorship

Onos Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (1)

Funding

Current Stage
Early Stage
Total Funding
$6.32M
2025-05-06Seed· $6.32M
Company data provided by crunchbase