Senior Principal Software Engineer

Summary

Join Streamline Healthcare Solutions' Engineering team as a critical link between Product and R&D, translating healthcare product requirements into scalable technical solutions for the SmartCare™ EHR platform. With 10+ years of software development experience and expertise in healthcare data systems, EHR workflows, and X12 EDI standards, you will lead design, development, and implementation of software solutions. You will translate product requirements into system design using SSIS and Azure Data Factory, analyze and optimize SQL performance, apply knowledge of Medicaid and Medicare regulations, and collaborate with cross-functional teams. Mentorship of junior and mid-level engineers is also expected. Applicants must be authorized to work in the US without visa sponsorship.

Requirements

• Bachelor's degree in computer science, information technology, or a related field, or equivalent combination of education and experience
• 10+ years of professional software engineering experience with a strong emphasis on healthcare systems and EHR workflows pertaining to Revenue Cycle Management
• Mastery of SQL Server development, optimization and query analysis – SQL Profiler and Execution Plans
• Strong working knowledge of X12 EDI transaction sets, with a particular focus on 837P/837I (Claims), 835 (Electronic Remittance), and 276/277 (Claim Status). Experience with healthcare billing formats such as UB-04 and CMS-1500
• Solid understanding of HIPAA, Medicaid, and Medicare regulatory environments and payer-specific implementations – ability to troubleshoot EDI files
• Proven track record building scalable ETL pipelines using SSIS and Azure Data Factory
• Familiarity with Microsoft stack (ASP.Net, C#.Net, JQuery) and DevOps tools and practices
• Strong knowledge of software engineering best practices and methodologies, including agile development, continuous integration/deployment and software testing
• Refined communication, analytical and documentation skills – you thrive in a team-oriented environment
• Intellectual curiosity - a mind that's always thinking about the best, most efficient, and cost-effective way to grow
• Outcome-focused, results-oriented mindset—you see challenges as opportunities and approach work with optimism

Responsibilities

• Leading the design, development and implementation of robust, scalable software solutions, ensuring alignment with business goals and technical requirements
• Translating product requirements into system design and architecture using SSIS and Azure Data Factory
• Analyzing and optimizing SQL performance, leveraging advanced techniques such as SQL Profiler and SQL Execution Plans to identify bottlenecks and improve query performance
• Applying your knowledge of Medicaid and Medicare regulations to system logic and design
• Diagnosing root cause issues and communicating findings clearly to internal stakeholders
• Collaborating closely with cross-functional teams, including data architects, business analysts, and stakeholder,s to ensure seamless database interactions
• Providing mentorship to junior and mid-level engineers, developing their technical skills and best practices

Benefits

Competitive salary and full suite of benefits