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iRhythm Technologies

Wearable cardiac monitoring with data analysis

Principal System Architect

Software EngineeringConfirmed live in the last 24 hours
Full-timeRemote in USA$198k - $258k

About the Job

Requirements

  • A bachelor's degree in Computer Science, Software Engineering, Systems Engineering, or a related field is required; an advanced degree is preferred.
  • At least 15 years of progressive experience in software engineering or architecture, with deep expertise in large-scale distributed systems, cloud architectures, and modern application platforms.
  • Proven experience architecting regulated or high-reliability systems, preferably in medical, health technology, or similar domains.
  • Mastery of microservices, event-driven systems, data pipelines, observability, DevOps and Site Reliability Engineering practices, and cloud-native technologies.
  • Ability to operate as a senior individual contributor, influencing executive teams without direct authority.
  • Ability to communicate complex technical concepts in clear, concise, and business-relevant terms.
  • Demonstrated success partnering with cross-functional leaders across product, security, quality, regulatory, data science, and infrastructure.

Responsibilities

  • Define the multiyear architecture strategy for product software systems spanning cloud, application, data, integration, and machine-learning/artificial-intelligence infrastructure.
  • Establish architectural principles, reference architectures, and guardrails supporting reliability, performance, interoperability, maintainability, and regulatory compliance.
  • Ensure holistic systems thinking across software platforms, clinical workflows, device interactions, and data flows.
  • Evaluate emerging technologies and provide strategic recommendations for adoption, modernization, and platform evolution.
  • Lead cross-functional architecture forums and governance processes to ensure consistent patterns, shared services, and disciplined decision-making across teams.
  • Drive architectural clarity early in product development by guiding systems decomposition, API strategies, data models, and cloud architectures.
  • Review key technical proposals, high-impact design decisions, and fundamental platform changes across research and development teams.
  • Champion engineering quality standards for architecture, coding, testing, observability, and documentation.
  • Partner with product management to translate business needs into scalable technical strategies and architectural roadmaps.
  • Collaborate with security, privacy, regulatory, quality, and clinical teams to ensure designs meet medical device standards and software compliance requirements.
  • Advise senior leadership on architectural options, trade-offs, risks, and business impacts.
  • Bridge off-device and on-device systems to ensure seamless end-to-end workflows, data flows, and system integrity.
  • Provide architectural oversight throughout the software development lifecycle, guiding teams during concepting, detailed design, implementation, and release.
  • Drive standardization to reduce duplication and accelerate development velocity through clear architectural patterns.
  • Mentor engineering leads and architects through thought leadership, coaching, and technical review.
  • Lead technical investigation and resolution of complex systemic issues spanning data, scalability, reliability, or workflow interactions.

Desired Qualifications

  • Experience with FDA, EU MDR, IEC 62304, HIPAA, and related regulatory frameworks for software as part of medical systems.
  • Background supporting artificial-intelligence/machine-learning platform architecture, model deployment, and clinical decision-support software.
  • Experience designing architectures that integrate with medical devices, clinical systems, electronic health records, or healthcare data standards such as FHIR and HL7.
  • Prior leadership in organizations scaling complex multiproduct software ecosystems.

About the Company

iRhythm Technologies

Wearable cardiac monitoring with data analysis

iRhythm Technologies develops cardiac monitoring technology, led by the Zio Patch wearable for up to 14 days of continuous heart-rhythm tracking. The patch is worn by a patient to collect long-term data, which is then analyzed by iRhythm’s services to provide diagnostic insights to healthcare providers without requiring frequent in-person visits. Compared with competitors, it combines extended, non-intrusive monitoring with integrated data analysis to streamline clinician workflows and support telehealth, selling both devices and analysis services to providers. The goal is to improve detection of arrhythmias, enhance diagnostic accuracy, and make patient care and clinician workflows more efficient through scalable wearable monitoring and interpretation of the collected data.

Company size
1,001-5,000
Company stage
IPO
Headquarters
San Francisco, CA
Founded
2006

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