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Athena Health

Cloud-based EHR, RCM, patient engagement

Principal Software Engineer - Payer Portal

Backend EngineeringConfirmed live in the last 24 hours
Full-timeBoston, MA, USA

About the Job

Requirements

  • A bachelor's degree in Computer Science, Engineering, or a related field, or equivalent practical experience.
  • At least 12 years of engineering experience in a product engineering organization, with demonstrated progression into technical leadership.
  • Deep backend experience in distributed systems, including a track record of designing and shipping production-grade enterprise software.
  • Strong experience with Java and Spring Boot in backend development.
  • Proven experience making and defending system-level architectural decisions, not only implementing within an existing design.
  • Hands-on production experience with AI coding assistants or agentic development tools such as Claude Code, Codex, GitHub Copilot, or Cursor, including experience helping teams adopt shared usage norms.
  • Experience defining engineering standards, code review practices, spec-driven development, test-driven development, and testing strategy across multiple teams.
  • Experience working with PostgreSQL, Oracle, AWS services, Kubernetes, and Terraform.
  • Ability to work effectively across a complex enterprise monolith and a newer technology platform in parallel.

Responsibilities

  • Lead the design, development, and delivery of high-quality software within an agile, cross-functional team, owning technical decisions and guiding implementation in alignment with architectural standards and business goals.
  • Solve complex system challenges across an existing enterprise monolith and newer platform services in parallel, while driving production readiness through sound practices for testing, reliability, observability, and operational readiness.
  • Establish and improve engineering standards across teams, including code review practices and spec-driven and test-driven development approaches.
  • Partner with product and engineering stakeholders to surface risks early, clarify tradeoffs, and support timely decision-making.
  • Mentor engineers and help grow senior engineers into more independent, higher-impact contributors.
  • Integrate AI coding assistants and agentic development tools into everyday workflows, evaluate their fit for the team, and help establish shared norms for effective and responsible use in design, coding, testing, and review.
  • Communicate complex technical concepts clearly to technical and non-technical audiences.
  • Support collaboration between product and engineering by creating clarity around scope, dependencies, and delivery risks.
  • Contribute to planning, estimation, and prioritization discussions as needed.
  • Participate in design reviews, retrospectives, and continuous improvement activities.
  • Support hiring, interviewing, and onboarding efforts when needed.
  • Share technical knowledge through mentorship, documentation, and team learning sessions.
  • Help strengthen delivery practices in Agile environments, including adapting workflows to support AI-assisted engineering.

Desired Qualifications

  • React experience is strongly preferred.
  • Healthcare domain experience, especially in revenue cycle management (RCM), claims processing, or billing, is a plus.
  • Experience improving Agile delivery environments, ideally with exposure to adapting team processes for AI-assisted delivery.

About the Company

Athena Health

Cloud-based EHR, RCM, patient engagement

Athenahealth provides cloud-based healthcare technology that combines electronic health records (EHR), revenue cycle management (RCM), and patient engagement tools to help clinicians manage clinical, administrative, and financial tasks. Its platform runs in the cloud on a subscription basis, with EHR for patient records, RCM for billing and collections, and patient engagement tools to communicate with patients, plus included support services. It differentiates itself by offering an all-in-one, integrated solution across clinical, financial, and communications needs, plus a philanthropic arm (athenaGives) that provides free EHR technology and support to free and charitable clinics. The goal is to help healthcare providers improve outcomes, enhance patient experiences, and boost financial performance while expanding access to care through athenaGives.

Company size
5,001-10,000
Company stage
IPO
Headquarters
Watertown, MA
Founded
1997

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