Principal Software Engineer, Patient Insurance

Principal Software Engineer, Patient Insurance

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Work Model: Hybrid

Big Rio is a Boston-headquartered technology consulting firm specializing in AI/ML, data engineering, cloud platforms, and custom software development. We partner with leading healthcare and technology organizations to deliver high-impact digital transformation solutions. As a strategic consulting partner, we bring deep domain expertise, engineering excellence, and a commitment to building scalable, modern, and secure platforms.

We are currently supporting our client in hiring a Principal Software Engineer for their Patient Insurance & Payments engineering team.

The Principal Software Engineer will play a critical role in designing and building next-generation payment and insurance capabilities for the Client’s healthcare platform. This team develops PCI-compliant payment solutions, including credit card, cheque, and ACH processing, while driving financial transparency and improving the patient payment experience.

You are a senior full-stack engineer with extensive experience building enterprise applications in cloud environments. You excel at communication, mentorship, and navigating the complexity of healthcare and payment systems.

This engineering team owns a core component of the Client’s revenue cycle platform, supporting medical providers across the U.S. They build features that help clinicians and practices:

• Capture accurate patient insurance information
• Understand eligibility and benefits
• Improve price transparency
• Simplify billing workflows
• Provide flexible and patient-friendly payment options

The team’s mission is to make healthcare billing and payments clear, efficient, and seamless for both providers and patients.

• Produce clear, detailed, and accurate technical design specifications.
• Lead hands-on design and development within an Agile team (Engineers, Product Owner, Scrum Master, UX Designer).
• Mentor engineers, share technical insights, and drive engineering best practices.
• Act as a domain expert and take ownership of end-to-end delivery for core features.
• Collaborate cross-functionally with product and engineering leadership to develop strategic solutions.

• 10+ years of strong software engineering experience with solid computer science principles.
• Bachelor’s degree or equivalent experience.
• Strong understanding of Linux, SQL, RESTful APIs, AWS (EC2, Docker, Kubernetes).
• Experience with Perl, Spring Boot, Postgre
  
  SQL, Terraform
  , or similar technologies is a plus.
• Familiarity with Agile development
  , CI/CD
  , and modern Dev Ops practices.

Big Rio is an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race, religion, national origin, sex, sexual orientation, gender identity, age, pregnancy, status as a qualified individual with disability, protected veteran status, or other protected characteristic as outlined by federal, state, or local laws. Big Rio makes hiring decisions based solely on qualifications, merit, and business needs at the time.

All qualified applicants will receive equal consideration for employment.

Mid-Senior level

Full-time

Software Development