Principal Software Engineer

Join to apply for the Principal Software Engineer role at GSD Search, LLC

Location: Nashville, TN (Hybrid)
Employment Type: Full-Time
Salary: $160-215k

We’re looking for exceptional full-stack engineers to help build the foundation of a new, modern healthcare technology platform. As one of the first engineers on the team, you will play a defining role in shaping our architecture, product direction, and engineering culture. This is a true ground-floor opportunity for someone who loves building from scratch, moving quickly, and delivering polished, high-impact software that improves real-world patient care.

• Design and build customer-facing web applications, UI components, APIs, and backend integrations.
• Lead greenfield architecture decisions with a focus on performance, scalability, and long-term maintainability.
• Translate product requirements into technical specifications, collaborate with stakeholders, and ship to production.
• Work closely with users, product, and leadership to iterate quickly based on feedback.
• Contribute to an engineering culture that values craftsmanship, speed, and ownership.

• 5+ years of full-stack engineering experience, with strong proficiency in front-end frameworks (React, Type Script, Next.js or similar) and modern backend languages (Python, Golang, Java/Kotlin, etc.).
• Demonstrated ownership in ambiguous, fast-moving environments—whether at a startup, through leading large projects, or building meaningful side products.
• Ability to communicate clearly, write persuasively, and navigate technical discussions with confidence.

• Deep backend expertise: cloud platforms (AWS/GCP), relational & No
  
  SQL databases, APIs, and data pipelines (e.g., Airflow, Dagster).
• Experience with modern hosting platforms (Vercel, Netlify, etc.).
• Familiarity with AI-native coding tools (e.g., Claude Code, Cursor).
• Healthcare technology background (HIPAA, EHR/EMR integrations, e-prescribing, etc.).

Our client offers a competitive base salary aligned with skills, experience, and geographic considerations. Total compensation may also include performance incentives, equity, and a comprehensive benefits package.

GSD Search is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, or related medical conditions, or any other characteristic protected by applicable law. We are committed to fostering an inclusive workplace that celebrates diversity and promotes equity for all employees, candidates, clients, and partners.