Skills

Leadership Python Architecture Azure react Recruitment

Job Specifications

This is not a role for 2070.

About Xponentiate:

Xponentiate is a healthcare recruitment partner with deep industry expertise. We connect top talent with the right opportunities through a smart, efficient hiring process. With proven experience building organizations from the ground up—including C-level hires—we're dedicated to shaping the future of healthcare together.

ecares health, Principal Software Engineer

About Us

Healthcare is broken, especially in underserved communities like the Bronx where 66% of patients are on Medicaid. Fragmented systems are leading to poor health outcomes and extensive financial burden. This is what inspired the inception of ecares health.

We're a healthcare tech startup spun out of Essen Health Care, one of the largest multispecialty medical groups serving the Bronx and surrounding communities. We work hand-in-hand with doctors and healthcare operators to build infrastructure that connects the entire patient journey, from engagement to scheduling, from clinical recommendations to care management, and from actionable tasks to health outcomes.

Our mission is simple but powerful: to bring concierge-level healthcare to underserved communities at scale. Because everyone deserves high-quality, low-cost, and accessible care.

The Role

As a principal engineer, you'll own the technical strategy and architecture of key feature streams while being deeply embedded in healthcare to identify and build novel solutions that improve care delivery.

You'll work closely with our 16 off-site engineers, product team, and venture studio to drive key architectural decisions and build scalable healthcare infrastructure. This is a hands-on role where you'll spend time in clinical settings understanding workflows and pain points, then translate those insights into innovative technical solutions.

Requirements

Responsibilities

Own large-scale features from concept to production
Help define the broader technical architecture and product roadmap
Translate operational and clinical requirements into technical solutions
Work directly with operations, clinical leadership, product stakeholders, and engineering teams
Build systems that are secure, compliant, and performant
Drive engineering best practices while operating in a fast-moving, startup-style environment

Must-Haves

Computer science degree or equivalent
3+ years of experience in software engineering or similar
Experience in big tech, high-growth startups, or both
Comfort working across backend (Python) and frontend (React)
Cloud infrastructure experience (Azure preferred)
0-to-1 development experience
Experience working with product, operations, or other non-technical stakeholders
Full-time on-site in the Bronx

Nice-to-Haves

Leadership experience or interest in growing into leadership roles
Health tech or healthcare background
EHR integration experience
Experience with compliance-heavy environments
Previous experience working directly with end users to understand workflows

Benefits

Stage

Pre-seed, bootstrapped by our design partner clinic.

About the Company

Healthcare in India is a broken experience for most patients. Challenges of access, quality of care, and non-holistic solutions exist across patient demographics. We are India's first Venture Studio building patient-centric healthcare companies from scratch by bringing together futuristic ideas, exceptional founders, and a powerful innovation platform. Know more