Principal Full Stack Engineer

agilon health is transforming healthcare by empowering community-based physicians with the resources and expertise they need to innovate the payment and delivery of care for seniors. We are seeking a Principal Software Engineer who will serve as the technical leader for our Epic integration platform, requiring deep expertise in fullstack TypeScript development and AWS serverless architecture.

Responsibilities:

• Own technical architecture for Epic-integrated applications, ensuring scalability, security, and maintainability
• Serve as the organization's subject matter expert for Epic-integrated point-of-care apps
• Partner with Product to assess feasibility, technical tradeoffs, and value of planned features
• Design technical solutions and lead delivery of high-impact, user-facing projects
• Elevate engineering practices through mentorship, code reviews, and technical standards
• Champion technical excellence with a focus on cost optimization, performance, and operational excellence

Requirements:

• Proven experience working with Epic Systems Vendor Services and Epic EHR integrations
• Strong working knowledge of healthcare interoperability standards (FHIR R4, CDS Hooks, HL7)
• 10+ years of professional software engineering experience with progressive tech leadership roles
• Expert level proficiency in TypeScript and modern Node.js
• Expertise in AWS serverless architecture
• Experience working with SQL across relational databases and cloud data warehouses
• SMART on FHIR app development and Epic FHIR APIs experience preferred
• Experience working in scrum or agile teams
• Experience with comprehensive software testing strategies
• Hands-on experience with CI/CD pipelines and infrastructure as code
• Experience acting or working in a health care integration consultant role, with an ability to translate business and clinical requirements into scalable technical solutions