Principal Engineer for Clinical Decision APIs
Opportunity Summary
You will serve as a Principal Engineer leading design, implementation, and operational excellence for a clinical decision support platform built around CDS Hooks and real-time REST APIs. The role focuses on orchestrating hook context, designing card and EHR-side logic workflows, and integrating downstream data services so clinicians can access actionable insights in their existing workflow. You will establish reliability metrics, SLAs, and performance practices, while evolving API contracts in alignment with SMART CDS Hooks expectations. Working across product, data engineering, clinical operations, and EMR integration partners, you will help ensure clinical data is compliant, safe, and consistently performant.
Ideal Candidate
A seasoned Principal or Staff level engineer experienced in API-first systems, distributed reliability, and healthcare interoperability. Comfortable owning platform foundations, mentoring others, and translating clinical workflow needs into robust technical contracts and architectures.
Project Insights
- Strong roles like this often value ownership of both architecture and operational reliability practices
- Experience with healthcare interoperability standards and integration patterns will differentiate you
- Expect cross-team coordination across product, clinical stakeholders, and EMR integration details
How to Prepare
- Prepare a concise architecture narrative for CDS Hooks style orchestration and card context handling
- Share examples of API contract evolution, versioning, and compatibility strategies
- Bring reliability examples, including SLAs, monitoring signals, and incident learnings relevant to real-time systems
Typical Challenges
- Maintaining correctness, compliance, and performance for clinical data delivery at point of care
- Evolving API contracts without breaking EMR or downstream consumer integrations
- Defining and meeting reliability metrics and SLAs for hooks and real-time workflows
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Project Details
Skills & Requirements
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