Synthesis Health

Synthesis Health

Principal Platform Engineer

Houston, TX · Principal

Sponsorship not specified$170k-$205kDetected 113 days ago
TypeScriptNode.jsDistributed SystemsPostgreSQLKubernetesPlatform EngineeringRESTgRPCKafkaWebSocketsComplianceHIPAAHL7/FHIRRadiologyLeadershipCommunicationCollaboration

About the role

  • Our 100% remote team is dedicated to a common goal - to revolutionize healthcare through innovation, collaboration, and commitment to our core values and behaviors.
  • In this role, you will tackle our most substantial engineering challenges: ensuring the reliability, performance, and scalability of our distributed systems while driving the maturation of our technical stack.
  • This is a leadership role for a hands-on technical visionary.

Responsibilities

  • Solve Substantial System Challenges: You will identify and lead the resolution of the most complex, systemic problems affecting our platform's stability and speed.
  • Architect for Scale: You will design the strategies that allow our system to handle exponential growth, focusing on database scaling, caching architectures, and asynchronous processing throughput.
  • Reliability Engineering: You will define and drive the adoption of patterns that ensure system resilience, including circuit breaking, graceful degradation, and active-active failover strategies.
  • Drive Technical Evolution: You will lead the maturation of our technical stack, ensuring our libraries, frameworks, and infrastructure choices evolve to meet future business needs.
  • You will drive key maturation issues regarding our architecture, identifying the critical path for eliminating bottlenecks, reducing complexity, and enabling our engineering teams to ship faster with greater confidence.
  • You will define and drive the adoption of patterns that ensure system resilience, including circuit breaking, graceful degradation, and active-active failover strategies.
  • Collaborate with our customers.

Requirements

  • Elite Distributed Systems Experience: 10+ years of software engineering experience, with a heavy focus on designing, optimizing, and operating high-scale distributed systems.
  • Architectural Evolution: You have a proven track record of evolving complex systems and driving technical maturity in a fast-paced environment.
  • Language Fluency & Strategy: Deep expertise in TypeScript/Node.js is required.
  • As we pivot performance-critical paths toward Go, experience leading similar language transitions or strong Go proficiency is highly desirable.
  • Expertise in defining Service Level Objectives (SLOs) and Error Budgets.
  • Deep knowledge of synchronous (Websockets, gRPC, REST) vs. asynchronous (Kafka/PubSub) communication patterns.
  • Expertise in container orchestration (Kubernetes) at scale.
  • Visionary Leadership: You can identify critical long-term technical challenges months or years in advance and mobilize the organization to address them.
  • Communication at Scale: You can effectively communicate the business value of architectural investments to executive leadership while diving deep into the code with engineers.
  • You have a proven track record of evolving complex systems and driving technical maturity in a fast-paced environment.

Nice to have

  • High-Performance Database Tuning: Deep experience tuning PostgreSQL or similar relational databases for massive concurrency.
  • Breaking Up The Monolith: Experience migrating a monolithic database architecture to microservices is a plus.
  • Why You Should Join Us
  • Solve Our Toughest Puzzles: This is a high-leverage role.
  • You will be working on the most impactful technical challenges that are critical to the company's success.
  • Define the Architecture: You won't just be maintaining a system
  • you will be a primary author of its future state, with the autonomy to make it happen.
  • Clinical service first.

Skills

  • Deep experience tuning PostgreSQL or similar relational databases for massive concurrency.

Compensation

  • Typical salary range for this position is $170,000 - $205,000.
  • However, Synthesis participates in location based hiring and salary ranges can be adjusted based on candidate's residence.

Benefits

  • Medical, Dental, Vision, "Use as needed" vacation policy, and participation in our employee option program.
  • Compensation and Benefits
  • Synthesis Health

Company info

  • We're a mission- and values-driven company with tremendous dedication to our customers.
  • We are looking for a Principal Platform Engineer to serve as a hands-on architect of our system's evolution.
  • About the Opportunity
  • You will focus on solving deep, structural problems in the overall system to achieve 99.99% reliability and massive scalability.
  • As a key voice on the Architecture Review Board (ARB), you will shape the technical direction of the entire organization.
  • If you are an expert in high-scale distributed systems and have the scars and success stories to prove it, this is your chance to build a legacy.

Equal opportunity

  • Synthesis Health is an Equal Employment/Affirmative Action employer.
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This listing is sourced directly from Synthesis Health's careers page and normalized into a canonical job model.