Principal Backend Engineer

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Principal Backend Engineer in USA

Qualified Health PBC
Full time
Email

USA
10/10/2026
Report

Palo Alto, CA

Responsibilities

Define and drive the long-term technical direction and architecture for core backend systems and services.
Lead complex, cross-team engineering initiatives from design through production operation and resolve architectural disagreements.
Design, implement, and review critical backend infrastructure components and solve difficult technical problems hands-on.
Architect scalable distributed systems, APIs, data services, and asynchronous workflows for enterprise workloads and integrations.
Improve reliability, observability, performance, capacity planning, incident prevention, and operational efficiency.
Mentor senior and staff engineers and develop emerging technical leaders.
Partner with engineering, product, AI, security, and business leadership on technical strategy, investments, trade-offs, and build-versus-buy decisions.

Requirements

Demonstrated experience architecting, building, and operating complex large-scale backend or platform systems in production with measurable impact.
Deep expertise in distributed systems, including service architecture, data consistency, concurrency, fault tolerance, scalability, and performance optimization.
Expert proficiency in at least one modern backend programming language and willingness to work extensively in Python.
Strong experience designing and operating cloud-native applications on AWS, GCP, or Azure, including infrastructure automation, deployment, and production operations.
Deep understanding of API design, data modeling, databases, asynchronous processing, and modern backend architecture.
Ability to independently identify important technical problems and translate complex requirements into pragmatic, scalable solutions.
Demonstrated ability to improve engineering effectiveness through architectural simplification, reusable systems, mentorship, and technical standards.
Experience with production generative AI applications, LLM-powered workflows, or AI infrastructure is desirable.
Experience with multi-tenant enterprise SaaS platforms and stringent security, isolation, scalability, and availability requirements is desirable.
Experience with Google Cloud Platform, Kubernetes, Terraform, and monitoring and observability tooling is desirable.
Experience in regulated environments and familiarity with HIPAA, SOC 2, or comparable security and compliance frameworks is desirable.
Ability to work onsite in the Palo Alto office three days per week.

Benefits

Competitive salary of $230,000–$280,000 plus equity and benefits.
Medical, dental, and vision insurance.
Flexible working hours and hybrid work options.
Inclusive environment focused on creativity, innovation, and mission-driven work.

Salary: $230k - $280k/yr

Qualified Health PBC

Qualified Health PBC builds an enterprise AI platform for health systems, combining workflow automation, generative AI agent development, clinical safeguards, real-time monitoring, and end-to-end governance. The company sells software and partnership-based deployment services to drive measurable ...

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