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Development

Principal Engineer (ARG)

Hi! We're HTD Health, a strategy and technology consultancy with global offices across the US, Poland, and Argentina. We are on a mission to create a more human-centric, accessible, and efficient healthcare system.

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Main requirements

What we need from you:

  • Hands-on Technical Excellence: At least 9+ years of commercial experience in .NET (C#). You still love writing code and believe in delivering readable, maintainable software covered with automated tests.
  • Architectural Vision: Deep understanding of Microservices, Distributed Systems, and API Design (REST, GraphQL, gRPC).
  • Radical Accountability: You are the first to identify and report risks of delay or priority shifts. You proactively confirm that plans are valid, understanding that “no news is not good news.”
  • Refinement & Analysis Mastery: You take ownership of the technical analysis for upcoming functionalities, ensuring the team understands the what and how before the sprint begins.
  • Estimation & Planning: You set the standard for realistic and complete work estimation, helping the team and the client build predictable roadmaps.
  • Client Partnership: You are a natural communicator (C1 English) who can talk to both developers and business stakeholders, creating RFC and other types of technical documentation, explaining technical debt, reliability, and observability in a way that creates buy-in.
  • Quality Leadership: A drive to implement best practices that serve as a reference for others and set the quality standards (not only for code but also for how you work with the internal and customer development teams) both internally and externally.
  • Hands-on experience with AWS, Azure, or GCP and Infrastructure as Code (Terraform).
  • Proven ability to design and architect large-scale enterprise solutions with a strong focus on meeting strict SLAs, optimizing performance, ensuring high availability, and implementing robust observability.

 

We Appreciate If You Have:

  • Experience in other backend or frontend languages and curiosity for new technologies.
  • Proficiency in leveraging AI tools (e.g., GitHub Copilot, LLMs) to optimize development workflows and code quality.
  • Experience with X12 EDI standards (278 for Prior Authorization, 270/271 for Eligibility, 275 for Attachments).
  • Experience building CDS Hooks services that integrate with EHR workflows.
  • Familiarity with Clinical Quality Language (CQL) for implementing adaptive questionnaires in Da Vinci DTR workflows, including prepopulation logic and conditional question branching based on patient data.
  • Proficiency with FHIR libraries (e.g., Firely SDK for .NET) to parse, validate, and generate FHIR R4 resources conforming to US Core.
  • Experience designing and implementing systems with strict SLA requirements (e.g., <5s response time), including monitoring, alerting, and incident response procedures to ensure service reliability.
  • Interest or experience in navigating regulatory standards like HIPAA or GDPR.

Your daily life in HTD will be focusing around:

  • Working with development team (or teams), delivering enterprise-level software built with both high-impact features and layers of maintainability and observability.
  • Ensuring work quality through overseeing the technical analysis, planning, execution as well as meticulous reviews and mentoring throughout the process.
  • Working closely with clients (and their dev teams) to align technical decisions with business goals, acting as the main point of contact for everything related to our technical cooperation.
  • Being the “go-to” person for team talks, internal workshops, and hackathons—actively raising the technical bar for everyone.
  • Comparing tools and services to provide authoritative recommendations for new projects or features.
  • Keeping technical debt visible and ensuring that stakeholders understand the importance of application stability and observability.

  • HYBRID WORK MODE

    Ability to work in hybrid mode - 3 days from the office, two days from home.

  • Educational budget

    Opportunity for development with education budget. Are you interested in a certified training or international conference? No problem, the choice is yours.

  • Equipment

    An ergonomic office that includes standing desks, footstools, kneeling chairs or large cushions if that’s what you prefer.

  • Growth system

    Our promotion system is based on competence trees and evaluation of your performance. We want you to grow within our company.

Recruitment process

  1. 1

    SCREENING CALL

    We will invite you to a 30-minute screening call. We’ll be most interested in getting to know you better.

  2. 2

    ENGLISH AUDIT

    We will send you an invitation to perform an English language audit. We will send the finished report to you.

  3. 3

    TECHNICAL INTERVIEW

    We will invite you to an online technical interview that will last between one to two hours. We will mainly ask you about your studies and technical skills.

  4. 4

    FINAL DECISION WITH FEEDBACK

    Candidates from the Technical Interview step will receive feedback about their performance. The selected candidate who met our requirements and successfully completed the recruitment process will receive an offer.