Principal Software Engineer – Digital Care Platform (ecares health)

Healthcare is broken — especially in underserved communities like the Bronx, where more than 66% of patients rely on Medicaid. Fragmented systems, outdated workflows, and disconnected data lead to poor health outcomes, clinician burnout, and unnecessary financial strain on both patients and providers.

ecares health was born out of this reality.

We are a healthcare technology startup spun out of Essen Health Care, one of the largest multispecialty medical groups serving the Bronx and surrounding communities. For more than two decades, Essen has delivered frontline care to tens of thousands of patients across primary care, specialty care, urgent care, home-based services, and population health programs. ecares is built directly from those real-world operations — not theory.

We work hand-in-hand with Essen’s physicians, care teams, and healthcare operators to build a modern care delivery platform that connects the entire patient journey; from scheduling and care coordination to lab results, communication, and billing. Instead of rebuilding healthcare from scratch, our venture studio model allows us to integrate and orchestrate best-in-class tools into one unified, patient-centric platform.

Our mission is simple but powerful: to bring concierge-level healthcare to underserved communities at scale.

Because people in the Bronx deserve the same seamless, high-quality care experience as anyone else.

Position title: Principal Software Engineer – Digital Care Platform (ecares health)

Job Summary: Essen Healthcare is rebuilding ecares, our enterprise care coordination and patient engagement platform, into a next-generation digital health product that will redefine how providers, staff, and patients interact.

eCARES sits on top of eClinicalWorks (eCW) and acts as the operational and clinical orchestration layer — bringing together scheduling, care coordination, communication, lab results, and workflow automation into one intuitive, modern platform. Our goal is to eliminate friction, reduce administrative burden, and give both providers and patients a clear, real-time understanding of the patient journey.

This is not a maintenance role. This is a platform rebuild, designed to scale beyond Essen to external healthcare organizations.

We are seeking a Principal Software Engineer who thrives in startup-style environments, has experience in big tech or venture-backed platforms, and wants to build something that directly impacts patient care.

What You’ll Build:

You will help transform ecares into a true digital care delivery platform, including:

• A unified experience for:

• Patient scheduling
• Provider workflows
• Care coordination
• Lab results and clinical data visibility
• Patient communications

• A modern, intuitive UI that makes complex healthcare workflows easy to understand and use
• A scalable architecture that allows eCARES to be offered to external healthcare organizations as a platform
• Deep integrations with eClinicalWorks (eCW) and other clinical and operational systems

This platform will power how patients are managed, how care teams collaborate, and how healthcare operations function across the organization.

What You’ll Do

As a Principal Software Engineer on ecares, you will:

• Own large-scale features from concept to production
• Translate operational and clinical requirements into technical solutions
• Work directly with:
  • Operations
  • Clinical leadership
  • Product stakeholders
  • Engineering teams
• Design and implement:
  • APIs
  • Services
  • Data flows
  • User-facing features
• Help define the broader technical architecture and product roadmap
• Build systems that are secure, compliant, scalable, and performant
• Drive engineering best practices while operating in a fast-moving, startup-style environment

Your day-to-day work will involve picking up product features, designing how they should work, building them, and integrating them into a cohesive platform that serves real healthcare users.

What We’re Looking For

We are looking for engineers who are not just coders — but builders, problem-solvers, and product thinkers.

You should have:

• 3+ years of software engineering experience
• Experience in big tech, high-growth startups, or both
• Strong system design and architecture experience
• Experience building scalable, production-grade platforms
• Comfort working across:
  • Frontend
  • Backend
  • APIs
  • Integrations
• Experience working with product, operations, or non-technical stakeholders
• The ability to translate real-world business and healthcare problems into technical solutions
• A strong interest in healthcare, care delivery, and patient experience

Healthcare experience is a plus — but curiosity and the ability to learn complex systems quickly matters just as much.

Why This Role Is Different

This is not just another engineering job.

You will be helping to:

• Rebuild a mission-critical healthcare platform
• Shape how patients experience care
• Improve how providers and staff work every day
• Create a product that can be sold to healthcare organizations beyond Essen

You will have real ownership, real impact, and real visibility.

Essen Health Care and ecares health are Equal Opportunity Employers and are committed to creating an inclusive, diverse, and equitable workplace for all.