Principal Full Stack Engineer

About Seven Starling

Seven Starling is a leading virtual provider of women's behavioral health services supporting every stage of motherhood. Seven Starling's holistic clinical model combines specialized therapy, peer support, and medication management to effectively treat common perinatal mood disorders like postpartum depression and anxiety, with 94% of patients seeing a clinically significant improvement in their symptoms after completing the program. Seven Starling partners with OBGYN clinics across the country and leading health plans including UnitedHealthCare, Cigna, Blue Cross Blue Shield, and Aetna to make care easily accessible and affordable.

About the role

As the third engineering hire at Seven Starling, you will be a cornerstone of our technical organization, helping to shape the architecture, systems, and culture that will power our next stage of growth. Partnering closely with our COO, Founding Senior Principal Engineer, Senior Full Stack Engineer, and Product team, you’ll ensure our platform is robust, secure, and scalable while also leading the build of innovative new products and experiences that set new standards for impact. This is a high-impact role for a true builder: someone who thrives in early-stage environments, brings strong architectural judgment, and has deep experience in healthcare technology. You’ll be both a significant hands-on contributor and a strategic technical thought partner, serving as a multiplier for the engineering team as we scale.

• Build & ship innovative products quickly: Balance speed and quality to deliver innovative new products, platform improvements, and operational tooling at startup velocity.
• Ensure healthcare-grade compliance: Design and implement HIPAA-compliant systems that safeguard PHI and maintain rigorous security and audit standards.
• Collaborate across functions: Work closely with the COO, Senior Product Manager, Operations, and Clinical leadership to build solutions that meet diverse stakeholder needs.
• Contribute to our engineering best practices: Lead on design patterns, testing strategies, deployment pipelines, observability, and incident response.
• Act as a thought partner to leadership: Provide strategic technical input to company roadmap and help evaluate trade-offs between speed, scale, and compliance.
• Partner with the Founding Senior Principal Engineer to set technical direction & architecture: Drive decisions around system design, infrastructure, scalability, and security, ensuring our architecture can support rapid growth and long-term resilience.
• Mentor and level up the team: Help mentor and coach our team as it grows, sharing knowledge, and helping instill a culture of technical excellence and accountability.

• Seasoned startup engineer: 7+ years of professional software engineering experience, with at least 3+ years in startups where you’ve built and scaled systems under fast growth.
• Healthcare technology veteran: Demonstrated experience building and scaling products in healthcare or similarly regulated industries (HIPAA, SOC2, or equivalent).
• Architect & hands-on builder: Deep experience designing and implementing distributed, cloud-native systems. Proficiency with Google Cloud (GKE, Pub/Sub) and Postgres is a strong plus.
• Fullstack expertise: Highly skilled with modern frontend (React/TypeScript) and backend technologies; able to comfortably span the stack when needed.
• Strong communicator & collaborator: Capable of articulating complex technical decisions to both engineers and non-technical stakeholders.
• Leader & multiplier: Natural mentor who raises the bar for technical quality and operational excellence across the team.
• Mission-driven: Passionate about improving healthcare access and outcomes, and energized by the chance to shape a product that changes lives.

• Experience in early-stage product architecture where you had to make foundational build vs. buy decisions.
• Prior role as a Principal or Senior Staff Engineer in a digital health startup.

• Competitive paid time off
• Competitive parental leave policy
• One-time stipend to enhance your work from home experience
• Medical, dental, and vision insurance
• 401K
• Bereavement leave, including for miscarriage and pregnancy loss
• Annual stipend for your choice of wellness benefits
• Annual professional development stipend
• Virtual team events

Please do not call our public clinical admissions line in regard to this or any other job posting.

Seven Starling is an equal opportunity employer. We celebrate diversity and are committed to creating a supportive and inclusive environment for all employees.