Principal Software Engineer - CAVO

TREND Health Partners is a tech-enabled payment integrity company. Our mission is to facilitate collaboration between payers and providers for mutual benefit and waste reduction, ultimately improving access to healthcare. We achieve this by aligning the common goals of payers and providers and fostering collaboration through a shared technology platform and seamless workflows.

Joining TREND Health Partners means becoming part of a dynamic, growing organization that promotes a collaborative and innovative work environment. Our comprehensive compensation package includes competitive salaries, highly valued health insurance, a 401(k) plan with employer match, paid parental leave, and more.

The Principal Software Engineer on the CAVO platform will lead the development of innovative, scalable software solutions that support complex document review workflows for healthcare payers and providers. This role requires a deep understanding of modern web application architecture and cloud-native backend systems. The engineer will collaborate closely with architects, product, QA, and cloud teams to drive system-wide design decisions, optimize platform performance, and deliver new capabilities to our customers. 

The ideal candidate will possess strong technical leadership, a hands-on approach to coding, and the ability to mentor other engineers while ensuring alignment with architectural standards and business goals. 

• Lead the design and development of scalable services in support of CAVO’s core features such as document ingestion, OCR, classification, billing analysis, and medical data extraction. 
• Architect solutions that span the entire CAVO stack, including the Angular-based frontend, Node.js API layer, and Go-based backend microservices. 
• Collaborate on the evolution of CAVO’s distributed document processing architecture, including services like EDI, Ingest, Document Flow, and Prediction Health integrations. 
• Champion best practices for code quality, automated testing, CI/CD, observability, and operational excellence. 
• Partner with product managers and stakeholders to refine business requirements into technical specifications and system designs. 
• Provide technical mentorship, perform code reviews, and guide engineering teams toward scalable and secure implementations. 
• Lead initiatives to improve performance and reliability across serverless (Lambda) and containerized (ECS) services. 
• Participate in architecture and roadmap planning sessions, evaluating new tools and technologies for future integration. 
• Ensure all engineering solutions align with healthcare compliance requirements (e.g., HIPAA) and data security standards. 
• Contribute to documentation and knowledge sharing across teams

• Bachelor’s degree in Computer Science, Engineering, or a related technical field. Equivalent work experience may substitute for education. 
• 8+ years of professional software development experience, including at least 3 years in a technical leadership or principal role. 
• Deep expertise in TypeScript and Node.js for backend services. 
• Strong frontend experience with Angular in Single Page Application (SPA) architecture. 
• Proficiency in Go (Golang), especially for performance-sensitive backend services. 
• Solid understanding of distributed systems and asynchronous event-driven architectures using SQS, Lambdas, and ECS. 
• Demonstrated experience designing, building, and operating large-scale systems in AWS. 
• Experience with document-centric workflows such as OCR, classification, and metadata extraction. 
• Strong familiarity with RESTful API design and integration with microservices. 
• Effective communicator with the ability to articulate tradeoffs and rationale to technical and non-technical audiences. 
• Experience with DevOps practices and tools, including infrastructure-as-code using Terraform, is strongly preferred. 

• Experience in medical record or document processing systems, including OCR, IB prediction, and structured data extraction from unstructured sources. 
• Hands-on experience with OpenSearch or Lucene-based search indexing. 
• Proficient with PostgreSQL and relational database optimization at scale. 
• Background in healthcare technology, especially in claims processing or revenue cycle management. 
• Understanding of HIPAA and secure application development in regulated industries. 
• Experience with observability and logging in complex asynchronous systems. 
• Prior exposure to mentoring and scaling engineering teams within agile environments. 

• This position will be exposed mainly to an indoor office environment and will be expected to work in or around computers and printers. 
• The nature of the work is sedentary, and the employee will be sitting most of the time. 
• Essential physical functions of the job include typing and the repetitive motion to utilize computer software and hardware continuously throughout the day. 
• Essential mental functions of this position include concentrating on analytical tasks, reading information, and verbal/written communication to others continuously throughout the day. 

• This job description documents the general nature and level of work but is not intended to be a comprehensive list of activities, duties, or responsibilities required for this position.  Consequently, employee’s may be asked to perform other duties as required.  
• Employees may also be asked to complete certain compliance requirements set forth by our Business Partners in the performance of their jobs including but not limited to requests for background and drug screenings and disclosures of personal health information or personally identifiable information. Exemptions as provided under the ADA and TITLE VII of the Civil Rights Act will be observed and followed.  
• Reasonable accommodations may be made to enable individuals with disabilities to perform the functions outlined above.