The posting
Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Principal Software Engineer, Electronic Dental Record (EDR)
Location: Boston, MA (Hybrid)
Reports to: Senior Manager, Engineering
Join athenahealth as a Principal Software Engineer on our Electronic Dental Records (EDR) platform, where you'll serve as the top technologist driving the design and evolution of enhanced dental workflows. This is an execution cum leadership role. Along with the Architect, you'll set the architectural direction, define the engineering approach, and be accountable to drive the development teams on how the EDR platform is built, modernized, and scaled. We're looking for an engineer with the depth to navigate complex legacy systems, the vision to define what comes next, and the leadership to bring teams along with them.
Team Summary
The EDR platform powers end-to-end dental practice workflows from clinical documentation and treatment planning to billing and claims. We are actively modernizing the platform, including a significant migration from .NET Azure to Java AWS, while simultaneously building enhanced workflows that raise the bar for dental providers on athenahealth. As Principal Engineer, you will be the technical anchor for this transformation, directing design decisions, establishing engineering standards, and ensuring the platform is built for long-term scalability, reliability, and maintainability.
Essential Job Responsibilities
- Own system-level architecture: Lead end-to-end architectural design across multiple product domains — claims processing, billing workflows, RCM — balancing long-term scalability, operational reliability, and delivery velocity. Your decisions set the standard other engineers build against.
- Define the AI-augmented engineering model: Go beyond personal use of AI tooling — establish team-wide patterns, guardrails, and best practices for integrating AI coding assistants, agentic tools, and LLM-assisted workflows into the full SDLC. Define what "responsible AI use" looks like in a healthcare-regulated environment.
- Drive spec-first culture at scale: Champion upstream investment in requirements clarity, acceptance criteria, and design reviews. Push product, design, and engineering to operate with enough precision that AI tooling and human review both run faster and with less ambiguity.
- Set the bar for AI output quality: Establish team standards for evaluating, debugging, and refining AI-generated code, tests, and designs. Ensure AI output is treated as a prototype — not a deliverable — and that correctness, security, and maintainability are never delegated to the model.
- Lead cross-team technical alignment: Serve as the primary technical voice across engineering teams across orgs. Drive resolution on architectural trade-offs, cross-team dependencies, and system-wide design decisions that no individual team can resolve alone.
- Prototype and productionize AI-powered capabilities: Lead exploratory work on LLM-assisted features for internal developer productivity and client-facing product capabilities — defining safe, scalable, and regulation-aware patterns for AI application in healthcare.
- Evolve engineering practices: Own the evolution of code review norms, testing strategy, design review processes, and delivery practices across the organization. Identify systemic gaps and drive durable improvements.
- Grow the engineering organization: Mentor Senior and Staff engineers on architectural thinking, responsible AI use, and domain depth. Elevate the technical ceiling of the teams around you — not just through direct work but through the standards you set and the culture you model.
Additional Job Responsibilities
- Provide technical leadership on infrastructure decisions across AWS, Kubernetes, RDS including establishing AI-assisted infrastructure-as-code practices.
- Guide the adoption of emerging technologies where they materially improve platform capabilities. Contribute to the development of best practices and standards for software development.
- Define and oversee testing strategy at the system level — including AI-assisted test generation, integration coverage, and performance validation.
- Lead root-cause analysis and post-incident reviews for critical production issues; establish patterns that reduce repeat failures.
- Evaluate and recommend emerging AI-assisted development tools and practices — with a clear lens on what's production-ready vs. experimental.
- Represent engineering perspective in cross-functional planning, capacity discussions, and roadmap prioritization.
Expected Education & Experience
- Bachelor's degree in Computer Science, Engineering, or related field, or equivalent experience.
- 12+ years of engineering experience in a Product Engineering organization, with demonstrated progression into technical leadership.
- Deep backend expertise in Java and Spring Boot; a track record of designing and shipping production-grade distributed systems.
- Proven experience making and defending system-level architectural decisions — not just implementing within an existing architecture.
- Hands-on, production-level use of AI coding assistants or agentic dev tools (e.g., Claude Code, Codex, GitHub Copilot, Cursor) — with demonstrated ability to establish team-wide norms around their use.
- Proven experience leading full‑stack development teams, including technical mentoring and design oversight.
- Experience defining engineering standards, code review practices, and testing strategy across multiple teams.
- Strong track record of technical mentorship — growing senior engineers into more independent, higher-impact contributors.
- Experience with PostgreSQL, AWS services, Kubernetes, Terraform, Springboot. React is strongly preferred.
- Familiarity with healthcare domain concepts (RCM, claims processing, billing) is a strong plus.
- Experience working in and improving Agile delivery environments, ideally with a track record of adapting process for AI-assisted delivery.
Expected Compensation
$164,000 - $280,000
The base salary range shown reflects the full range for this role from minimum to maximum. At athenahealth, base pay depends on multiple factors, including job-related experience, relevant knowledge and skills, how your qualifications compare to others in similar roles, and geographical market rates. Base pay is only one part of our competitive Total Rewards package - depending on role eligibility, we offer both short and long-term incentives by way of an annual discretionary bonus plan, variable compensation plan, and equity plans.
About athenahealth
Our vision: In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients — powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Our company culture: Our talented employees — or athenistas, as we call ourselves — spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support.
Our DEI commitment: Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.
What we can do for you:
Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces — some offices even welcome dogs.
We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment, full-time. With consistent communication and digital collaboration tools, athenahealth enables employees to find a balance that feels fulfilling and productive for each individual situation.
In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued.
Learn more about our culture and benefits here: athenahealth.com/careers
https://www.athenahealth.com/careers/equal-opportunity
