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Senior Principal Software Engineer – US Remote

  • Company Streamline Healthcare Solutions
  • Location USA
  • Salary $170k/year - 200k/year
  • Job Type Full Time
  • Posted October 14, 2025

At Streamline Healthcare Solutions, we strive to build lasting and trusting relationships with our clients, and our employees set the bar. Our mission is to build innovative technology solutions that empower people who improve behavioral health and quality of life of those in need. We are a high-growth technology company that delivers web-based software for healthcare organizations to provide and coordinate all service delivery processes. Streamline has been offering software in the behavioral health marketplace since 2003. Streamline has built and maintains systems for some of the nation’s premier behavioral health organizations using the latest web-based technology.

We Value: Collaboration, Innovation, Trust

As the newest member of our Engineering team, you’ll act as the critical link between Product and R&D—translating healthcare product requirements into scalable technical solutions that power our SmartCare™ EHR platform. With at least 10 years of experience in software development and deep expertise in healthcare data systems, EHR workflows, and X12 EDI standards, you bring both architectural thinking and executional precision. You’ve mastered SQL and ETL development, understand the why behind product features, and know how to document the how to move them forward. If you have a passion for healthcare and a desire to make an impact through better software, let’s talk! Applicants must be currently authorized to work in the United States on a full-time basis without current or future visa sponsorship.

You Value: Communication, Integrity, Curiosity

Spend your days:

  • Leading the design, development and implementation of robust scalable software solutions ensuring alignment with business goals and technical requirements
  • Translating product requirements into system design and architecture using SSIS and Azure Data Factory
  • Analyzing and optimizing SQL performance, leveraging advanced techniques such as SQL Profiler and SQL Execution Plans to identify bottlenecks and improve query performance
  • Applying your knowledge of Medicaid and Medicare regulations to system logic and design
  • Diagnosing root cause issues and communicating findings clearly to internal stakeholders
  • Collaborating closely with cross-functional teams including data architects, business analysts, and stakeholders to ensure seamless database interactions
  • Providing mentorship to junior and mid-level engineers, developing their technical skills and best practices

Show us your:

  • Bachelor's degree in computer science, information technology, or a related field, or equivalent combination of education and experience
  • 10+ years of professional software engineering experience with a strong emphasis on healthcare systems and EHR workflows pertaining to Revenue Cycle Management
  • Mastery of SQL Server development, optimization and query analysis – SQL Profiler and Execution Plans
  • Strong working knowledge of X12 EDI transaction sets, with a particular focus on 837P/837I (Claims), 835 (Electronic Remittance), and 276/277 (Claim Status). Experience with healthcare billing formats such as UB-04 and CMS-1500
  • Solid understanding of HIPAA, Medicaid, and Medicare regulatory environments and payer specific implementations – ability to troubleshoot EDI files
  • Proven track record building scalable ETL pipelines using SSIS and Azure Data Factory
  • Familiarity with Microsoft stack (ASP.Net, C#.Net, JQuery) and DevOps tools and practices
  • Strong knowledge of software engineering best practices and methodologies including agile development, continuous integration/deployment and software testing
  • Refined communication, analytical and documentation skills – you thrive in a team-oriented environment
  • Intellectual curiosity - a mind that's always thinking about the best, most efficient, and cost-effective way to grow
  • Outcome-focused, results-oriented mindset—you see challenges as opportunities and approach work with optimism

Our team members enjoy:

  • Salary $170,000 to $200,000 based on experience and full suite of benefits
  • An incredibly committed team of professionals who support and challenge each other
  • Meaningful, high-impact work that directly improves patient care and healthcare technology

Goldstone Partners is helping this dedicated organization find talented professionals who want to serve. Please send your resume to us directly at success@goldstonepartners.com. Applications welcome for those who are US Citizens or hold a Green Card. Principals only, please.  

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