Principal Platform Engineer, Medical Data

Synthesis Health

Who We Are

We’re a mission- and values-driven company with tremendous dedication to our customers. Our 100% remote team is dedicated to a common goal – to revolutionize healthcare through innovation, collaboration, and commitment to our core values and behaviors. About the Opportunity We are looking for a Principal Platform Engineer to serve as the key steward and architect of our medical data domain.

In this role, you will own the integrity of our logical data model, ensuring that every service we build and every integration with customer systems preserves the accuracy and fidelity of our patient data. Your primary focus will be on the interaction between our services and our data. You will define the patterns that allow our systems to interact with complex medical data structures in the most elegant, flexible, and performant way possible.

You will act as the guardian of our domain model, ensuring that as we scale, we never compromise on data correctness or structural coherence. This is a leadership role for a hands-on technical visionary. You will solve deep, structural problems regarding data consistency and interoperability.

As a key voice on the Architecture Review Board (ARB), you will be the ultimate gatekeeper for decisions involving the data model, ensuring that our architecture evolves to support new clinical capabilities without accruing technical debt. If you are an expert in healthcare data standards and modern cloud engineering, this is your chance to build a legacy.

Key Responsibilities

Medical Data Strategy Domain Integrity Domain Model Stewardship Service Interaction: You will define and enforce the integrity of our logical data model. You will architect the patterns for how all internal services and external integrations interact with this model, ensuring data accuracy and structural flexibility are preserved across the entire platform. High-Throughput Ingestion Architecture: You will architect and optimize our ingestion pipelines to handle massive bursts of DICOM images and HL7 messages without latency or data loss.

Standards Interoperability: You will lead the strategy for FHIR, HL7, and DICOM interoperability, ensuring our platform speaks the language of modern healthcare fluently.

Requirements

at the infrastructure and code level. You will build "compliance as code" to ensure audit readiness without manual toil. Data Governance: You will define the patterns for data residency, retention, and deletion, ensuring we meet strict legal and contractual obligations across global deployments.

Architectural Leadership Influence Systemic Data Consistency: You will solve hard problems regarding distributed data consistency, helping us move away from tight coupling while ensuring data correctness across services. Elevate the Platform: You will be the subject matter expert (SME) for healthcare data within the engineering organization, mentoring Staff and Senior engineers on the nuances of medical data standards and distributed data patterns.

What We’Re Looking For

Deep Healthcare Data Expertise: 10+ years of engineering experience with a specific focus on healthcare data. You are an expert in DICOM (tags, transfer syntaxes, WADO/QIDO) and HL7/FHIR. Scale Performance: Proven track record of building data pipelines that handle terabytes of medical imaging data.

You understand the specific storage and retrieval challenges of pixel data vs. metadata. js is required.

As we pivot performance-critical paths toward Go, experience leading similar language transitions or strong Go proficiency is highly desirable. Deep Technical Mastery: Deep expertise in schema design for both SQL (PostgreSQL) and NoSQL environments. Experience with data lakes and warehousing (BigQuery/Snowflake) in a healthcare context.