---
title: 'Principal Engineer at Parachute Health'
canonical: 'https://feeny.ai/job/principal-engineer-parachute-health-united-states-fm9xrbxxx6g9'
type: 'job'
last_seen: '2026-11-10'
---

# Principal Engineer at Parachute Health

- **Company:** Parachute Health
- **Location:** United States
- **Work type:** remote
- **Posted:** 2026-11-04
- **Last confirmed live:** 2026-11-10
- **Apply:** https://job-boards.greenhouse.io/parachutehealth/jobs/5283643007

## Job description

Parachute Health is transforming post-acute care as the leading digital ordering platform for medical equipment and supplies. We connect major health systems, health plans, and suppliers to help patients get the life-saving products they need at home. Since launching, we've connected 300,000+ clinicians and 3,000+ supplier locations across all 50 states and helped 15M+ patients. What started as a DME ePrescribing tool has become the order management platform of choice for home medical equipment.

Join our team and make a difference in patient care.

## About the Role

We are seeking a Principal Engineer to be the technical leader of one of our engineering divisions. You will own the architecture and technical direction across multiple teams working on core parts of the Parachute platform — the workflows that connect clinicians, health systems, health plans, and HME providers so patients get the equipment they need at home.

This is a hands-on, division-wide role. You will partner with engineering managers, Product, and Design to set direction across teams, make the hard technical calls, and stay close enough to the code to prove them out. As Parachute pivots from feature delivery toward foundational, AI-driven infrastructure, you will serve as a definitive technical leader, trusted to untangle ambiguous problems and deliver high-impact solutions.

## Responsibilities

- Division Architecture: Define the architectural standards and target state for your division. Make sure the systems your teams own evolve coherently instead of drifting apart at the seams.
- Large-Scale Refactoring: Drive the refactoring needed to give teams clear domain ownership and independence inside a large shared codebase, sequenced so delivery keeps moving.
- Decisive Technical Leadership: Take ambiguous, cross-team problems and turn them into a clear direction, a plan, and shipped software. Make the call, own it, and see it through.
- Work in the Open: Lead technical decisions through Architecture Decision Documents and open discussion. Engage directly on others' proposals, state objections plainly and early, and model the transparency you expect from others.
- AI-Native Engineering: Set the standard for how your teams build with AI — agentic coding, review and test acceleration, repo-native tooling and MCP servers. Raise the PR bar and show what great looks like.
- Stay in the Code: Prototype quickly, write production code on the most critical paths, and review designs and PRs across teams. Favor pragmatic, incremental rollouts that reuse what exists over rewrites.
- Technical Shaping and Economics: Lead technical discovery, feasibility, and sizing across your division's roadmaps. Weigh engineering investment against cost and business impact, and make the case for foundational work in business terms.
- Quality and Reliability: Define testing strategy, observability practices, and on-call health so teams can ship fast without breaking critical healthcare workflows.
- Raise the Bar: Grow Staff and Senior engineers into technical leaders. Shape hiring and leveling, including the architecture interview.
- Engineering Leadership Beyond the Division: Partner with peer Principal Engineers and engineering leadership on org-wide standards — architecture, code review, testing, and the SDLC.

## Requirements

- Minimum of 12 years of experience delivering software in production, including significant time at Staff level or above
- Track record of setting architecture across multiple teams or an entire engineering org, in Ruby on Rails or a similar open source stack (Python, Go, TypeScript)
- Led at least one large-scale refactoring or decomposition of a shared domain model — and can explain what worked, what didn't, and what you'd change
- Demonstrated ability to make and own high-stakes technical decisions under ambiguity, and to align engineers, Product, and leadership behind them in the open
- Daily, hands-on use of AI coding tools and a clear point of view on how they change architecture and engineering practice
- Excellent written communication; you drive alignment through design docs and decision records
- Must reside in the U.S.

## Nice to Have

- Experience in healthcare (FHIR, HL7, EHR integrations, clinical or payer workflows) or another regulated domain
- Experience designing production LLM-backed or agentic systems
- Experience operating in a large shared codebase with clear domain ownership boundaries
- Deep familiarity with AWS (ECS, RDS, S3)

## Benefits

- Medical, Dental, and Vision Coverage: Comprehensive plans with options for low-to-no-cost premiums.
- Employer HSA Contribution: Company-funded contributions to your Health Savings Account.
- 401(k) Retirement Plan
- Equity Incentive Plan
- Annual Company-Wide Bonus: Opportunity for up to 15% bonus based on company performance.
- Remote-First Culture: We are remote-first with a dedicated NYC office and reimbursement options for co-working spaces.
- Flexible Vacation Policy
- Summer Fridays: 5 additional Fridays off during the summer (separate from PTO).
- Home Office and Wellness Stipend
- Monthly Internet Stipend
- Annual Learning and Development Stipend

Base Salary Band (based on experience and level)

$265,000 - $300,000

To ensure you’re leveled accurately, all new engineers participate in a 90-day review. This allows us to calibrate your initial interview results with your actual work, ensuring your title and compensation align with your impact and our engineering rubric. California job applicants may access the Notice of Collection of Personal Information and Privacy Policy with information and rights required by the California Privacy Rights Act (CPRA) the link [here](https://www.parachutehealth.com/cpra).

We are proud to be an equal opportunity employer that does not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth related medical conditions and lactation), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, disability, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances.

This role is not eligible for employer visa sponsorship. Applicants must be legally authorized to work in the United States at the time of application and for the duration of employment. The Company does not sponsor employment authorization for this position.

## About Parachute Health

## Company Overview
- **One-liner**: Parachute Health provides a digital network connecting healthcare providers, suppliers, and health plans to streamline the ordering and fulfillment of home medical equipment (DME/HME).
- **Entity Type**: Private (Series B, with $15.4M total funding)
- **Headquarters**: New York, New York, United States
- **Founded**: 2015
- **Founders**: David Gelbard (CEO)

## Core Business
- **Primary industry**: Healthcare technology / Digital health / Home medical equipment (DME/HME) infrastructure
- **Target customers**: B2B – healthcare providers (clinicians, health systems), DME/HME suppliers, and health plans (payers)
- **Mission or purpose**: To build a world where all patients have a soft landing at home, driven by transparency, accountability, and reliable communication in the transition from hospital to home.

## Products & Services
- **[Parachute Platform](https://www.parachutehealth.com/)**: A SaaS platform that enables ePrescribing for medical equipment, supplies, and services. Features include digital ordering with clean, complete orders upfront, AI-powered fax intake, real-time order tracking, communication between providers and suppliers, and patient delivery confirmation. Integrates with EMRs and ERPs.

## Market Standing
- **Valuation/Market Cap**: Not disclosed
- **Key Metric**: Annual revenue of **$3.5M** (as of latest available data) and total funding of **$15.4M** across 3 rounds (Series A $5.5M in 2018, Series B $9.5M in 2018, plus venture rounds) [linkedin.com](https://www.linkedin.com/company/parachute-health)
- **Notable Investors/Partners**: Investors include Dan Ahrens, Harley Miller (Series B lead). Partners include major health systems and suppliers (e.g., Edgepark, Medtronic Diabetes, PointClickCare, American Medical Group Association) [prnewswire.com](https://www.prnewswire.com/), [linkedin.com](https://www.linkedin.com/company/parachute-health)
- **Growth Signals**: Network includes **300,000+ healthcare providers** and **3,000+ supplier locations** across all 50 U.S. states. Headcount grew **38% YoY** to **256 employees**. Active job postings increased 60% year-over-year [linkedin.com](https://www.linkedin.com/company/parachute-health), [greenhouse.io](http://job-boards.greenhouse.io/parachutehealth)

## Competitive Advantages
- Largest digital network for home medical equipment in the U.S., connecting a critical mass of prescribers and suppliers
- Replaces fax and phone-based workflows with a shared digital platform, reducing error rates (83% error rate in traditional ordering) and speeding up delivery
- AI-powered fax intake and document request capabilities
- Real-time order visibility for all stakeholders (providers, suppliers, patients, payors)
- Integrated into major EMRs and ERPs, lowering friction for clinicians

## Strategic Focus
- Expanding network reach and supplier locations
- Deepening integrations with health systems and payors (e.g., prior authorization workflows, PointClickCare integration)
- Enhancing AI capabilities for intake and clinical intelligence
- Scaling the platform to support millions of patients annually

## Why Work Here
- **Culture**: Rated 3.9/5 on employer review sites, with strong scores for work-life balance (4.2), compensation (4.4), and career growth (4.2). Employees describe the CEO as “awesome and truly cares about the people and the mission” [indeed.com](https://www.indeed.com/cmp/Parachute-Health)
- **Remote/Hybrid**: Most roles are remote within the U.S., with some office-based positions in New York, NY. Engineering roles are fully remote [greenhouse.io](http://job-boards.greenhouse.io/parachutehealth)
- **Notable Perks**: Competitive salaries (e.g., Software Engineer II ~$145,600/yr, Senior Data Analyst ~$98,980/yr). The company is mission-driven, focused on improving patient outcomes and reducing healthcare fragmentation
- **Engineering Culture**: Emphasis on modern tech stacks, AI/ML, and building infrastructure for healthcare. Open roles include Staff Software Engineer, Engineering Manager (AI), and Applied AI roles

## Sources
1. [parachutehealth.com](https://www.parachutehealth.com/)
2. [parachutehealth.com/about](https://www.parachutehealth.com/about/)
3. [linkedin.com/company/parachute-health](https://www.linkedin.com/company/parachute-health)
4. [job-boards.greenhouse.io/parachutehealth](http://job-boards.greenhouse.io/parachutehealth)
5. [indeed.com/cmp/Parachute-Health](https://www.indeed.com/cmp/Parachute-Health)

## Other roles at Parachute Health

- [Clinical Account Executive](https://feeny.ai/job/clinical-account-executive-parachute-health-dallas-28rt77m2f4k4) — Dallas, TX
- [Staff Software Engineer, Eligibility & Benefits](https://feeny.ai/job/staff-software-engineer-eligibility-benefits-parachute-health-united-states-xgxp25zpvfbk) — United States
- [Director, Merchandising Operations](https://feeny.ai/job/director-merchandising-operations-parachute-health-united-states-3aen2ae49s93) — United States
- [Business Development Representative, HME Provider Sales](https://feeny.ai/job/business-development-representative-hme-provider-sales-parachute-health-united-pyzxe8emw77h) — United States
- [Category Analyst](https://feeny.ai/job/category-analyst-parachute-health-united-states-xn5xc8rq16za) — United States
- [Account Executive, HME Provider Sales](https://feeny.ai/job/account-executive-hme-provider-sales-parachute-health-united-states-h9zzxsmsvcqy) — United States
- [Senior Product Manager, Provider Experience](https://feeny.ai/job/senior-product-manager-provider-experience-parachute-health-united-states-q0xh626g8a7s) — United States
- [Senior Engineering Manager, Clinical](https://feeny.ai/job/senior-engineering-manager-clinical-parachute-health-united-states-jcaf5h8p5c4v) — United States
- [Clinical Account Executive](https://feeny.ai/job/clinical-account-executive-parachute-health-jacksonville-wf8stycd5a14) — Jacksonville, FL
- [Chief Customer Officer](https://feeny.ai/job/chief-customer-officer-parachute-health-new-york-ny-boston-ma-or-philadelphia-jgjeej0jq2dd) — New York NY Boston MA OR Philadelphia, PA