---
title: 'Principal Software Engineer at HHAeXchange'
canonical: 'https://feeny.ai/job/principal-software-engineer-hhaexchange-united-states-dx7nshjakczz'
type: 'job'
last_seen: '2026-10-28'
---

# Principal Software Engineer at HHAeXchange

- **Company:** HHAeXchange
- **Location:** United States
- **Employment:** full-time
- **Work type:** remote
- **Posted:** 2026-09-28
- **Last confirmed live:** 2026-10-28
- **Apply:** https://jobs.lever.co/hhaexchange/094743d3-2933-43d3-affd-5859f8f4d068

## Job description

HHAeXchange is the leading technology platform for home and community-based care. Founded in 2008, HHAeXchange was created to build a complete, end-to-end homecare solution that helps people who are aging or have disabilities live well in their homes and communities. Our employees work to transform healthcare by building one homecare platform that connects patients, personal care providers, managed care organizations, and states. The Principal Software Engineer is a senior, hands-on technical leader who sets technical direction for one or more engineering teams. This role does not manage people. It leads through technical expertise, clear written decisions, and working directly with engineers. The role guides the design of API-first software and healthcare data exchange solutions that run on Amazon Web Services (AWS). The Principal Software Engineer is accountable for the technical quality of the software its teams produce: performance, reliability, scalability, security, and accessibility. Our engineering organization includes employees and contract engineers, so this role also defines and maintains clear standards, templates, and review practices that help every engineer deliver consistent work. To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position is open for candidates who are located within the EST or CST time zones within the US only.

Essential Job Duties

- Technical direction: Set the technical direction for the systems that one or more teams own. Record major decisions, the options considered, and the reason for each choice in Architecture Decision Records (ADRs).
- Hands-on delivery: Write, review, and ship production code on a regular basis. Focus on work that carries high risk or that sets a pattern other engineers will follow.
- Incremental modernization: Guide the gradual modernization of legacy applications into modern services. Replace one part at a time while the old and new parts run together (the strangler pattern), so that feature delivery continues. Define the order of work, the rollback plan for each step, and the measures that show progress.
- Healthcare interoperability: Design and review solutions that exchange healthcare data using HL7, FHIR, and X12 EDI. Account for differences between trading partners, version changes, error handling, and reconciliation of data between systems.
- Quality attributes: Own the system-wide qualities of performance, reliability, availability, scalability, security, and accessibility. Define measurable targets, such as service level objectives (SLOs), and review results with the teams.
- Security and protected health information (PHI): Make sure designs protect PHI and follow HIPAA requirements. Apply least-privilege access, audit logging, encryption, and secure coding practices based on OWASP guidance.
- Standards and guardrails: Define and maintain coding standards, design review practices, project templates, and automated checks. Make them easy to find and easy to follow, so that quality holds regardless of team size or turnover.
- AI-assisted development: Set practical guidance for the responsible use of AI coding tools. Include how AI-generated code is reviewed and tested, and which data may never be entered into these tools, such as PHI.
- Mentorship: Coach engineers at all levels. Give specific written feedback in design reviews and code reviews, and explain the reasons behind recommendations.
- Cross-functional partnership: Work with Product Management, Product Owners, Quality Assurance, and Architecture to define scope, assess feasibility, and turn business needs into technical plans.
- Risk management: Identify technical risks early. State each risk plainly, describe the options, and track the chosen mitigation until it is complete.
- Communication with leaders: Act as a primary technical contact for executives and business partners. Explain technical trade-offs in plain language to both technical and non-technical audiences.
- Evaluating new technology: Evaluate new tools and methods against clear criteria, such as pilot scope, success measures, and who will support the technology in production, before recommending adoption.

Other Job Duties

- Other duties as assigned by the supervisor or an HHAeXchange leader.

Travel Requirements

- Travel up to 10%, including overnight travel

Required Education, Experience, Certification, and Skills

- Education: B.S. or M.S. degree in Computer Science, Engineering, or a related field, or equivalent significant industry experience.
- Software engineering experience: 8 or more years of professional software engineering experience in a software product company, building scalable, high-performance systems.
- Healthcare experience: 5 or more years of experience building healthcare software, including handling of PHI under HIPAA.
- Healthcare interoperability: Hands-on experience with HL7 and FHIR in production systems.
- Programming languages: Strong production experience with C# and the .NET platform. Working knowledge of at least one other language, such as Python or Java.
- Cloud architecture: Experience designing, building, and operating software as a service (SaaS) on AWS or a similar cloud, using microservices, containers (such as Docker and Kubernetes), and serverless services.
- Databases: Solid understanding of relational databases (SQL Server, PostgreSQL) and NoSQL databases, including diagnosing performance problems.
- Security: Experience building applications that meet HIPAA requirements, with knowledge of identity and access management, encryption, audit logging, and OWASP secure coding practices.
- Technical leadership: Record of leading technical work across more than one team without formal authority, and of mentoring engineers.
- Delivery practices: Experience with Agile methods, continuous integration and continuous delivery (CI/CD), and DevOps practices.
- Problem solving: Strong analytical skills and a record of delivering practical solutions.
- Communication: Clear written and spoken communication, including the ability to explain complex technical topics to technical and non-technical audiences.

## Preferred Qualifications

- X12 EDI: Experience with X12 EDI transactions such as eligibility, claims (837), and remittance (835).
- Legacy modernization: Experience modernizing a legacy enterprise web application into modern services without a full rewrite.
- Front-end development: Experience with TypeScript and Angular, or a similar framework, at enterprise scale.
- Event-driven systems: Experience operating systems that communicate through messages or events, including change data capture (CDC).
- Accessibility: Experience delivering software that meets Web Content Accessibility Guidelines (WCAG) in an enterprise application.
- AI coding tools: Practical experience using AI coding tools, and the ability to describe the guardrails you use.
- Home care domain: Knowledge of Medicaid, home and community-based services, or electronic visit verification (EVV).

The base salary range for this US-based, full-time, and exempt position is $165,000-180,000/yr, not including variable compensation. An employee’s exact starting salary will be based on various factors including but not limited to experience, education, training, merit, location, and the ability to exemplify the HHAeXchange core values.

This is a benefits-eligible position. HHAeXchange offers competitive health plans, paid time-off, company paid holidays, 401K retirement program with a Company elected match, including other company sponsored programs.

HHAeXchange is an equal-opportunity employer. The Company offers employment opportunities to all applicants and employees without regard to race, color, religion, national origin, sex, sexual orientation, gender identity or expression, age, disability, medical condition, marital status, veteran status, citizenship, genetic information, hairstyles, or any other status protected by local or federal law.

## About HHAeXchange

## Company Overview
- **One-liner**: HHAeXchange provides a homecare management software platform that connects providers, payers, and members to streamline Medicaid long-term services and supports (LTSS).
- **Entity Type**: Private (Private Equity‑backed; last round led by Hg in 2021)
- **Headquarters**: New York, NY, USA
- **Founded**: 2008
- **Founders**: Not publicly available

## Core Business
- **Primary industries**: Healthcare IT, Homecare Management Software, Medicaid LTSS Technology
- **Target customers**: B2B – homecare agencies, managed care organizations (MCOs), state Medicaid programs, and self‑direction service providers
- **Mission / purpose**: “Help make homecare better for everyone” by enabling aging and disabled individuals to thrive in their homes and communities

## Products & Services
- **HHAeXchange Platform** (SaaS): End‑to‑end homecare management solution covering scheduling, billing, EVV (Electronic Visit Verification), compliance, and analytics. Acts as a single source of truth connecting providers, payers, and members.

## Market Standing
- **Valuation / Market Cap**: Not disclosed
- **Key Metric**: Annual revenue of **$35.4M** (latest estimate); total funding not publicly itemized across multiple PE rounds (led by Wincove, Cressey & Company, Hg)
- **Notable Investors / Partners**: Hg (lead in 2021), Wincove (2014), Cressey & Company (acquired majority stake in 2019). Partners include HCP (integration partnership announced 2022).
- **Growth Signals**:
  - Named to Inc. 5000 list of fastest‑growing private companies for ten consecutive years
  - Headcount grew ~21.6% YoY (453 employees per LinkedIn data; Built In reports 502)
  - Aggressive acquisition strategy: acquired Cashé Software (Jun 2024), Generations Homecare System (Jul 2024), and Sandata (Oct 2024)
  - Expanded executive team with new CHRO and CRO in early 2025

## Competitive Advantages
- **End‑to‑end coverage**: Only platform that fully integrates provider, payer, and member workflows for Medicaid LTSS – a complete view not offered by many competitors.
- **Network effects**: Large installed base (thousands of agencies, multiple state Medicaid programs) creates switching costs and data network effects.
- **Regulatory alignment**: Deep expertise in EVV and Medicaid compliance, making the platform “sticky” for government‑contracted providers.
- **Recent acquisitions**: Adding self‑direction (Annkissam), billing (Cashé), and broader homecare capabilities (Generations, Sandata) to widen the moat.

## Strategic Focus
- Continue expanding through M&A to build the most comprehensive homecare management ecosystem.
- Enhance data insights and interoperability across payers, providers, and state systems.
- Scale headcount and go‑to‑market capabilities (notably adding sales and customer success roles).

## Why Work Here
- **Culture**: Emphasizes core values **Achieve, Grow, Collaborate, Support**. Offers on‑the‑spot rewards, mental health initiatives, cultural celebrations, and employee inclusion events.
- **Work policy**: Primarily on‑site (New York HQ, plus offices in Miami, Minneapolis, Frisco, TX). Some roles posted as “In‑Office or Remote” – check specific listings.
- **Benefits**: Performance bonuses, generous parental leave, dental/health insurance, Flexible Spending Account (FSA), tuition assistance, and diversity‑based Employee Resource Groups (ERGs).
- **Engineering culture**: Growing tech team (99 technical staff) with stack including Ruby on Rails; opportunities to work on platform data insights and integration projects.
- **Impact**: Directly improve the lives of aging and disabled individuals – a mission‑driven environment.
- **Recent employee ratings** (242 reviews): Overall 2.8/5.0 (Work‑Life 2.8, Compensation 3.1, Culture 2.7, Career 2.6) – indicates room for improvement, but typical for a fast‑growing PE‑backed company.

## Sources
1. [HHAeXchange Careers Page (Lever)](https://jobs.lever.co/hhaexchange)
2. [HHAeXchange Official Careers Page](https://www.hhaexchange.com/careers)
3. [LinkedIn Company Profile](https://linkedin.com/company/hhaexchange)
4. [Built In NYC Company Profile](https://builtin.com/company/hhaexchange)

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