Principal Engineer / Tech Lead | REMOTE (US)
Pelairo Inc. | Principal Engineer / Tech Lead | REMOTE (US) | Full-time At Pelairo we're building the most intuitive and flexible Laboratory Information Management System (LIMS) on the market. "Manage the lab, not the LIMS!" We're looking for a hands-on Principal Engineer to lead the design and delivery of our backend—built on TypeScript + NestJS—and help our small team iterate quickly with confidence. You'll turn ambiguity into shippable slices, help set technical direction, and raise the bar on reliability, security, and speed.What you'll do: • Own the backend: spend meaningful time writing and reviewing production code. • Architecture stewardship: keep the system coherent as we scale questionnaire-driven workflows and FHIR pipelines. • Reliability & quality: Establish testing strategy (unit/integration/contract/E2E), migrations, rollouts (feature flags). • Observability: Instrument tracing/metrics/logging, build dashboards/alerts; drive incident reviews. • Raise the engineering bar: define and enforce code review policy, branching model, testing strategy, and bolthires/CD gates.• Partner with Product & domain experts: translate healthcare workflows into configurable front-end modules; ensure back-end transforms to valid FHIR in Medplum. What makes you a great fit: • 8+ years building production systems, including principal/staff scope in a startup or similar pace. • Deep TypeScript + Node.js and expert-level NestJS in production. • Track record leading cross-team projects and influencing architecture without heavy process. • Product sense and crisp communication; comfortable owning ambiguous problems and shipping quickly with guardrails.• Bonuses: FHIR/Medplum, healthcare data workflows, HIPAA/SOC 2 experience, comfortable jumping into modern frontend (React/Next.js) when needed. Stack: TypeScript (Next.js and NestJS), Medplum, AWS (Cognito, Fargate) Apply tot his job