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Full Stack Engineer, Principal

Blue Shield of California

Oakland, CA · Posted October 21, 2026

More in California job market · Healthcare & Hospital Systems · Engineering jobs

About the job

Role

As a Full Stack Engineer in the healthcare space, you’ll architect seamless, mission‑critical applications that clinicians and patients depend on. From polished interfaces to high‑performance backends, you’ll shape technology that improves care delivery and enhances lives.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Work

In this role, you will:

Serve as a recognized technical authority across multiple products, platforms, or domains, shaping application architecture and engineering direction beyond a single team.

Develop secure, testable, and maintainable code aligned with modern architectural patterns

Implement system integrations and manage reliable data models for distributed components

Ensure applications are cloud-ready and compatible with established CI/CD workflows

Lead resolution of the most complex and ambiguous technical challenges, driving durable, long-term solutions that improve platform health and reduce systemic technical risk.

Leverage AI tools to enhance productivity, code quality, and documentation, while critically applying outputs

Drive system reliability and observability practices, ensuring proactive identification and resolution of complex production issues across systems

Define and promote engineering standards, patterns, and best practices that improve scalability, security, reliability, and delivery effectiveness across the organization.

Your Knowledge and Experience

10+ years of experience in full stack development

BA/BS in Computer Science or equivalent

Proficiency in modern front-end frameworks (React, Vue, Angular or similar) and JavaScript/TypeScript

Experience building backend services and APIs using .NET, Java, Node.js, Python, or similar technologies

Strong knowledge of SQL (e.g., MS SQL Server, Oracle) and/or NoSQL databases and RESTful integrations

Experience developing cloud-native applications (Azure preferred; AWS/GCP acceptable)

Experience with containerization (e.g., Docker)

Familiarity using Infrastructure as Code (e.g., Ansible, Bicep, ARM, Terraform) to provision and manage cloud resources

Working knowledge of CI/CD pipelines and version control systems (e.g., GitHub, GitLab, Bitbucket)

Experience using AI-assisted coding tools in professional software development (e.g., GitHub Copilot, Cursor, Claude, or similar)

Experience working in regulated environments (e.g., healthcare) preferred

Familiarity with healthcare interoperability standards or enterprise healthcare platforms (e.g., Epic) preferred

End-to-end ownership mindset – thinks about UI, logic, and data as one cohesive system

Engineering pragmatism – balances ideal architecture with delivery speed and business value

AI-augmented builder – leverages AI tools effectively while maintaining strong engineering judgment

Effective collaboration with product, design, QA, security, and platform teams

Ability to operate in dynamic, evolving environments with shifting priorities

Clear communication of technical concepts to both technical and non-technical stakeholders

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

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