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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