Staff Software Engineer - 340B Check

Bluesight

United States - RemoteFull-time$170,000–$200,000Posted Oct 21, 2026

About the role

At Bluesight, our mission is to create groundbreaking solutions that increase efficiency, safety and visibility for health systems, hospital pharmacy, and pharmaceutical manufacturers. We empower our customers to deliver the right medicine to the right patient at the right time, every time. We are a high growth healthcare information technology company with a start-up 'vibe' but over 3,000 customers using our proven solutions.

Bluesight is looking for a Staff Software Engineer to help us redefine and grow our suite of healthcare data products in support of the company's mission of powering hospital and pharmacy operations. Our hospital and pharmacy customers rely on us to keep their patients safe and their pharmacies running smoothly while delighting them with every release. Through our controlled substance tracking platform, we're committed to improving medication management and compliance for our nation's healthcare providers; and our data operations and products are the backbone of that mission. On the 340BCheck team, you’ll be helping our customers ensure complete and continuous 340B program compliance through automated auditing across multiple data sources, comprehensive documentation, and centralized communication and collaboration.

As a Staff Software Engineer on the 340BCheck team, you'll help lead technical direction; contributing to critical architectural decisions, elevating the team's collective technical execution, and driving cross-team initiatives that extend beyond any single feature or sprint. This is a technical leadership role, not a people-management one: your impact is measured by how much you help multiply the team around you, not just what you personally ship.

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You Can Expect To

Set technical direction for the 340BCheck team, designing work that spans multiple domains (front-end, back-end, data, ci/cd, infrastructure) over months, not sprints

Own critical architectural decisions for apps and services built on React & Typescript, Python & FastAPI, Terraform, built and deployed by CodeBuild; and guide the team on architectural choices.

Make critical technical and architectural calls within the timelines the team needs.

Drive proactive refactoring of services and application to help support 340BCheck as it scales.

Identify and resolve the hardest technical problems in the codebase; expert-level debugging across distributed systems and complex applications

Elevate the whole team's technical ability and execution; the goal is doubling (or more) the team's collective output, not just personal 5–10x contributions

Lead cross-team dependency management and coordinate cross-discipline efforts with Product, QA, and adjacent engineering teams while maintaining productive relationships across the organization.

Communicate large systems and technical tradeoffs clearly to both engineering and non-technical stakeholders, including in roadmap and planning conversations

Drive improvements in team culture

Influence at the Engineering Manager level; partner closely with your EM and fellow technical leads on team execution, hiring signal, technical roadmap, and provide technical guidance across the broader engineering team, not just direct collaborators.

Mentor senior engineers and serve as an escalation point for the team's most difficult technical challenges

Maintain a "customer service" mentality toward the rest of the team; your job is to help make everyone else's work better

Required Qualifications & Skills

9+ years of professional software engineering experience, with demonstrated depth across the full stack

Acute specialization in one or more areas (front-end, back-end, or infrastructure) combined with working knowledge across the rest of the stack

Track record of contributing to technical direction for a team and driving multi-month, cross-domain initiatives to completion

Strong understanding of relational database systems (MySQL), with experience designing for scale

Experience with Infrastructure as Code (Terraform) and owning production services end-to-end and driving observability (DataDog)

Demonstrated ability to influence architectural decisions across multiple teams, not just your own including long-term architectural direction.

Excellent communication skills; able to describe large systems and complex tradeoffs to non-technical stakeholders and drive alignment across teams

A leadership style rooted in service and collaboration: you measure your success by the team's output, not just your own

Experience using gen AI in your own work, and advising a team with a gen AI assisted workflow (implementation, reviews with a human in the loop, etc)

Experience mentoring senior engineers and building technical judgment in others

Comfortable co-leading technical direction alongside other senior technical voices on the team

Preferred Qualifications

Database administration experience, preferably AWS Aurora MySQL

Experience integrating Electronic Health Record (EHR) data into enterprise software

Prior experience in a regulated/compliance-driven healthcare or controlled-substance domain

What You'll Get From Us

Ownership of problems of scale, technical debt, and security that shape what's possible in medication intelligence

Room to be creative and choose your own path

Trust in your sense of ownership

Dedicated budget for training and career development

Coworkers who you'll learn from, who will push you, and who are looking to learn from you

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$170,000 - $200,000 a year

The standard base pay range for this role is $170,000 - $200,000 when annualized. In addition to a base salary, this position is also eligible for an amazing benefits package. The actual amount of salary offered will vary depending on the position level, experience, performance, and location. This position is fully remote and open to applicants in the continental United States.

This position is a remote position and open to qualified applicants in the continental United States who are eligible to work in the United States without Visa sponsorship.

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This position is open to applicants in the continental United States.

Why Bluesight?

Bluesight’s culture is built on innovation and teamwork. There’s room to grow and opportunities to take initiative. You will partner with sharp, motivated teammates looking to disrupt a massive industry—and have fun doing it. We truly believe that where you work and what you do matters. Join us as we revolutionize the hospital pharmacy landscape!

-Competitive salary

-Time off when you need it – unlimited vacation days!

-Generous insurance coverage

-401k program with a company match

-Fun, collaborative culture!

EOE AA M/F/VET/Disability

All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of race, religion, color, national origin, sex, protected veteran status, disability, or any other basis protected by federal, state or local laws.

Responsibilities

  • Set technical direction and make architectural decisions for the 340BCheck team.
  • Lead cross-domain initiatives spanning application development, data, CI/CD, and infrastructure.
  • Resolve complex technical problems and proactively improve services as the product scales.
  • Coordinate cross-team work and communicate technical tradeoffs to engineering and non-technical stakeholders.
  • Mentor senior engineers and elevate the team's technical execution.

Qualifications

  • 9+ years of professional software engineering experience with full-stack depth.
  • Specialization in front-end, back-end, or infrastructure, with working knowledge across the rest of the stack.
  • Experience guiding technical direction and completing multi-month, cross-domain initiatives.
  • Strong relational database design experience, including MySQL, and experience designing for scale.
  • Experience with Terraform, production service ownership, and observability tools such as Datadog.
  • Ability to influence architectural decisions across multiple teams and communicate complex tradeoffs clearly.
  • Experience with generative AI workflows and advising teams on human-in-the-loop practices.
  • Experience mentoring senior engineers and collaborating on technical leadership.

Benefits

  • Dedicated budget for training and career development.
  • Unlimited vacation days.
  • Generous insurance coverage.
  • 401(k) program with company match.
  • Collaborative culture and opportunities to take initiative.

Skills mentioned

ReactTypeScriptPythonFastAPITerraformMySQLSystem DesignDistributed SystemsDebuggingGenerative AI

About Bluesight

Bluesight powers hospital operations with intelligence that simplifies inventory management, procurement, and compliance. Through its suite of industry-leading solutions, Bluesight ensures that health systems protect every patient and optimize every dollar. Over 3,000 United States and Canadian hospitals rely on Bluesight every day to have efficient and safe operations. For more information, please visit bluesight.com.

Software Development51-200 employeesAlexandria, Virginia

H-1B sponsorship history

Historical employer filing data was found for Bluesight. The employer record includes 4 historical certified applications. This is employer-level history, not a guarantee that this role currently offers sponsorship.