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Bellese·United States

Principal Engineer

full time·Posted Jul 17, 2026

Job description

Bellese is a mission-driven Digital Services Company committed to pioneering innovative technology solutions in civic healthcare. Our dedication lies in making a meaningful impact on public health outcomes. 
 
Driven by service design, we strive to know the “Why” to understand the healthcare journey for patients, caregivers, providers, payers, and policymakers. Our goal is to design and build solutions that reduce confusion, provide clarity, support decision making, and streamline the process so that we and our partners can focus on providing better health outcomes by improving patient care and reducing costs and burden.

 

As a Principal Engineer, you will help establish the engineering vision and act as the translator between strategic intent and scalable execution. This role drives technical direction and engineering strategy across enterprise engineering platforms by building the "paved path" - with a particular focus on developer experience, platform observability, and design and content enablement used by the QMARS team.
 
The Team you will be joining:

QMARS

Our team is charged with maintaining and improving the software at the Centers for Medicare and Medicaid Services (CMS) that supports the Quality Management and Review Systems (QMARS) program. QMARS online case management system supports the CMS Beneficiary and Family-Centered Care (BFCC) Quality Improvement Organization (QIO) program.  The QIO program is one of the largest federal programs dedicated to improving healthcare quality for Medicare beneficiaries across the country.  Our teams will continuously strive to modernize these systems while improving them in ways that reduce provider burden and minimize costs to CMS.  We do this through HCD and Service design practices, product thinking, and skilled engineering.  At Bellese, we’re relentlessly focused on enabling and empowering providers to focus on improving the quality and safety of patient care.

Must haves:
  • AWS CDK and CloudFormation
  • AWS services (API Gateway, DynamoDB, S3, SQS, SNS)
  • VPN (subnets, IP addressing, routing, etc)
  • Networking and Routing (Route53 and General DNS troubleshooting, e.g. nslookup, A records, CNAME records, etc)
  • AWS EKS and Kubernetes
  • Willingness to learn new services
  • "DevSecOps" security mindset (Shift left security)
Nice to haves:
  • AWS ECS/ECR, Lambda, EC2, Step Functions
  • Monitoring like AWS CloudWatch, DataDog, PagerDuty
  • Deployments like AWS CodePipeline, Jenkins, Github Actions
  • Security groups, IAM Roles
  • Someone who looks for problems to solve versus waiting to have work assigned to them
 

Security Clearance Requirements

  • US Citizenship or Green Card only - we do not offer Sponsorship
  • US Residency for at least the past 3 years
  • Able to meet the requirements to hold a position of Public Trust, including successful completion of a US Government background investigation
  • Disclaimer: Medical or recreational marijuana use is considered illegal at the federal level, regardless of state laws allowing such, and may affect your ability to obtain Public Trust. See article
  • Work that matters, with perks that deliver. Discover how Bellese Technologies invests in you through a benefits suite that makes every day better

  • Remote First, Remote Only Culture
  • Four weeks paid time off yearly (prorated based on start date for the first year)
  • 10 paid floating company holidays
  • Flexible schedule
  • Work from home setup including a Macbook 
  • Collaborative, learning environment
  • Medical, dental, and company-paid vision insurance
  • Optional HSA account with some medical plans and a company contribution
  • Company paid basic life and AD&D insurance coverages
  • Company paid short and long term life insurance
  • Optional critical illness and accident insurance
  • 401K plan with 3% safe harbor contribution
  • Wellness resources and virtual care
  • Perks Plus employee discounts
  • You will like it here if

  • You foster a collaborative ethos, driven by the mission to deliver exceptional customer service to clients. You are passionate about Healthcare and changing the healthcare landscape. You’re an out of the box thinker, always striving to know the “why” when it comes to building solutions. You excel in a team-oriented, remote-first environment characterized by mutual respect and open communication. Your adaptability and ability to navigate challenges ensure your success in any situation.
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