---
title: "Principal Engineer at Alto Software Group – Texas +3"
canonical: "https://www.metaintro.com/job/principal-engineer-at-alto-software-group-3f0e010f-e3d7-54f1-8c33-beb0635e68cb"
language: "en"
author: "Metaintro"
---

[/company/alto-software-group](/company/alto-software-group)[Alto Software Group](/company/alto-software-group)
# Principal Engineer at Alto Software Group

Compensation · Listed in posting

$209,600 – $262,000/yr

**Setup**
: Remote

**Location**
: Texas · Virginia · +2

**Type**
: Full-time

**Level**
: staff+

**Posted**
: Sep 1, 2026

## Description

Fuze Health is hiring a Principal Engineer for FuzeRx to serve as a top-tier technical leader and individual contributor who defines architectural strategy, leads complex distributed-system initiatives, mentors senior engineers, and establishes engineering standards. The role focuses on high-volume API integrations, pharmacy fulfillment logistics, database efficiency, AWS and PostgreSQL infrastructure, and healthcare compliance, including HIPAA and SOC2. Candidates need a bachelor’s degree, 10+ years of software engineering and systems design experience, and 3+ years at a Staff, Principal, or equivalent senior architectural level. The position is remote, pays $209,600–$262,000, and requires U.S. work authorization; visa sponsorship is not available.

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