Principal Full Stack Software Engineer
Butterfly Network· enterprise· Medical Devices· Aug 31, 2026 · 2mo ago
New York, NY Office
Hybrid
Full-time
Principal
$200K–$230K
10+ years exp
Job description
Principal Full Stack Engineer
Company Description
Butterfly Network, Inc. (NYSE: BFLY) is driving a digital revolution in ultrasound imaging and sensing with its proprietary Ultrasound-on-Chip™ semiconductor technology and software solutions. Butterfly first proved its technology in the point-of-care ultrasound market – commercializing the world’s first single-probe, whole-body portable ultrasound device, which is now on its best-selling, third-generation: Butterfly iQ3™. The Company combines its advanced hardware with cloud software and AI, an enterprise workflow solution (Compass AI™) and other offerings to drive adoption of affordable, accessible ultrasound. Butterfly also enables third-party development of imaging AI apps through Butterfly Garden™, its software development kit and AI partnership initiative.
In addition to its medical imaging products, Butterfly Embedded™ is the Company’s Ultrasound-on-Chip™ licensing and co-development program designed to enable a new wave of ultrasound-enabled technologies across non-competitive healthcare markets and beyond. Through Butterfly Embedded™, partners can build and scale novel ultrasound applications powered by Butterfly’s proprietary semiconductor chip and software platform. Butterfly’s innovations have been recognized by Prix Galien USA, Fierce 50, TIME’s Best Inventions and Fast Company’s World Changing Ideas, among other achievements.
We’re a team of bold thinkers, problem-solvers, and innovators ready to shape the future of medical imaging. Let’s build something extraordinary together!
Job Description
We are seeking an experienced software engineer to build our critical Enterprise Clinical workflows system. The Butterfly Cloud provides a secure and robust connection to users’ health information. We build tools and services that allow doctors and clinicians to make informed, intelligent diagnostic decisions with the help of their fellow peers. In doing so, we manage and maintain our customers’ administration of users and organizations, ensuring feature and entitlement management, as well as building scalable, platform-level enterprise features such as global search and audit logging. Join us in solving challenging, mission-critical problems that will make our technology accessible to 40 million physicians and billions of people worldwide.
As part of our team, your core responsibilities will be to:
Solve distributed systems problems, designing for elasticity, reliability, performance, and automated validation
Build modern solutions using the best technologies available, informed by a deep understanding of cloud architecture and how distributed systems operate at scale
Own business problems, shape ideas into system designs, and lead developers through execution
Mentor and lead other engineers to achieve our goals
Perform a wide variety of tasks in support of the role and responsibilities.
Qualifications
Baseline skills/experiences/attributes:
10+ years of experience solving distributed systems/web development problems
A track record of mentoring engineers
Willingness to work in different layers of the stack and unfamiliar problem domains
Bachelor's Degree in Computer Science or equivalent experience
Ideally, you also have skills and experience in these areas (but it’s ok if you don’t!):
GraphQL and related frameworks e.g. Relay, Apollo and URQL
Experience with LLMs and MLOps
Containerization and orchestration technologies such as Docker, ECS, EKS
Web apps with live updates - pub/sub solutions (such as Redis), WebSockets
Designing and building observability solutions, utilizing modern monitoring, logging, and metrics tools to ensure overall system health
Frontend experience with React and TypeScript
OpenSearch or other Lucene-based search engines
HIPAA, PHI, and PII compliance
Values
Innovation is what we do. Our values are how we make it happen. Butterflies are and believe in…
Patient-Centric Innovators: Our mission is THE mission.
Empowered to Impact: Every voice matters.
One Team, One Goal: Unity fuels progress.
Growth Champions: We embrace challenges.
Action-Oriented Achievers: We follow through, every time.
Location
Butterfly offers a hybrid work model for most positions, with team members spending two or more days a week in the office. While flexibility is key, we value in-person connections that spark creativity and teamwork. Our offices are designed for collaboration, with comfortable workspaces, stocked kitchens, and opportunities to connect with peers.
This role is based in our New York City office, where we strongly value in-person collaboration. For exceptional candidates, we are also open to remote arrangements within the United States, with periodic travel to New York City for team collaboration and planning.
Benefits and Perks
Comprehensive health insurance, encompassing dental and vision coverage, is provided to all our employees. As a health-tech company, we prioritize the well-being of our teams. Additionally, employees have the option to buy up for enhanced health insurance coverage. We also contribute to Health Savings Account (HSA) accounts for all enrolled employees on an annual basis.
Comprehensive Employee Assistance Program - we provide access to tools and resources to support your emotional health and day-to-day needs.
401k plan and match - we facilitate your retirement goals.
Eligible employees will have the opportunity to participate in the Employee Stock Purchase Plan (ESPP)
Unlimited Paid Time Off + 10 Holiday Days a Year - recharge and come back ready to make an impact
Parental Leave - we aim to provide our employees with time to bond with their growing family, along with additional support for primary caregivers to help transition back to work
Competitive salaried compensation - we value our employees and show it
Equity - we want every employee to be a stakeholder
The opportunity to build a revolutionary healthcare product and save millions of lives!
Compensation
Our estimated salary for this role is between $200,000 - $230,000 + bonus + equity + benefits. Actual pay is determined by multiple factors such as location (and hybrid / remote setup), skills, qualifications, experience and market demand.
Candidates must be authorized to work in the United States. Butterfly Network will not provide immigration sponsorship of any kind for this position, including but not limited to H-1B, TN, O-1, L-1, or green card sponsorship (this includes applicants that are in the process of obtaining a Green Card), now or in the future.
Butterfly Network does not accept agency resumes.
Butterfly Network is an E-Verify Company.
Butterfly Network is an equal opportunity employer. Regardless of race, traits associated with race, color, ancestry, religion, gender, national origin, sexual orientation, age, citizenship, marital status, disability or Veteran status. All your information will be kept confidential according to EEO guidelines.
Butterfly requires security adherence responsibilities from all employees. These include: adhering to all company security policies and procedures, utilize provided company assets securely, and complete all required security awareness training programs. Safeguarding company data and systems from unauthorized access, modification, or destruction, contributing to the overall security posture of the organization. Immediately reporting any suspected or actual security incidents, including phishing attempts, malware infections, or unauthorized access, following the established incident response procedures.
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Keywords to mirror
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Benefits
Benefits detected in the listing.
Health Insurance
Dental
Vision
401k
Paid Time Off
Parental Leave