Principal Software Engineer

About Visilant

Visilant is a commercial-stage digital health company spun out of the Johns Hopkins University focused on creating and deploying accessible, AI-powered eye screening technologies to eliminate avoidable blindness. More than 1 billion people live with treatable eye diseases, yet care remains out of reach due to a shortage of eye specialists, long travel distances, and high costs, especially for rural and low-income patients.

Visilant is building a comprehensive technology portfolio for scalable eye care access. Our proprietary smartphone-based imaging system, SeekerTM enables health workers with no prior eye care experience to capture clinical-grade, diagnostic-quality images of the front-of-the-eye, including the leading causes of blindness globally. Our AI algorithms and software platform enable instant patient diagnosis, referral, telemedicine consultation, and follow-up support. Visilant has partnered with the world’s leading eye care systems and technology companies to scale access to eye care globally.

The Role

We are hiring a hands-on, product-minded software engineering lead to be one of the defining early developers at Visilant. This role combines software engineering with strategic decision-making: you will write production code, drive architecture for a multi-platform healthcare system, and shape how our technology scales to millions of patients.

You’ll partner with the leadership team to shape the technical roadmap, lead FHIR/EMR integrations, and build core AI, mobile, and cloud infrastructure powering Visilant’s screening platform.If you want to own meaningful architecture from day one, build systems that directly impact health outcomes, and play a foundational role in a product’s trajectory, this is that role.

Key Responsibilities

Hands-On Software Engineering

• Write maintainable, production-quality code across backend, mobile, and cloud services.

• Lead integration with hospital systems, including FHIR and EMR systems.

• Build and refine the mobile app for field workers, technicians, and ophthalmologists to capture, upload, and review patient data.

• Implement analytics dashboards for partner hospitals to track screening volume, outcomes, and system performance.

• Ensure secure patient data management, including HIPAA/GDPR compliance.

• Support quality management system (QMS) documentation consistent with ISO 13485 and IEC 62304 software lifecycle standards.

  Technical Strategy

• Define and execute the technical roadmap to support scale, reliability, and innovation.

• Lead architecture decisions for a platform that integrates mobile, AI, and cloud components.

  Team Building & Management

• Build and oversee a high-performing development team.

• Establish engineering workflows, QA processes, and agile development practices.

  Systems Scalability & Reliability

• Build scalable infrastructure to support screening and triage of millions of patients.

• Ensure uptime, data integrity, and secure, low-latency telemedicine operations in low-connectivity environments.

Ideal Candidate Profile

Technical Expertise

• 5+ years of experience in software engineering, with a strong track record of technical leadership and architectural decision-making.

• Deep experience in designing and scaling distributed systems, cloud infrastructure, and backend services that are secure, reliable, and maintainable.

• Demonstrated success in systems integration, including APIs, data pipelines, and connecting with third-party platforms (e.g., EMRs, FHIR).

  Mission Fit

• Passion for health equity and social impact.

• Excited to improve access to care for underserved populations globally

• Eager to grow an organization to achieve a broad impact.

  Bonus Qualifications

• Experience working in digital health or healthcare systems, especially in low resource environments.

• Familiarity with mobile health applications and Android development.

• Exposure to FHIR, HL7, or healthcare interoperability standards.

Why Join Visilant?

• Play a key role in building one of the largest AI-enabled eye care platforms in the world.

• Build a product that will touch millions of lives globally.

• Enjoy autonomy, growth, and the opportunity to shape health systems of the future.