Principal Security Engineer

Who We Are

Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity.

What You’ll Do

As Principal Security Engineer with Imagine Pediatrics, you will set the technical vision for how we protect our systems, our data, and the children and families who trust us with their care. You will serve as a trusted security advisor to the VP, Information Security and work across the business to make secure the default way we build and run technology, partnering closely with Engineering on DevSecOps strategy and architectural improvements.. You will stay hands-on with our hardest problems while raising the bar for the security team and the engineers around it.

You will:

Set the technical vision for the security stack, including endpoint, email, data loss prevention, vulnerability management and penetration testing, network, application, and data security, and ensure it aligns with business and clinical strategy

Define long-term cloud and identity security strategy across Microsoft Azure/EntraID and Amazon Web Services (AWS), including privileged access, phishing-resistant MFA, and governance of non-human identities such as AI agents, service accounts, and API keys, shaping secure infrastructure design patterns that influence company-wide technical decisions

Lead security architecture review and threat modeling for Care Hub and connected services, including Medplum application-layer controls (FHIR access policies, SMART scopes, Bots, and custom code) and data platforms such as Snowflake

Define DevSecOps strategy and standardize security gates across the SDLC and CI/CD pipeline, building on GitHub Advanced Security, OWASP Top 10 practices, software bills of materials, and prioritization of CISA Known Exploited Vulnerabilities

Serve as the senior technical escalation point (including in the on-call rotation) for the most complex and highest-stakes security events and strengthen incident playbooks, ransomware and critical-SaaS exercises, and restoration testing against recovery targets

Monitor and advise on the evolving threat landscape facing healthcare including AI-enabled and agentic attacks and its implications for business strategy

Ensure the organization can accurately demonstrate its security posture to payors, regulators, auditors, and other third parties, building documentation and evidence pipelines, including AI-assisted ones, that scale with our HITRUST, HIPAA, and NIST compliance requirements.

Frame ambiguous, high-stakes security questions for the organization and drive them to well-reasoned, defensible answers delivering decision-ready recommendations, risk rankings, and documented resolution pathways.

Ensure precision at the program level by driving guardrails such as automated configuration checks and drift detection, so misconfigurations are prevented systemically rather than caught individually

Shape the technical sequencing of our multi-year security roadmap, contribute to quarterly engineering planning, and ensure the security program’s execution aligns with company strategy and the timelines that matter to the business

Explore early-stage ideas and proofs of concept to de-risk future security initiatives before they are staffed or scoped

Champion thoughtful AI adoption within security to reduce manual effort, and guide how AI tools and AI-enabled products are adopted securely across the company

Partner with engineering, product, IT, and clinical stakeholders to embed security into how we design, build, and operate our digital products, translating complex security concepts for non-technical audiences

Mentor the security engineering team, coach engineers across technology on security craftsmanship, and shape the team’s learning culture

Act as a trusted advisor to leadership, advocating for security engineers while aligning security decisions with business priorities, and demonstrate executive-level composure in high-stakes, ambiguous situations

Apply professional discretion and judgement when viewing sensitive and personal data or information in the process of conducting work

Other duties as assigned

What You Bring & How You Qualify

First and foremost, you’re passionate and committed to reimagining pediatric health care and creating a world where every child with complex medical conditions gets the care and support they deserve. You will need:

Bachelor of Science degree in Computer Science, Information Security, Business, Management, or a related field is desired; advanced degree a plus

Relevant license or certification(s): CISSP, CCSP, CISM, GIAC (e.g., GCIH, GCLD, GSEC), AWS Certified Security – Specialty, Microsoft Certified: Cybersecurity Architect Expert preferred

10+ years of experience as a Security Engineer, Principal Security Engineer, Security Architect, or similar role(s), with at least 5 years of experience within the healthcare industry.

A track record of setting security technical strategy and driving alignment across security, IT, and engineering teams

Deep expertise in cloud and identity security architecture across AWS and Microsoft Azure/EntraID

Hands-on application and product security experience, including threat modeling, secure SDLC and CI/CD design, and securing healthcare APIs (FHIR, SMART on FHIR); experience with Medplum is a plus

Experience leading detection and response programs, including partnering with MDR providers and leading the technical response to serious security incidents and data breaches

Extensive experience translating HITRUST and HIPAA Security Rule requirements into technical controls and supporting engagements with auditors, payors, and regulators

Experience using Artificial Intelligence (AI) as a transformative technology to enhance and automate security processes, and an understanding of the security risks AI systems introduce

Knowledge of IT systems such as AWS, Microsoft Intune, EntraID, CrowdStrike Falcon (EDR/SIEM), GitHub Advanced Security, Snowflake, JAMF, Meraki, and JIRA Service Management

Strong collaboration and coaching skills, with demonstrated success developing senior engineers

Comfort operating autonomously in ambiguity, exploring early-stage ideas without well-defined requirements

Experience working in a fast-paced, hypergrowth, collaborative environment

Willingness to participate in an on-call rotation

Contributions to the broader security community, such as conference talks, publications, or industry threat intelligence sharing, are a plus

What We Offer (Benefits + Perks)

The role offers a base salary range of $195,000-$225,000 in addition to annual bonus incentive, competitive company benefits package, and eligibility to participate in an employee equity purchase program (as applicable). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary.

Competitive medical, dental, and vision insurance

Healthcare and Dependent Care FSA; Company-funded HSA

401(k) with 4% match, vested 100% from day one

Employer-paid short and long-term disability

Life insurance at 1x annual salary

20 days PTO + 10 Company Holidays & 2 Floating Holidays

Paid new parent leave

Additional benefits to be detailed in offer

What We Live By

We’re guided by our five core values:

Our Values:

Children First. We put the best interests of children above all. We know that the right decision is always the one that create