Principal Security Engineer

The posting, as Imagine Pediatrics wrote it

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-reasone

[…]
are 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 creates more safe days at home for the children we serve today and in the future.
• Earn Trust. We listen first, speak second. We build lasting relationships by creating shared understanding and consistently following through on our commitments.
• Innovate Today. We believe that small improvements lead to big impact. We stay curious by asking questions and leveraging new ideas to learn and scale.
• Embrace Humanity. We lead with empathy and authenticity, presuming competence and good intentions. When we stumble, we use the opportunity to grow and understand how we can improve.
• One Team, Diverse Perspectives. We actively seek a range of viewpoints to achieve better outcomes. Even when we see things differently, we stay aligned on our shared mission and support one another to move forward — together.

We Value Diversity, Equity, Inclusion and Belonging

We believe that creating a world where every child with complex medical conditions gets the care and support, they deserve requires a diverse team with diverse perspectives. We're proud to be an equal opportunity employer. People seeking employment at Imagine Pediatrics are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information, or characteristics (or those of a family member), pregnancy or other status protected by applicable law.