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Principal, R&D Engineer

Vizient · Chicago, IL · Remote available · $156,500–$290,100 a year · Full time

Posted Jul 8, 2026 · We last checked this listing on Oct 5, 2026

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Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

About your past

Tell me about a product you built from zero and shipped to real users. What did you cut to get it out?

What they are checking: Startup-style judgment about scope and speed, which this small, hands-on R&D team expects.

Tell me about a time you killed your own project. How did you know it was time?

What they are checking: Honesty about evidence and the willingness to stop, which keeps a focused R&D team effective.

What does being accountable for a product's impact mean to you as an engineer?

What they are checking: Ownership beyond code, caring about whether the product changed outcomes for real customers.

Tell me about working on a very small team where everyone wears several hats. What did you take on outside your role?

What they are checking: Comfort and range in a lean environment where principal engineers do far more than write code.

What would you do

You ship a prototype into a live hospital environment and users give you mixed feedback in week one. What do you do?

What they are checking: Reading early signals and iterating quickly without overreacting to a single loud voice.

How would you use Vizient's access to hospital data and customers differently than a startup could?

What they are checking: Whether they see the specific advantage the posting describes and how to use it responsibly.

About the work

How do you validate that a healthcare problem is worth building for before writing much code?

What they are checking: Discipline in customer discovery and quick tests so effort goes into problems hospitals actually have.

How do you build fast while still handling patient or hospital data safely?

What they are checking: Balancing speed with security and privacy, which is non-negotiable even in an R&D unit.

Walk me through the architecture of something you built that later had to scale. What would you change now?

What they are checking: Senior engineering depth and reflection on early technical choices under real usage.

How do you decide between building something custom and using an existing tool or model?

What they are checking: Pragmatic build-versus-buy judgment that saves a small team's limited time.

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The full job description

As published by Vizient.

When you’re the best, we’re the best. We instill an environment where employees feel engaged, satisfied and able to contribute their unique skills and talents while living and working as their authentic selves . We provide extensive opportunities for personal and professional development, building both employee competence and organizational capability to fuel exceptional performance through an inclusive environment both now and in the future. This is not a typical R&D role -- and it’s not meant to be. We’re building something new inside Vizient -- and we’re starting small on purpose. This team operates like a set of focused startups: small, hands-on, and accountable for shipping real products that real customers use. The difference is that access to customers, data, and scale is already solved -- from day one. You won’t be exploring ideas in isolation. You’ll be building, validating, and deploying software directly into live environments, with immediate feedback and a clear line of sight from problem to impact. Why This Team Exists Vizient is the largest healthcare performance improvement company in the U.S., working with thousands of hospitals and health systems and supporting care delivery for millions of patients nationwide. This R&D unit exists because Vizient sits closer to the real needs of health systems than almost any organization in healthcare. By working directly with providers, operators, and product leaders across that network, the team has immediate access to the problems that matter most -- allowing it to identify needs early, validate ideas quickly, and build software grounded in how healthcare actually operates. That proximity enables speed, fidelity, and impact that are difficult to achieve anywhere else. What You’ll Work On • Customer-facing tools used by real Vizient members • Rapid experiments and prototypes designed to learn quickly • Products that ship, evolve, and ship again -- in rapid succession • Platform work that unlocks future product velocity How You’ll Work • Partner closely with product leaders to understand problems, users, and rationale • Shape solutions collaboratively when it makes sense, or execute independently when that’s more effective • Move fluidly from idea to prototype to production • Make pragmatic technical decisions that balance speed, learning, and durability • Help define how this R&D unit operates as it grows What We’re Looking For • Strong software engineering fundamentals and a bias toward shipping • Comfort working on ambiguous problems with real users and real constraints • Ability to quickly understand product intent and translate it into working software • A track record of building things that were actually used • 2-5 years of experience is common, but not required -- judgment and capability matter more than tenure • Healthcare experience is not required Why This Role Is Different • It’s a foundational role in a new business unit with room to grow • You’ll have real ownership and influence from the start • You’ll ship software into live environments, not slide decks or internal demos • You’ll help shape what R&D looks like at Vizient long-term Requirements: • Demonstrated success in leading high-impact projects or initiatives in a fast-paced, innovative environment • Proven experience collaborating with cross-functional stakeholders and influencing technical direction at an organizational level • Prior exposure to large-scale systems, cloud-native platforms, and enterprise-grade software development #LI-KG1 Estimated Hiring Range: At Vizient, we consider skills, experience, and organizational needs in our compensation approach. Geographic factors may adjust the range estimate and hires typically fall below the top range. Compensation decisions are tailored to individual circumstances. The current salary range for this role is $156,500.00 to $290,100.00. This position is also incentive eligible. Vizient has a comprehensive benefits plan! Please view our benefits here: http://www.vizientinc.com/about-us/careers Equal Opportunity Employer: Females/Minorities/Veterans/Individuals with Disabilities The Company is committed to equal employment opportunity to all employees and applicants without regard to race, religion, color, gender identity, ethnicity, age, national origin, sexual orientation, disability status, veteran status or any other category protected by applicable law.

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