Principal Software Engineer

As a Principal Software Engineer, you will help architect and build the core systems powering next-generation healthcare AI products. You will work directly on AI-driven patient communication, triage systems, agent orchestration platforms, secure healthcare infrastructure, and low-latency voice and video technologies. This is a hands-on engineering role focused on building production-grade systems that operate reliably at scale. What You'll Do

• Design and scale AI-powered healthcare platforms and distributed systems
• Build and optimize agent-based architectures and orchestration systems
• Develop secure healthcare data infrastructure and enterprise integrations
• Work on systems leveraging LLMs, AI agents, reinforcement learning, and modern AI technologies
• Improve system performance, reliability, scalability, and clinical accuracy
• Collaborate closely with founders and a highly technical engineering team
• Take ownership of technical decisions from architecture through deployment

• 5+ years of experience building complex production-grade software systems
• Strong backend engineering expertise, ideally with Python
• Experience designing scalable distributed systems
• Ability to transform ambiguous business requirements into robust technical solutions
• Strong software architecture and systems design skills
• Experience operating in startup, scale-up, or high-growth environments
• Comfortable working independently with high ownership and accountability, * Experience with AI, machine learning, LLMs, or agentic systems
• Healthcare technology, health data, or clinical workflow experience
• Experience with cloud infrastructure and large-scale systems
• Proficiency in additional languages such as Go, Rust, TypeScript, or similar
• Open-source contributions, hackathons, or side projects demonstrating technical excellence
• Experience mentoring engineers and contributing to technical strategy

Our client is a healthcare AI startup on a mission to make healthcare truly accessible through advanced AI systems. The vision is ambitious: building intelligent agents capable of performing doctor-level and nurse-level tasks while improving patient access, clinical efficiency, and healthcare outcomes at scale., If you're excited about shaping the future of AI-driven healthcare and building systems capable of transforming patient care, we'd love to hear from you...