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Principal Software Engineer

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Location: Remote
Compensation: To Be Discussed
Reviewed: Wed, Oct 28, 2026
This job expires in: 30 days

Job Summary

Seeking a full-time Principal Software Engineer to own architecture across various product areas, design scalable systems, and enhance engineering practices while working remotely in the United States.

Key responsibilities
  • Lead the development of agentic AI systems for patient communication, ensuring safety and reliability
  • Drive deep EHR integration and automation processes, focusing on accuracy and compliance
  • Architect and implement target-state systems to scale the platform from a few health systems to hundreds
Required qualifications
  • Experience building complex systems with a focus on architectural decisions that have lasting impact
  • Proven background in AI engineering, particularly with LLMs in production environments
  • Ability to simplify architecture while addressing real constraints effectively
  • Experience in high-stakes industries such as healthcare or fintech, emphasizing compliance and reliability
  • Demonstrated initiative in identifying and solving high-leverage problems independently

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