The client is a stealth healthcare AI venture founded by experienced leaders, including the former VP of Engineering at Tumblr and founding CTO of Oscar Health. They are in the early 0 to 1 startup stage, building autonomous agents to perform full doctor tasks in large healthcare. You will work directly with hospitals and clinics to deploy and refine enterprise-grade systems, including AI-driven patient communication and triage, agent orchestration, and secure healthcare data layers with low-latency voice and video. This is a hands-on, Python-heavy role focused on building and scaling distributed systems and solving complex, high-impact problems. At the principal/staff level, you will own system architecture and reliability at scale while supporting and guiding other engineers. Responsibilities: - Architect and scale AI agents for healthcare applications. - Work on systems involving LLMs, reinforcement learning, and agent-based architectures. - Collaborate with a small team to ship and iterate quickly. - Solve high-impact problems, including system performance and clinical accuracy. - Design system architecture and own reliability at scale. - Support team members through code reviews and knowledge sharing. Requirements: - 7+ years building complex, production-grade systems. - Systems thinking: designing scalable systems and owning architecture decisions. - Problem solving: turning ambiguous requirements into scalable solutions. - Leadership: supporting other engineers through code reviews and technical guidance. - Low ego, high agency, and comfort in a fast-moving environment. Preferred Qualifications: - A background in healthcare, AI, or agentic systems.

Principal Staff Software Engineer

Emma

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