Principal Software Engineer

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.

The team is seeking exceptional engineers who are driven by solving meaningful high-impact problems and who thrive in fast-moving founder-led environments where ownership is expected from day one.

Location: Remote (European Union)
Work Model: Full-Time Remote
Compensation:Equity

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.

• 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

• annual compensation
• Equity participation
• Fully remote work across the European Union
• Flexible employment options (Permanent or B2B)
• Direct collaboration with founders
• Opportunity to help build category-defining healthcare AI technology
• High-impact work with real-world societal outcomes

If youre excited about shaping the future of AI-driven healthcare and building systems capable of transforming patient care wed love to hear from you...