Principal Software Engineer
About the Company
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: €100,000 – €200,000 + Equity
The Opportunity
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
- €100,000 – €200,000 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 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...