Principal AI Engineer (Remote)

Rula Health$130K — $180K *
US-AnywhereRemote in United States
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • 10+ years in software engineering; 7+ years in Public Cloud (AWS, GCP, etc.)
  • 5+ years in designing/scaling distributed systems
  • 5+ years deep experience in Python and another backend language (TypeScript, Java, Go, etc.)
  • 2+ years building AI-powered products at scale with foundation models
  • 2+ years in LLM integration patterns such as RAG and agentic loops
  • 3+ years with MLOps and data pipelines for continuous model improvement

Responsibilities

  • Design AI architecture that integrates with clinical workflows
  • Build durable, production-grade systems for patient and provider engagement
  • Act as a technical multiplier across development teams
  • Establish standards for technical excellence and safety in regulated environments
  • Analyze and implement AI integration patterns to enhance system efficiency

Benefits

  • 100% remote work environment for healthy work-life balance
  • Comprehensive health benefits including medical, dental, and vision
  • 401(k) plan access for retirement savings
  • Generous time-off policies including company-wide shutdown weeks
  • Paid parental leave for all forms of parental roles
  • Employee Assistance Program (EAP) for mental and physical health support
  • New hire home office stipend for setting up an effective workspace
  • Quarterly stipend for team-building activities
  • Wellness events and informative lunch & learns
  • Access to community and employee resource groups promoting diversity and inclusion
Full Job Description
About the Role

As a Principal AI Engineer at Rula, you will own the AI foundation that determines how generative AI shows up across mental healthcare. You will operate where architecture, applied research, and real-world clinical constraints meet, designing durable, production-grade systems that power patient engagement and provider workflows at scale. This is a deeply hands-on role where you will act as a technical multiplier, architecting core platform primitives (RAG, agentic loops) while setting the standard for technical excellence and safety in a regulated environment.

Required Qualifications
  • 10+ years of software engineering experience, including 7+ years with Public Cloud (AWS, GCP, etc.) and
  • 5+ years designing/scaling distributed systems.
  • 5+ years of deep experience in Python and at least one other backend language (TypeScript, Java, Go, etc.).
  • 2+ years building AI-powered products at scale with foundation models (OpenAI, Anthropic, Gemini, etc.).
  • 2+ years of experience with LLM integration patterns such as RAG, agentic loops, and orchestration frameworks like LangChain or LlamaIndex.
  • 3+ years working with MLOps, data pipelines, evaluation, and observability systems for continuous model improvement.


Preferred Qualifications

While having the preferred qualifications enhances your candidacy, having all of them is not mandatory. We encourage all interested applicants to apply, even those who may not meet every preferred requirement.
  • Experience architecting secure, compliant AI solutions in regulated environments (HIPAA, GDPR).
  • Familiarity with human-in-the-loop systems and clinical decision support frameworks.
  • Experience designing evaluation pipelines for human alignment, factual accuracy, or model interpretability.
  • Contributions to open-source AI frameworks or applied research in GenAI safety.
  • Experience leading or mentoring engineering teams in AI or ML platform domains.

We're serious about your well-being! As part of our team, full-time employees receive:
  • 100% remote work environment: Working hours to support a healthy work-life balance, ensuring you can meet both professional and personal commitments (must be based in United States, currently not hiring in Hawaii)
  • Attractive pay and benefits: Full transparency of pay ranges regardless of where you live in the United States
  • Comprehensive health benefits: Medical, dental, vision, life, disability, and FSA/HSA
  • 401(k) plan access: Start saving for your future
  • Generous time-off policies: Including 2 company-wide shutdown weeks each year for self-care (for most employees)
  • Paid parental leave: Available for all parents, including birthing, non-birthing, adopting, and fostering
  • Employee Assistance Program (EAP): Support for your mental and physical health
  • New hire home office stipend: Set up your workspace for success
  • Quarterly department stipend: Fun team-building activities or in-person gatherings
  • Wellness events and lunch & learns: Explore a variety of engaging topics
  • Community and employee resource groups: Participate in groups that celebrate employee identity and lived experiences, fostering a sense of community and belonging for all

Our team

We believe that diversity, equity, and inclusion are fundamental to our mission of making mental healthcare work for everyone. We are dedicated to having a culture of inclusion that will support our employees in feeling safe, seen, heard, and valued.

About Rula Health

Rula Health Careers

Joining Rula Health presents an unparalleled opportunity to become part of a leading team in the healthcare industry, renowned for innovation and leadership in delivering exceptional patient care.

Work You'll Do

At Rula Health, professionals will find themselves at the forefront of the healthcare sector, helping to shape the future of medical services through cutting-edge technologies and practices. This is where industry expertise meets digital innovation to transform healthcare services. Lead in a unique position in the marketplace, leveraging deep industry knowledge and technological advancements to make a significant impact. Engage with a dynamic team of healthcare professionals and technology experts dedicated to navigating the complexities of healthcare innovation.

Rula Health Job Opportunities

Rula Health is building a market-leading team to drive transformation in healthcare services. The company offers a variety of job opportunities, from clinical roles to IT support, each contributing to the overarching goal of enhancing patient outcomes.

Innovative Work

Join the ranks of skilled professionals who are pushing the boundaries of what's possible in healthcare. Rula Health is a place where innovation is the norm, not the exception, fostering a culture of continuous improvement and creative problem-solving.

Professional Growth and Development

Embark on a career path that offers extensive growth opportunities. Rula Health is committed to professional development, offering diverse training programs, including leadership development and diversity training, to ensure every team member can reach their full potential.

Explore Career Paths

Rula Health not only offers job opportunities but also internships and entry-level positions that provide a stepping stone for those beginning their careers. These positions are crafted to build skills and provide valuable industry experience.

The Rula Health Employment Experience

Rula Health is dedicated to creating a workplace where diversity is celebrated, and inclusion is the bedrock of the company culture. The team is composed of passionate, curious, and solution-driven members who thrive in a collaborative and innovative environment.

Stay Connected

Join the Team

Discover open positions that align with your skills and interests. Rula Health is actively hiring and looks for professionals who are eager to contribute to a team and grow their careers within the healthcare industry. SEARCH RULA HEALTH JOBS

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