As a Principal Software Engineer, you won't just write code; you will shape the multi-quarter engineering strategy and technical standards that make this mission possible.
The Role: Impact & InfluenceThis is a high-agency leadership position designed for a "builder" who can operate across the entire stack while influencing the company's long-term technical trajectory.
Technical Strategy & Architecture- System Design: Own the architecture across multiple product areas or the entire platform, designing systems capable of supporting 10-100x growth without major rewrites.
- EngineeringStandards: Establish architectural patterns and technical standards adopted org-wide.
- ProblemSolving: Identify and resolve root-cause quality failures or misalignments between system architecture and business direction.
- TechnicalJudgment: Drive build-vs-buy analyses and advise leadership on technical risks regarding product and Go-To-Market (GTM) strategy.
AI Adoption & Leverage- AIStrategy: Define the AI tooling strategy for the engineering organization.
- ProductCapabilities: Oversee the architecture of AI-powered product capabilities, including voice agents and AI-assisted clinical workflows.
- TechnicalDepth: Manage model selection, context window management, latency/cost tradeoffs, and evaluation methodologies.
- Safety & Standards: Take responsibility for AI quality and safety standards within the product.
Execution & Product Partnership- Multi-Quarter Initiatives: Drive cross-team initiatives where success is measured by product outcomes (feature adoption, error rates) rather than just ticket throughput.
- Roadmap Shaping: Partner with product leadership to define the roadmap based on what is feasible, high-leverage, and risky.
- Product Health: Accountable for product health metrics and "definitions of done" that include actual product outcomes.
Leadership & Culture- Mentorship: Grow Senior and Tech Lead-level engineers and develop the next generation of technical leaders.
- OrgGrowth: Partner with Engineering Managers on performance, leveling decisions, and technical recruitment strategy.
- Communication: Influence org-wide decisions through writing and advocacy, building consensus across teams with competing priorities.
The Team: AI-Native by Design- We are led by a technical team with deep roots in high-scale engineering. We foster an "AI-native" culture where using the latest tools to automate the mundane and maximize output is not just allowed - it's championed.
- OurStack: Modern Node/TS/GCP.
- ThePlayground: Hands-on work with OpenAI, Langfuse, and Vertex AI to ship features into production environments that impact real patient care.
- NoLegacy Debt: You won't be mired in 10-year-old bugs; you'll be building the future.
What We're Looking For- The Builder Mindset: You have a track record of building products from scratch and can deep-dive into any part of the stack.
- EngineeringJudgment: You know when to move fast and when to slow down, framing technical decisions in terms of business outcomes.
- AIFluency: You have experience building AI products or use AI tools to maximize your own workload.
- HighAgency: You don't wait for a perfect Jira ticket; you figure out how to move the needle and do it.
- US-Based: You must currently be based in the US. We offer relocation assistance to our Orlando hub.
Location & Benefits- HybridOrlando Hub: We believe in the power of getting together to whiteboard and "jam" on ideas. While we are a distributed team, we want engineers excited to head into our new Orlando hub when needed.
- SignificantEquity: As an early hire in this window, you will take a meaningful stake in the company we are building.
- HighInfluence: You will have a direct seat at the table to influence both the product roadmap and the company's technical direction.
Ready to build the future of healthcare? Let's talk.
