Principal Software Engineer (Healthcare AI) EU, Remote

This Principal Software Engineer role is at a healthcare AI startup building intelligent agents for doctor-level and nurse-level tasks. You will architect and build core systems for AI-driven patient communication, triage, agent orchestration, and secure healthcare infrastructure. This is a hands-on engineering role focused on production-grade systems at scale, with direct collaboration with founders.

• 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