Principal Software Engineer (Backend)

TL;DR

Principal Software Engineer (Backend): Architecting and scaling an AI-driven healthcare data platform with an accent on complex medical data processing and automated clinical recommendations. Focus on designing robust data pipelines, implementing anomaly detection systems, and establishing engineering foundations for a growing team.

Location: Hybrid role based in San Francisco, requires at least one day per week in the office.

Salary: $200,000 - $250,000

Company

A fast-growing healthcare AI startup dedicated to reducing waste in the U.S. healthcare system through intelligent data-driven solutions.

What you will do

• Architect and implement core platform components to provide actionable insights for health plan administrators.
• Develop robust integrations with healthcare systems and build scalable pipelines for claims and provider data.
• Collaborate with ML/LLM engineers to optimize behavioral health models.
• Establish engineering best practices and shape the technical roadmap.
• Influence product strategy and lead technical architectural decisions.

Requirements

• 5+ years of experience building robust, well-architected software applications.
• Strong expertise in data engineering and backend web development practices.
• Hands-on leadership experience and a collaborative, team-oriented mindset.
• Customer-focused approach to building solutions in the healthcare space.

Nice to have

• Experience with healthcare data and HIPAA compliance standards.
• Proven work with machine learning or large language models in end-user applications.
• Background in building and managing high-performing engineering teams.

Culture & Benefits

• Flexible hybrid work arrangement with a remote-first culture.
• Comprehensive health benefits (medical, dental, vision).
• 401(k) retirement plan and pre-tax commuter benefits.
• Unlimited vacation policy and paid parental leave.
• Equity compensation and opportunity for significant ownership as an early hire.