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 Requirements 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 Preferred Qualifications 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 What We Offer €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...
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