Principal Software Engineer
New
F
Foundation HealthHealthcare AI
United States - Remote; remote-first across the US, Ideally Eastern or Central time.Full-TimePrincipal
Salary not disclosed
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Job Details
- Required Skills
- PostgreSQL
Requirements
- Have worked at Staff+ level in a high-bar environment.
- Bring recent hands-on experience building serious systems and the ability to discuss shipped work in depth.
- Have made architectural decisions that a company still runs on.
- Have built with LLMs in production beyond SDK calls, including agents, tool use, evaluations, and guardrails.
- Have experience making production AI systems reliable.
- Have worked in an environment where mistakes are expensive, such as healthcare, fintech, fraud, or trust and safety.
- Be able to identify and solve high-leverage problems independently.
- Be willing to keep systems as simple as the problem allows and change architecture in response to real constraints.
Responsibilities
- Own architecture across several product areas and design systems that can grow 10–100x without a rewrite.
- Build first versions of the company’s hardest technical solutions.
- Develop safe voice and SMS agents, including evaluations, guardrails, red teaming, and pharmacist-oversight design.
- Build deep EHR integrations, including Epic queues, prior authorization automation, and 340B compliance.
- Build the first mile of the platform’s migration from a handful of health systems to hundreds.
- Shape AI engineering practices, including model selection, context management, cost and latency tradeoffs, and evaluation methodology.
- Mentor engineers and lead projects across teams.
- Improve how engineering uses AI to ship faster without reducing quality.
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