Principal Software Engineer

About the role

This is the most senior IC role in our US org — and we mean IC. You'll own architecture across multiple product areas, designing systems that can support 10–100x growth without a rewrite. But when the hardest problem in the company needs solving, you're the one who opens the editor and builds the first version. If your last few years have been slide decks and steering committees, this isn't the role. If you've been the person who prototyped the thing everyone said was impossible, keep reading.

You'll work directly with our VP of Engineering and CEO — but nobody here manages from a distance, at any level, and the Principal is no exception.

Technical problems you'd own

• Agentic AI in a regulated environment: voice and SMS agents interacting with real patients, with the evals, guardrails and pharmacist-oversight architecture that makes that safe. This is the hard version of applied AI — the version where "it hallucinated" isn't a funny screenshot
• Deep EHR integration: Epic queues, prior authorization automation, 340B compliance — systems where correctness genuinely matters and the specs were written before you graduated
• Target-state architecture for the platform as it scales from a handful of health systems to hundreds — and building the first mile of the migration yourself
• Our AI engineering itself: model selection, context management, cost/latency tradeoffs, evaluation methodology

What we're looking for

• A deep engineering background is non-negotiable. You've built serious systems with your own hands, recently — not managed people who did — and you can go toe-to-toe on the details of anything you've shipped
• You've operated at Staff+ level somewhere with a genuinely high bar, and can point at architectural decisions a company still runs on
• Hands-on fluency with applied AI — you've built with LLMs in production, not just read about them
• High agency. You find the highest-leverage problem in the org and go solve it — nobody points you at it

Pay & schedule

Remote-first across the US, with a hub in Orlando. Equity is founding-role equity, not a rounding error.