Principal AI Systems Engineer for Healthcare

TechTree; United States; Remote; USD 180,000 - 280,000; Full time

Job summary

TechTree is seeking a principal/staff level engineer to architect and scale AI agents for healthcare applications. You’ll own system architecture, reliability, and low-latency delivery across distributed systems handling AI-driven patient communication and triage.

You will lead a small team, solve high-impact problems, and guide others through code reviews, while working in a fast-moving environment that values ownership and collaboration.

Qualifications

• 7+ years building complex, production-grade systems.
• Ability to design scalable architectures and own decisions.
• Strong problem-solving in ambiguous requirements.
• Leadership in guiding engineers through reviews and guidance.
• Comfort in fast-moving environments and high accountability.

Responsibilities

• Architect and scale AI agents for healthcare applications.
• Work on systems involving LLMs, reinforcement learning, and agent-based architectures.
• Collaborate with a small team to ship and iterate quickly.
• Solve high-impact problems, including system performance and clinical accuracy.
• Design system architecture and own reliability at scale.
• Support team members through code reviews and knowledge sharing.

Skills

Systems thinking

Architecture decisions

Problem solving

Leadership

Adaptability

Collaboration

Tools

Python

Job description

TechTree is seeking a principal/staff level engineer to architect and scale AI agents for healthcare applications. You’ll own system architecture, reliability, and low-latency delivery across distributed systems handling AI-driven patient communication and triage.

You will lead a small team, solve high-impact problems, and guide others through code reviews, while working in a fast-moving environment that values ownership and collaboration.