Principal Software Engineer @Healthtech Startup

Hirey; San Francisco (CA); Hybrid; USD 180,000 - 250,000; Full time

Job summary

A rapidly growing healthtech startup is seeking a Principal Software Engineer. You will lead key product features, collaborate on AI tools, and drive impactful solutions for clinicians. This role offers a competitive salary, equity, and benefits in an innovative environment focused on reducing clinician burnout.

Benefits

Medical, dental, and vision coverage

Unlimited paid time off

Company-sponsored annual retreats

Qualifications

• 5+ years of full-stack engineering experience.
• Track record of high performance in fast-paced environments.
• Passionate about building impactful AI products.

Responsibilities

• Owning and implementing product features across the stack.
• Building AI-first experiences using language models.
• Collaborating with cross-functional teams.

Skills

React

TypeScript

Node.js

SQL

Azure

AI

Job description

Principal Software Engineer @Healthtech Startup

Principal Software Engineer @Healthtech Startup

This range is provided by Hirey. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$180.00/yr - $250.00/yr

Direct message the job poster from Hirey

A rapidly growing healthtech startup is building AI tools to ease the administrative burden on clinicians. Their first product, an AI medical scribe, is already helping tens of thousands of doctors and generating tens of thousands of clinical notes daily. Backed by top-tier investors, the team is expanding quickly with new products and a hybrid setup in NYC and SF.

About the role:

They're looking for a Principal Software Engineer who is fast, ambitious, and mission-driven. Someone who thrives in high-ownership, fast-moving environments and wants to build meaningful AI products that reduce clinician burnout.

You’ll take the lead on key features across the stack, driving impact from backend to frontend, and have the opportunity to shape how cutting-edge AI is applied in real-world healthcare settings.

In this role, you’ll be:

• Owning and implementing product features end-to-end across React/TypeScript and Node.js
• Building AI-first experiences using large language and speech models
• Collaborating with PMs, designers, and engineers in autonomous, cross-functional teams
• Running experiments to validate ideas and improve software quality
• Making technical decisions that balance speed, scalability, and user impact

About you:

• 5+ years of full-stack engineering experience, with a strong product mindset
• Track record of high performance in fast-paced, high-ownership environments
• Comfortable working with React, TypeScript, Node.js, SQL, and Azure
• Curious about LLMs and how AI can augment software development (e.g., Copilot, ChatGPT)
• Passionate about building tech that makes a real difference in people’s lives

Nice to have:

• Experience in healthcare or working on clinician-facing products
• Familiarity with AI model fine-tuning, inference optimization, or prompt engineering
• Previous experience in startups or high-growth environments

Why this role:

• Competitive salary ($180K-$250K, flexible) and equity in a high-growth company
• Opportunity to make an immediate impact
• Medical, dental, and vision coverage
• Unlimited paid time off
• Company-sponsored annual retreats

Seniority level

• Seniority level

  Director

Employment type

• Employment type

  Full-time

Job function

• Industries

  Software Development

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