Principal Engineer

Foundation Health • Orlando, FL

2d • Hybrid

About The Position

As a Principal Software Engineer, you won't just write code; you will shape the multi-quarter engineering strategy and technical standards that make this mission possible. This is a high-agency leadership position designed for a "builder" who can operate across the entire stack while influencing the company's long-term technical trajectory. The team is AI-native by design, led by a technical team with deep roots in high-scale engineering. They foster an "AI-native" culture where using the latest tools to automate the mundane and maximize output is not just allowed - it’s championed. The stack includes modern Node/TS/GCP, and the playground involves hands-on work with OpenAI, Langfuse, and Vertex AI to ship features into production environments that impact real patient care. There is no legacy debt; you'll be building the future.

Requirements

• You have a track record of building products from scratch and can deep-dive into any part of the stack.
• You know when to move fast and when to slow down, framing technical decisions in terms of business outcomes.
• You have experience building AI products or use AI tools to maximize your own workload.
• You don’t wait for a perfect Jira ticket; you figure out how to move the needle and do it.
• You must currently be based in the US.

Responsibilities

• Own the architecture across multiple product areas or the entire platform, designing systems capable of supporting 10-100x growth without major rewrites.
• Establish architectural patterns and technical standards adopted org-wide.
• Identify and resolve root-cause quality failures or misalignments between system architecture and business direction.
• Drive build-vs-buy analyses and advise leadership on technical risks regarding product and Go-To-Market (GTM) strategy.
• Define the AI tooling strategy for the engineering organization.
• Oversee the architecture of AI-powered product capabilities, including voice agents and AI-assisted clinical workflows.
• Manage model selection, context window management, latency/cost tradeoffs, and evaluation methodologies.
• Take responsibility for AI quality and safety standards within the product.
• Drive cross-team initiatives where success is measured by product outcomes (feature adoption, error rates) rather than just ticket throughput.
• Partner with product leadership to define the roadmap based on what is feasible, high-leverage, and risky.
• Accountable for product health metrics and "definitions of done" that include actual product outcomes.
• Grow Senior and Tech Lead-level engineers and develop the next generation of technical leaders.
• Partner with Engineering Managers on performance, leveling decisions, and technical recruitment strategy.
• Influence org-wide decisions through writing and advocacy, building consensus across teams with competing priorities.

Benefits

• Relocation assistance to our Orlando hub.
• Significant Equity: As an early hire in this window, you will take a meaningful stake in the company we are building.
• High Influence: You will have a direct seat at the table to influence both the product roadmap and the company's technical direction.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed