Principal Engineer (Python / Full-Stack / AI-Driven Healthcare Systems)

*Company Overview*

Ensure you read the information regarding this opportunity thoroughly before making an application. AdviNOW Medical is transforming how healthcare is delivered by building AI-powered clinical decision support systems that improve diagnostic accuracy, reduce clinician burden, and increase patient safety. Our platform combines advanced reasoning, probabilistic models, and machine learning to support real-world medical decision-making at scale.

We are a *product-driven startup* tackling complex, high-impact problems in healthcare—and we’re looking for a *Principal Engineer* to help lead the technical evolution of our platform.

*Job Summary* As a *Principal Engineer at AdviNOW Medical*, you will serve as a senior technical thought leader responsible for driving engineering standards and delivering scalable, AI-enabled healthcare software. This is a deeply hands-on role for someone who thrives in startup environments, owns problems end-to-end, and enjoys building systems that matter.

You will work closely with senior leadership, product, clinical experts, and engineering teams to shape both *what we build* and *how we build it*.

*Hands-On Engineering*

* Design, build, and maintain scalable backend services using *Python, Django, and FastAPI* * Contribute to and guide development of modern front-end applications using *React and Next.js* * Write clean, maintainable, and well-tested production code * Diagnose and resolve complex system, performance, and reliability issues

*Data & AI Systems*

* Design and optimize data models using *Django ORM / SQLAlchemy* * Architect and maintain solutions using *PostgreSQL* and *MongoDB* * Integrate AI/ML models into production workflows supporting probabilistic reasoning, inference, and decision logic * Design APIs that support intelligent workflows, embeddings, and model-driven features

*Collaboration & Mentorship*

* Act as a technical mentor and force multiplier for senior and mid-level engineers * Partner with Product and clinical stakeholders to translate requirements into scalable technical solutions * Collaborate closely with DevOps to ensure reliable deployments, observability, and compliance readiness

*What We’re Looking ForRequired*

* *10–15+ years* of professional software engineering experience, including senior technical roles * Deep expertise in *Python*, with significant production experience using *Django and/or FastAPI* * Strong full-stack experience with *React and Next.js* * Proven track record designing and scaling *complex, distributed systems* * Advanced understanding of *RESTful APIs*, async processing, and service-oriented architectures * Extensive experience with *PostgreSQL*, *MongoDB*, and ORM-based data modeling * Hands-on experience integrating *AI/ML-powered features* into real-world production systems * Strong grounding in software architecture patterns, testing strategies, and system scalability * Comfortable working in *fast-moving startup environments* with high ownership and ambiguity

*Nice-to-Have*

* xhqgsiq Experience building software in *regulated environments* (healthcare, medical devices, fintech, etc.) * Familiarity with *AWS*, *Docker*, and *Kubernetes* * Experience with *event-driven architectures*, background jobs, or message queues * Prior experience helping scale an early-stage or growth-stage product * Exposure to probabilistic systems, Bayesian reasoning, or clinical decision support platforms

*Why Join AdviNOW Medical*

* Build technology that directly impacts patient outcomes and clinician effectiveness * Influence architecture and technical direction at the highest level * High autonomy, real ownership, and minimal bureaucracy * Collaborate with engineers, clinicians, and AI experts solving meaningful problems * Competitive compensation with startup upside

Job Type: Full-time

Benefits: * AD&D insurance * Dental insurance * Health insurance * Life insurance * Vision insurance

Work Location: Hybrid remote in Scottsdale, AZ 85258