Principal Software Engineer, Healthcare AI

Cross Border Talents

Principal Software Engineer designing and scaling AI-powered healthcare platforms. Collaborating with founders to build intelligent agents for enhanced patient care.

Posted 5/30/2026full-timeRemote • 🇨🇭 SwitzerlandLead💰 €100,000 - €200,000 per yearWebsite

Tech Stack

Tools & technologies

CloudDistributed SystemsGoPythonRustTypeScript

About the role

Key responsibilities & impact

Design and scale AI-powered healthcare platforms and distributed systems
Build and optimize agent-based architectures and orchestration systems
Develop secure healthcare data infrastructure and enterprise integrations
Work on systems leveraging LLMs, AI agents, reinforcement learning, and modern AI technologies
Improve system performance, reliability, scalability, and clinical accuracy
Collaborate closely with founders and a highly technical engineering team
Take ownership of technical decisions from architecture through deployment

Requirements

What you’ll need

5+ years of experience building complex production-grade software systems
Strong backend engineering expertise, ideally with Python
Experience designing scalable distributed systems
Ability to transform ambiguous business requirements into robust technical solutions
Strong software architecture and systems design skills
Experience operating in startup, scale-up, or high-growth environments
Comfortable working independently with high ownership and accountability
Preferred Qualifications: Experience with AI, machine learning, LLMs, or agentic systems
Healthcare technology, health data, or clinical workflow experience
Experience with cloud infrastructure and large-scale systems
Proficiency in additional languages such as Go, Rust, TypeScript, or similar
Open-source contributions, hackathons, or side projects demonstrating technical excellence
Experience mentoring engineers and contributing to technical strategy

Benefits

Comp & perks

Equity participation
Fully remote work across the European Union
Flexible employment options (Permanent or B2B)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Pythondistributed systemsAImachine learningLLMsreinforcement learningsoftware architecturesystems designcloud infrastructureGo

Soft Skills

collaborationownershipaccountabilityindependencementoringtechnical strategyproblem-solvingcommunicationadaptabilityleadership