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Cross Border Talents

Principal Software Engineer, Healthcare AI

Cross Border Talents

Principal Software Engineer architecting and building core systems for healthcare AI startup. Leading technical design decisions and collaborating with founders in a fully remote environment.

Posted 5/30/2026full-timeRemote • 🇪🇸 SpainLead💰 €100,000 - €200,000 per yearWebsite

Tech Stack

Tools & technologies
Distributed SystemsPython

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.

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
PythonAI technologiesreinforcement learningdistributed systemssoftware architecturesystems designagent-based architecturesenterprise integrationshealthcare data infrastructureperformance optimization
Soft Skills
collaborationownershipaccountabilityproblem-solvingcommunication