Principal Engineer

Foundation Health

Principal Engineer leading system design and AI architecture for an AI-powered digital pharmacy platform. Collaborate with engineering leaders, shape technical standards, and grow engineering talent.

Posted 6/29/2026full-timeOrlando • Florida • 🇺🇸 United StatesLeadWebsite

About the role

Key responsibilities & impact

You'll own system design at platform level - architecting for 10-100x growth without major rewrites, establishing the patterns and standards the wider engineering org adopts, and identifying root-cause issues before they become expensive problems.
On the AI side, you'll define how we use it - not just in the product, but across the engineering organisation. Overseeing the architecture of AI-powered features (voice agents, clinical workflows), managing model selection, latency and cost tradeoffs, evaluation methodologies, and setting the quality and safety bar for everything AI-related that ships.
You'll work closely with product leadership to shape the roadmap - pushing back where needed, identifying what's high-leverage versus what's noise, and driving cross-team initiatives where success is measured by actual product outcomes, not ticket throughput.
On the people side, you'll grow the Engineers around you and help build the next generation of technical leaders in the hub.

Requirements

What you’ll need

A track record of building complex systems from scratch - and being able to get back into the code when needed, not just review it
Strong engineering judgment - you know when to move fast and when to slow down, and you frame technical decisions in terms of business outcomes
Genuine AI fluency - experience building AI-powered products and using AI tooling as a natural part of how you work
High agency - you don't wait for a perfectly scoped ticket, you figure out what needs to happen and do it
US-based, or willing to relocate to Orlando (we'll support that)

Benefits

Comp & perks

Significant equity
Flexible working hours
Growth potential in engineering team

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Complex System BuildingAI ToolingModel SelectionLatency ManagementEvaluation Methodologies

Soft Skills

High AgencyDecision-MakingCommunication