Principal Engineer (Python / Full-Stack / AI-Driven ...

*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** xijylhu 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 upsideJob Type: Full-timeBenefits:* AD&D insurance* Dental insurance* Health insurance* Life insurance* Vision insuranceWork Location: Hybrid remote in Scottsdale, AZ 85258

Created: 2026-03-03