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Job description
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.
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
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 For (Required)
10+ 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
Experience with Neo4j or other graph databases to architect and optimize complex, highly connected datasets
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
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Worksite address
scottsdale, AZ, 85261, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.