Principal Engineer (Python / Full-Stack / AI-Driven Healthcare Systems)
AdviNOW Medical
Scottsdale, AZ
Full Time
Expires On: 04/01/2026
*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*
* xhqgsiq 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 upside
Job Type: Full-time
Benefits:
* AD&D insurance
* Dental insurance
* Health insurance
* Life insurance
* Vision insurance
Work Location: Hybrid remote in Scottsdale, AZ 85258
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*
* xhqgsiq 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 upside
Job Type: Full-time
Benefits:
* AD&D insurance
* Dental insurance
* Health insurance
* Life insurance
* Vision insurance
Work Location: Hybrid remote in Scottsdale, AZ 85258
