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Principal Software Engineer

Work At Home-Massachusetts, US💼 Full-time💰 $144,200–$144,200🗓 2026-07-10 → 2026-10-07

Core

Lead technical direction and hands-on implementation of real-time, mission-critical clinical decision-support applications using LLMs, OCR, and ML on Google Cloud.

Role type

Principal Software Engineer (Hands-on IC)

Builds

Real-time distributed clinical platforms, LLM pipelines, and scalable microservices

Domain

Healthcare technology, Cloud-native systems, Large Language Models (LLM)

Required skills

Python (performance/concurrency), distributed systems (event-driven/streaming), GCP (Vertex AI/GKE), microservices architecture, React/Angular, MLOps, LLM application development

Preferred skills

Regulated environment LLM ops, vector databases, evaluation frameworks, CI/CD/SRE practices, healthcare data standards (FHIR/HL7) (via careerplan.io/jobs/R0910155-principal-software-engineer-at-cvshealth)

Technologies

Python, Google Cloud Platform (GCP), Vertex AI, GKE, Cloud Run, Pub/Sub, BigQuery, React, Angular, Claude, Gemini, GPT-4, Vector Search, Pinecone, Weaviate, pgvector

Responsibilities

Own architecture and execution of the clinical platform; Build production-grade LLM systems with prompt engineering and guardrails; Deliver real-time, high-performance streaming services; Operationalize machine learning models on Vertex AI; Design flexible APIs and microservices; Raise the engineering bar through code reviews and mentorship; Own outcomes end-to-end from ambiguous needs to delivered solutions; Partner across Data Science, Product, Clinical, and Security teams

Seniority

Principal, hands-on IC with mentorship responsibilities