Neko Health
Principal Engineer - Platform
$405K–$480K
New York · Hybrid · Principal · Full-time · Posted Mar 24, 2026
About the job
Builds Neko Health’s shared AI engineering platform and sets its architecture, enabling teams to develop, test, and release regulated medical software with automated compliance evidence.
What you'll do
- Set the platform architecture and decide whether to build or adopt agents, orchestration, and developer tools.
- Deliver an AI-assisted engineering golden path and agents for tasks such as implementation, migrations, code review, and on-call triage.
- Improve safe releases and production delivery for regulated software, including sandboxing, audit trails, rollback, and compliance evidence.
What they ask for
- Designed and built platforms or core infrastructure used by other engineers, while writing a meaningful portion of the code.
- Deep production backend and distributed systems experience, with architecture judgment in a large existing codebase.
- Uses AI agents in their own engineering work and can explain their benefits, failures, and effects on speed and quality.
- Able to work from the London, New York, or Stockholm office.
Nice to have
- Experience with durable workflow orchestration, such as Temporal or Azure Durable Functions.
- Experience at the intersection of software and hardware or physical operations, such as connected devices, edge computing, or hardware-in-the-loop testing.
Pay
$405K – $480K USD total pay
Tools
Temporal, Azure Durable Functions
AI focus
Build an AI engineering platform, golden path, and agents that perform engineering tasks end to end, with sandboxing, audit trails, and guardrails.
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