Principal/Staff Engineer - Agentic AI Solutions

About the role

We are seeking an engineering leader who will drive K's AI-driven core Provider and Ops platform into the future of Primary Care. This critical role sits at the intersection of deep integrations and cutting-edge Generative AI, focusing on creating intelligent automation that radically simplifies complex workflows. You will own the technical strategy, development, and execution of a mission-critical product portfolio, designing transformative AI co-pilots and ambient automation solutions that fundamentally improve provider efficiency and ultimately elevate patient care, all while enabling deep integrations with foundational EMR systems like Epic.

This role requires in-office presence in our New York office four days per week.

What you will do

• Provide decisive technical and organizational leadership, guiding the team through the strategic development and delivery of the entire provider and ops product portfolio.
• Drive the engineering roadmap for advanced AI co-pilot features and provider-facing productivity tools that integrate seamlessly into daily practice.
• Oversee the creation and successful embedding of ambient AI capabilities and deep automations within core Electronic Medical Record (EMR) systems, specifically Epic.
• Lead the development of agentic voice and text based AI systems designed to autonomously execute complex operational and administrative workflows, leveraging technologies such as Google ADT, LangFuse, LangGraph, and LangChain, and orchestrating a hybrid model stack that includes OpenAI and Google Gemini alongside self-hosted and fine-tuned smaller LLMs like Gemma and Llama.
• Ensure robust, compliant, and deep integration strategies with EMR platforms (e.g., Epic) to deliver seamless and reliable experiences for both providers and patients. This includes a combination of HL7, Smart on FHIR, Open FHIR APIs and proprietary Epic APIs where relevant.
• Foster a culture of technical excellence, focusing on highly scalable architecture, security, and velocity to deliver transformative results.

What we're looking for

• 3+ years of experience in Engineering Leadership, successfully leading and scaling high-performing teams.
• 7+ years of experience in hands-on Software Engineering roles, preferably with experience building complex, distributed systems.
• Strong architectural, design, and security acumen, ideally within the highly regulated landscape of healthcare or a healthcare-adjacent field.
• Proven ability to evaluate and synthesize multiple architectural approaches to stitch together integrated solutions that are performant, compliant, scalable, and highly reliable.
• Deep experience building, evolving, and operating distributed microservices architectures in TypeScript and Kotlin, including API design, service orchestration, and production-grade observability and resilience.
• Exceptional ability to lead complex discussions across diverse technical and non-technical, internal and external audiences to achieve common goals.
• Demonstrated expertise in communicating highly complex ideas and influencing stakeholders to achieve optimal business and technical outcomes.

Benefits & Perks:  #LI-Hybrid

• Hybrid work schedule with weekly lunches and stocked fridges 
• Monthly social committees for company events
• 18 vacation days, 9 company holidays, 5 sick days, and 2 personal days 
• Stock options for every full-time employee 
• Paid parental leave
• 401k benefit
• Commuter Benefits 
• Competitive health, dental, and vision insurance options

Who We Are: 

Behind every leading health system is K Health’s AI-powered virtual care engine. 

Esteemed health systems like Mayo Clinic, Cedars-Sinai, Mass General Brigham, Hackensack Meridian Health, and Hartford Healthcare partner with K Health to build and run modern primary virtual care clinics on their behalf. 

Our deeply integrated model modernizes the primary care loop by using AI to put humans first. For our patients, we offer clinical AI (i.e., PatientGPT) and unparalleled access to close care gaps around the clock. For our Providers, we deliver provider-serving agentic solutions (i.e., Perfect Note) to eliminate administrative overload and burnout. And for the health systems, we deploy our top-grade Virtualists in AI-powered virtual clinics 24/7 to capture the patients' care journeys at step one, retain the journey through the system for longitudinal care, and strengthen profitability.  

We’re founded in 2016, headquartered in New York City, and backed by nearly $400 million from leading investors including Valor Equity Partners, Claure Group, Mangrove Capital Partners, 14W, Notable Capital, Lerer Hippeau, Primary Venture Partners, Comcast Ventures, PICO Venture Partners, Max Ventures, and other strategic healthcare partners.

We offer competitive compensation packages based on industry benchmarks for function, level, and geographic location. Offer amounts are determined by multiple factors such as a candidate's experience and expertise.  

We are proud to be an Equal Opportunity Employer and consider applicants for employment regardless of race, ethnicity, religion, color, national origin, ancestry, disability, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, sexual orientation, pregnancy, childbirth and breastfeeding, age, citizenship, military or veteran status, or any other class protected by applicable federal, state, and local laws. We’re deeply committed to building teams as diverse as the patients we serve and strive to cultivate an environment where everyone can bring their most authentic self to work. We depend on our differences to make our team stronger, our workplace more dynamic, and our product accessible to all of our users.

We are committed to maintaining the integrity of our hiring process and ensuring a safe environment for all candidates. All communication for job offers from K Health will come from email addresses ending in @khealth.com. K Health will never ask you to provide financial information about yourself during the recruitment process. We will never use personal email accounts or other domains for official correspondence. Our official job postings are only listed on our official website and reputable job boards. Be cautious of job offers from sources other than these platforms.