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K Health Logo K Health · IT - Software Development

Principal/Staff Engineer - Agentic AI Solutions

United States, New York 215000.00 - 275000.00 USD / Year · Job Posted February 18, 2026
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Job Description

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.

Job Responsibility

  • 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

Requirements

  • 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

What we offer

  • 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
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