Principal Software Engineer (AI Systems / Healthcare /
Python) ? Remote – Spain ? Full-time ? €90k – €180k gross/year B2+
English requiered About the role We are looking for a Principal
Software Engineer to help build next-generation AI systems within
the healthcare space. This role focuses on designing and deploying
highly scalable, production-grade systems related to patient
communication, triage workflows, AI agent orchestration, and secure
healthcare data platforms. You will join a highly technical
environment focused on solving complex real-world problems through
AI, distributed systems, and modern software engineering practices.
This is not a traditional enterprise engineering role — we are
looking for builders who thrive in ambiguity, ownership, and
high-impact environments. What you’ll do Design and deploy
AI-powered healthcare systems at scale Build backend services and
distributed systems using Python and modern architectures Work on
patient communication and triage workflows Contribute to AI agent
orchestration and automation layers Build secure healthcare data




systems with reliability and compliance in mind Work on low-latency
voice/video and real-time interaction systems Integrate with
enterprise and healthcare platforms Collaborate with
cross-functional teams to turn ambiguous requirements into scalable
solutions Help define engineering standards, architecture, and
technical direction What we’re looking for +5 years building
complex, production-grade systems Strong backend engineering
experience with: Python distributed systems scalable architectures
Experience working on: AI-driven communication systems triage or
workflow automation AI agent orchestration secure data platforms
Ability to translate ambiguous problems into practical engineering
solutions Strong ownership mindset and product thinking Comfortable
working in fast-moving startup environments Nice to have Experience
with: low-latency voice/video systems healthcare or regulated
environments R

📌 Principal Software Engineer (Madrid)
🏢 Talent Connect
📍 Madrid