{"id":76967,"url":"https://alion.io/job/aidoc-principal-software-engineer-2","title":"Principal Software Engineer","company":{"id":4324,"name":"Aidoc","domain":"aidoc.com","url":"https://alion.io/company/aidoc","size_band":"201-500","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Greenhouse","truth_index":{"grade":"A","score":95,"open_postings":33,"ghost_share":0,"stale_share":0,"repost_share":0.03,"time_to_fill_p50_days":70,"computed_at":"2026-11-01T06:10:25Z"}},"role":"Backend","role_family":"Backend","seniority":"lead","employment_type":null,"work_mode":"hybrid","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Tel Aviv, Israel"],"countries":["IL"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":{"min_usd":82000,"max_usd":243000,"period":"year","method":"global_role_cell_scaled_by_country","sample_n":2257},"experience_years_min":15,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"AWS","optional":false},{"name":"C#","optional":false},{"name":"DICOM","optional":false},{"name":"FHIR","optional":false},{"name":"Go","optional":false},{"name":"HL7","optional":false},{"name":"Java","optional":false},{"name":"Node JS","optional":false},{"name":"Python","optional":false},{"name":"JavaScript","optional":true}],"status":"live","first_seen_at":"2026-06-01T13:31:59Z","employer_posted_date":"2026-10-21","last_verified_at":"2026-11-01T06:55:28Z","board_verified":true,"closed_at":null,"days_open":152,"trust":{"level":"ok","repost_count":0,"flags":["company_stale"],"days_open":152},"description":"About Aidoc\nAidoc is the market leader in healthcare AI and has developed the world's largest clinical frontier model, supporting nearly 50 million patients each year.\nAidoc is deployed in more than 2,000 medical centers worldwide. Since our founding in 2016, Aidoc has raised over $500 million and achieved a record number of FDA-cleared solutions.\nMedical diagnosis is hitting a breaking point, where the number of physicians hasn't kept up with the rapidly growing patient load. This leads to misdiagnosis and treatment delays that result in hundreds of thousands of deaths every year. Aidoc assists clinicians by precisely highlighting diseases directly on medical images, preventing misdiagnosis and ensuring that urgent patients receive the immediate attention they need.\nAbout this role\nWe’re seeking an exceptional Principal Engineer to shape the technical direction and long-term architecture of Aidoc’s Imaging Platform.\nIn this role, you’ll lead complex, cross-organization initiatives and drive architectural strategy across multiple systems and teams, while staying close to the code and ensuring decisions are grounded in real-world implementation.\nYou’ll work directly with engineering and product leadership to define how our platform evolves - ensuring scalability, reliability, and performance as we grow.\nYou’ll partner with senior engineers across domains to establish technical standards, solve high-impact problems, and align the organization around key architectural principles.\nThis role combines strategic architectural ownership with active technical contribution - you will stay close to the systems and code, ensuring architecture and reality evolve together.\nResponsibilities\nLead company-wide or cross-team technical initiatives, ensuring architectural alignment across multiple product areas.\nDefine and drive long-term technical strategy for the Imaging Platform in collaboration with engineering leadership.\nProvide architectural guidance, conduct design reviews, and mentor senior and staff engineers.\nLead and formalize engineering best practices around performance, reliability, and observability.\nContribute hands-on to architectural spikes and first-of-a-kind implementations where deep expertise is required.\nEvaluate emerging technologies and identify opportunities to improve scalability, developer productivity, and overall system robustness.\nRepresent the group in company-wide architecture discussions and technical forums\nRequirements\n15+ years of professional experience building large-scale, distributed software systems.\nProven track record in technical leadership roles, delivering complex cross-functional projects.\nDeep understanding of architecture, scalability, data consistency, and fault tolerance.\nExperience with cloud infrastructure (AWS or equivalent), distributed computing, and modern DevOps practices.\nStrong coding skills in one or more modern backend languages (e.g., Python, Go, Node.js, Java, C#).\nExperience designing and scaling event-driven architectures and data-intensive systems.\nStrong technical leadership skills - able to align technical directors and executives towards a shared technical vision.\nApplies first-principles thinking to guide teams through design trade-offs and technical decisions with lasting impact\nAdvantage: Experience working in healthcare or familiarity with medical data standards (DICOM, HL7, FHIR), Electronic Health Record (EHR) systems.\nWorking at Aidoc\nOur Perks:\nBe part of something big - using cutting-edge technologies to transform the Healthcare industry (while saving patients’ lives)\nWe work in a hybrid model, with our new offices located at 34 HaMasger Street in Tel Aviv and parking for employees.\nAmazing and healthy breakfasts and lunches prepared daily by our personal chef!\nStocked up kitchen & meal card\nWellness: Aidoc employees-only gym, plus Pilates, Yoga, and functional workouts classes.\nAmazing culture - collaborative, transparent & fun!\nAttractive compensation package & benefits\nAidoc is deeply committed to creating an inclusive workplace, and to the principle of equal opportunity for all individuals. 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