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Principal Platform Engineer

Join Neko Health as a Principal Platform Engineer to build an AI engineering platform for regulated medical software.

Location
London, United Kingdom
Compensation
Not disclosed
Level
principal
Type
full time · Hybrid

Posted by employer 2 days ago

First seen on Joblaze 1 day ago

Last verified on the company career page 1 day ago

Apply at Neko Health → Save job Scanned from nekohealth.com

What you'll build

  • set the target architecture for the AI engineering platform
  • ship a golden path for AI-assisted engineering
  • put agents to work on real engineering jobs
  • run agents in sandboxed environments
  • shorten the path from merged code to production

Must have

  • designed and built platforms or core infrastructure
  • deep backend and distributed systems experience
  • your own engineering is AI-first
  • take a clear position on hard technical questions
  • engineers outside your own team changed how they work

Nice to have

  • experience with durable workflow orchestration
  • work where software meets hardware
  • connected devices experience
  • edge computing experience
  • hardware-in-the-loop testing experience

Practical constraints

  • able to work from our London, New York or Stockholm office

AI in the day-to-day

Your engineering is AI-first: you use agents for work you used to do by hand.

Not disclosed in this posting: compensation, years of experience, visa sponsorship.

Joblaze summary

In this role, the Principal Platform Engineer at Neko Health focuses on developing a robust AI engineering platform that enhances the efficiency of regulated medical software development. Key skills include deep expertise in backend and distributed systems, as well as a strong understanding of AI-driven engineering practices. This position is ideal for a senior engineer with a proven track record in building core infrastructure that influences cross-team workflows. The role involves significant collaboration with leadership and tackling complex technical challenges that impact both software and hardware.

Joblaze insights

  • Listed yesterday — first seen on Joblaze October 29, 2026. Last confirmed on Neko Health's careers page October 29, 2026.
  • This exact title is also open at 1 other location at Neko Health: New York.

Quick facts

Is the Principal Platform Engineer role remote?
It's hybrid — Neko Health expects some on-site time in London, United Kingdom.
Where is the role based?
Neko Health is hiring for this position in London, United Kingdom.
What's the tech stack?
Joblaze extracted these technologies from the posting: AI/ML, Backend, distributed systems, workflow orchestration.
What seniority level is this role?
Neko Health targets principal-level candidates for this position.
Is this full-time or contract?
Full-time for this Principal Platform Engineer role at Neko Health.

From the original posting

Role Purpose

We want our engineers to ship regulated medical software as fast as AI now lets them write it. Our software includes medical device software, holds members’ health data and keeps our clinics running, so every change has to be tested, traceable and ready for an auditor, and that is what makes this problem hard and worth solving.

 

You’ll build the shared AI engineering platform that makes it possible, setting the architecture and writing much of it yourself: a golden path that makes the best way to build with AI the default for every team, agents that do real engineering work end to end, and a pipeline that proves compliance on every change instead of documents written after the fact. This is a director-level individual contributor role, one of the first Principal Engineer roles in our software organisation, working directly with our Chief Software Officer. You make the key calls on which agents and tools we build or adopt, and you take on the hardest problems across teams, some of which reach clinic devices and the test rigs that recreate a scan room.

 

What You’ll Deliver in the First 6–12 Months

  • 0→1 set the target architecture for the AI engineering platform, including the build or adopt decisions on agents, orchestration and developer tooling

  • Ship a golden path for AI-assisted engineering, with shared context, tools and guardrails, that teams choose because it is the fastest way to ship

  • Put agents to work on real engineering jobs end to end, such as feature implementation, code migrations, automated review and on-call triage

  • Run agents in sandboxed environments with audit trails and clear separation from member health data

  • Shorten the path from merged code to production for regulated software: safe releases, fast rollback, and compliance evidence produced by the pipeline

  • Measure what changes with numbers engineers trust, such as the share of agent pull requests that get merged and how long a change takes to reach production, and share them openly

  • Take on the hardest cross-team technical problems, inside and beyond the platform, where no one has the answer yet

 

Minimum Qualifications

  • You have designed and built platforms or core infrastructure that other engineers relied on every day, and you wrote a meaningful part of the code yourself

  • Deep backend and distributed systems experience in production, with the judgement to make architecture calls in a large, existing codebase

  • Your own engineering is AI-first: you use agents for work you used to do by hand, and can explain where they help, where they fail, and what changed in speed and quality

  • You take a clear position on hard technical questions with incomplete information, defend it with reasons, and change it when the evidence changes

  • Engineers outside your own team changed how they work because of something you built and the technical case you made for it

  • Able to work from our London, New York or Stockholm office

     

Preferred Qualifications

  • Experience with durable workflow orchestration, for example Temporal or Azure Durable Functions, and a clear view on when it is worth it, since long-running agent work has to survive failure

  • Work where software meets hardware or physical operations, such as connected devices, edge computing or hardware-in-the-loop testing

Standard company text repeated across Neko Health's postings is omitted here.

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