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Active2mo ago

Principal Engineer (backed by Y Combinator, $5M+ ARR, $23M+ raised)

Legion Health·📍 San Francisco, California, United States

Employment

FULL TIME

Work mode

On-site

Experience

SENIOR LEVEL

Salary

$250K – $400K/yr

Role overview

Job description

🧠 About Legion Health At Legion Health , we believe everyone deserves fast, affordable, and world-class health care, and we’re developing the AI infrastructure to deliver it ourselves at world scale. Legion is building autonomous medical care (the AI doctor), starting with psychiatry. Our AI-native care-delivery platform currently automates 95% of the administrative work required for us to deliver direct patient care. We also recently became the first company ever to receive regulatory authorization to let AI prescribe psychiatric medications , allowing us to not only collapse health care’s admin costs but also its clinical labor costs— shifting this industry’s economics from humans to tokens. Our technical moat is hard to copy—we combine rich data, production AI, doctors in the loop , and end-to-end care operations to deliver measurably better care to a clinically complex patient popul

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About this listing

  • Source: Legion Health's official careers site (via Ashby) · last confirmed on the source 29 Oct 2026
  • Posted 26 Aug 2026

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What they are looking for

Skills & requirements

Qualification

LLM agents doing real clinical-adjacent work with tool use, checks, and receipts; 💻 Our Tech Stack TypeScript, Node.js, Postgres, Next.js on Vercel, AWS, production LLM agent orchestration and bespoke harnesses, tools, CLIs, skills, evals and observability, EHR and e-prescribing integrations, PHI-grade security and audit trails

Department · Engineering

Hiring company

Legion Health

Finance & Banking

World-class psychiatric care covered by insurance. No waitlists. No referrals needed.

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