Principal Software Engineer

Aidoc is recruiting a Principal Software Engineer in Tel Aviv. Join our team!

Aidoc helps health systems deliver smarter and faster care when it matters most. Our mission is to transform patient outcomes through ‘always on’ clinical AI, eliminating preventable care gaps that lead to loss of lives and disabilities. Through our proprietary aiOS™ platform, Aidoc seamlessly integrates real-time intelligence into provider workflows, helping physicians make faster clinical decisions for over 45 million patients a year. With the most FDA-cleared AI solutions in its category and deployments across 150+ health systems globally, Aidoc elevates the physician and patient experience.

Backed by General Catalyst, Square Peg, NVentures (NVIDIA’s venture arm), and four major U.S. health systems, Aidoc has raised $370 million to date, including a recent $150 million round to accelerate development of CARE™, our clinical-grade foundation model.

We’re seeking an exceptional Principal Engineer to shape the technical direction and long-term architecture of Aidoc’s Imaging Platform.

In 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.

You’ll work directly with engineering and product leadership to define how our platform evolves - ensuring scalability, reliability, and performance as we grow.

You’ll partner with senior engineers across domains to establish technical standards, solve high-impact problems, and align the organization around key architectural principles.

This role combines strategic architectural ownership with active technical contribution - you will stay close to the systems and code, ensuring architecture and reality evolve together.

• Lead company-wide or cross-team technical initiatives, ensuring architectural alignment across multiple product areas.
• Define and drive long-term technical strategy for the Imaging Platform in collaboration with engineering leadership.
• Provide architectural guidance, conduct design reviews, and mentor senior and staff engineers.
• Lead and formalize engineering best practices around performance, reliability, and observability.
• Contribute hands-on to architectural spikes and first-of-a-kind implementations where deep expertise is required.
• Evaluate emerging technologies and identify opportunities to improve scalability, developer productivity, and overall system robustness.
• Represent the group in company-wide architecture discussions and technical forums

• 15+ years of professional experience building large-scale, distributed software systems.
• Proven track record in technical leadership roles, delivering complex cross-functional projects.
• Deep understanding of architecture, scalability, data consistency, and fault tolerance.
• Experience with cloud infrastructure (AWS or equivalent), distributed computing, and modern DevOps practices.
• Strong coding skills in one or more modern backend languages (e.g., Python, Go, Node.js, Java, C#).
• Experience designing and scaling event-driven architectures and data-intensive systems.
• Strong technical leadership skills - able to align technical directors and executives towards a shared technical vision.
• Applies first-principles thinking to guide teams through design trade-offs and technical decisions with lasting impact
• Advantage: Experience working in healthcare or familiarity with medical data standards (DICOM, HL7, FHIR), Electronic Health Record (EHR) systems.

Our Perks:

• Be part of something big - using cutting-edge technologies to transform the Healthcare industry (while saving patients’ lives)
• We work in a hybrid model, with our new offices located at 34 HaMasger Street in Tel Aviv and parking for employees.
• Amazing and healthy breakfasts and lunches prepared daily by our personal chef!
• Stocked up kitchen & meal card
• Wellness: Aidoc employees-only gym, plus Pilates, Yoga, and functional workouts classes.
• Amazing culture - collaborative, transparent & fun!
• Attractive compensation package & benefits