Senior Principal AI Engineer, Agentic Systems

External

Charliehealth · New York, NY

Full-timeOn-site3w ago

CompliancedbtDocumentationHIPAALeadershipObservability

Cover Letter Connect

Prepare for this interview

Elite

AI-generated questions, company research, and talking points tailored to this role

About the role

The next generation of behavioral health will be built on agentic AI - systems that don't just predict or summarize, but act: scheduling, coordinating care, drafting clinical documentation, surfacing risk, and orchestrating the hundreds of micro-decisions that today consume clinician and operator time. Charlie Health's ambition is to build the most advanced agentic systems in healthcare. We are investing in a multi-agent architecture grounded in a real-time clinical signal graph, governed by HIPAA-native infrastructure, and deployed against measurable patient outcomes in a national virtual IOP. We are hiring a Senior Principal AI Engineer to lead the design, development, and deployment of these systems across our platform. This is a hands-on technical leadership role with deep cross-functional reach into Engineering, Product, Data, Clinical, and executive leadership.

Responsibilities

Serve as the technical owner of agentic AI at Charlie Health, from architecture and model strategy through production deployment and ongoing reliability.

Lead the development of clinical operations agents that handle scheduling, intake, insurance verification, referral triage, and care coordination, replacing brittle human handoffs with auditable, supervised AI workflows.

Lead the development of clinician copilots for real-time documentation, risk surfacing, and treatment-plan support, integrated with our EHR and clinical data platform.

Define and build the agentic substrate: eval frameworks, observability, guardrails, tool registries, prompt and policy versioning, PHI-safe logging, and simulation environments.

Own the model strategy across frontier models, fine-tunes, distilled specialists, and classic ML, and articulate it clearly to executive and clinical leadership.

Partner with Product, Clinical, and Data teams to identify high-leverage opportunities for AI across patient and operational experiences.

Establish best practices around AI reliability, safety, evaluation, and explainability in a regulated clinical environment.

Mentor engineers and data scientists across the organization and help foster a strong culture of technical excellence and responsible AI innovation.

What you'll work with

An executive team that has committed to an AI-native operating model and is funding it.

An AI Guild of senior engineers, data scientists, and clinical operators piloting AI across the company today.

A modern data foundation including Snowflake, dbt, pgvector, and an emerging Intelligence Layer that exposes patient and operational signals as first-class events.

Live workstreams in clinical documentation, referral-source conversion modeling, scheduling intelligence, and clinician productivity.

A national virtual IOP serving patients across 41 states, with the regulated data and outcome signal needed to train, evaluate, and improve real systems.

Why this role is hard

We are looking for an engineer who finds those constraints clarifying rather than limiting.

Senior Principal AI Engineer, Agentic Systems

About the role

Responsibilities

Requirements

Benefits

Additional Information

Your Match

Company Intel

What employees say

Interested in this role?