Principal Engineer - Platform
Company websitenekohealth.com (Neko Health, opens in new tab)
Base salary $405K to $480K
Employer-published annual base salary, USD. Advertised base range in New York, NY
You apply on the employer's own site. Six Figure Work does not handle applications.
- LocationNew York, NY
- WorkplaceHybrid
- Status at last checkSource accepting applications when checked
- Last checked (1 h ago) · observed since
About this job
Mission
Neko is redefining what prevention means, from treating illness when it arrives, to sustaining health before it's ever at risk. Our mission: make data-driven, preventative care accessible to more people, before symptoms appear.
In a single, non-invasive visit under an hour, proprietary technology and direct clinical care combine to deliver personalised, actionable insights. It's a team that thinks in 10x, not 10%. Every role here plays a part in building a world where prevention is the norm, and where your work genuinely helps people live longer, healthier lives.
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
Source: Neko Health on Ashby · View original posting (opens in new tab)
Pay in context
This role's base floor ($405,000) is above 99% of the 954 Software Engineering roles in New York listed on this site. Their median floor is $175,000; the middle half runs from $145,000 to $200,000.
Only jobs on this site count, and each one publishes a base salary of $100,000 or more, so this compares six-figure jobs with each other, not with the whole market. Computed Nov 6, 2026.
This listingPrincipal Engineer - Platform$405K to $480K
Product Engineering Lead, Growth$315K to $385K
Skin Health Specialist - Physician$259,200 to $297,000
Clinical Development Lead, AI/LLM$259K to $297K
Global Security Lead$256,500 to $313,500
Clinician Education Specialist, Launches$252,000 to $288,750
Family Medicine Physician$240K to $275K
Chart as a table
| Role | Published base |
|---|---|
| Principal Engineer - Platform (this listing) | $405K - $480K |
| Product Engineering Lead, Growth | $315K - $385K |
| Skin Health Specialist - Physician | $259,200 - $297,000 |
| Clinical Development Lead, AI/LLM | $259K - $297K |
| Global Security Lead | $256,500 - $313,500 |
| Clinician Education Specialist, Launches | $252,000 - $288,750 |
| Family Medicine Physician | $240K - $275K |
Observed changes
- First observed on the employer's board
- Began meeting the published-salary criteria
- fields changed
- Observed since
- Employer-stated posting date
- 2026-03-24
Where this pay comes from
Location as the employer wrote it: New York
USD 405,000 – 480,000 · 1 YEAR · Salary · US
- Method
- Structured pay field published by the employer
- Checked
- Rule set
- us-base-v2
The employer's job board publishes this pay as a dedicated data field. We read the field directly; no interpretation was needed.
What we verified
- The pay figures come from the employer's own listing, quoted exactly above.
- The pay is an annual base salary in US dollars with a minimum of at least $100,000.
- The role was publicly listed on the employer's job board when last checked.
We do not verify what the employer will actually offer, whether the employer is still recruiting for the role, or anything beyond what the employer published. Full methodology.
