Principal AI Engineer
Full-time
US
Oct 23, 2026
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About the Role
About DrFirst For 25 years, DrFirst has empowered providers and patients to achieve better health through intelligent medication management. We improve healthcare workflows and help patients start and stay on therapy with end-to-end solutions that enhance prescription access, affordability, and adherence. Our solutions help 100 million patients a year and are used by more than 420,000 prescribers, 71,000 pharmacies, 270 EHRs and health information systems, and over 2,000 hospitals in the U.S. This is a great opportunity to be a part of a successful Healthcare IT company experiencing significant growth. Here you'll get to work with some of the smartest and most interesting people around; solving unique and complex challenges in healthcare on a scale matched by a few companies. If you get excited about stretching yourself in new ways, developing yourself to your fullest potential, care about working with smart colleagues; we want to talk to you! Position Overview DrFirst is building an agentic ecosystem at scale. In the last 90 days we have shipped production AI systems across HR, Finance, Legal, and Marketing, automating hundreds of hours of manual work monthly and delivering measurable business impact. This is a hands-on technical leadership role. You architect and build production AI automation systems from discovery to deployment. You work directly with department leaders to map workflows and ship tools that augment their work. The split is 80% individual-contributor engine