THE ROLEThis is an AI engineering role, not an ML engineering role. You won't be training models (unless you want to). You will wire LLMs and other custom models into production systems where the cost of getting it wrong is high, build the eval infrastructure that tells us when we're getting it right, and ship the backend surface area that keeps the product moving. You'll work directly with the founding team and your work reaches patients immediately.
WHAT YOU'LL BUILDApp Backends- Build and maintain backends for our existing apps, plus stand up new ones as we launch new specialty apps
- Own backend systems end to end, from schema design to production
Clinician Tooling- Build the clinician-facing dashboards and tooling our medical team uses to review AI output
- Develop internal tools that clinical ops and physicians use daily
AI Systems- Work on prompts, tool calling, and inference optimization for the AI features in our apps
- Build evals and observability that give us confidence in what we deploy. You'll define what "good" looks like for our AI systems
- Implement abstention, routing, and fallback strategies that favor safety and correctness
Jack-of-all-Trades Surface Area- Support a wide range of work: payments, user flows, clinical infra, model deployment
- Help architect systems that support rapid product expansion: new verticals, new states, new clinical modalities
WHAT YOU BRING- 4+ years of backend, platform, or product engineering experience
- You ship your own things. You have a portfolio: side projects, open source, apps you launched
- You've worked on small teams and built things from zero
- Comfortable with the AI engineering toolkit: prompts, evals, tool calling, RAG, common LLM APIs. You have opinions on when each tool is the right one
- Strong product instincts: you don't need a PM to tell you what to build, you can scope and ship
- Strong TypeScript and Python
BONUS POINTS- Regulated industry experience (healthcare, fintech)
- Comfortable with infra and can deploy what you build (Docker, CI/CD, etc.)
- Familiarity with FHIR, HL7, or healthcare data standards
- Experience with observability stacks: Langfuse, Sentry, or similar
- Prior work in clinical AI, digital health, or other regulated domains
STACKTypeScript • Python • Node.js • PostgreSQL • AWS • OpenAI / Anthropic APIs • EMR systems • Eval frameworks
ROLE LOGISTICS, COMPENSATION & BENEFITS- Role Type: Engineering
- Salary: $160,000-$220,000, based on experience
- Job Type: Full-time
- Work Setup: In-person, New York City
- Equity: Meaningful equity, commensurate with experience
- Health Insurance: Medical, dental, and vision
- HSA/FSA: Eligible
- Time Off: Flexible, unlimited vacation
- Additional Perks: Meal stipends, team retreats
- Work Hours: Flexible but demanding. We're building something that matters
- Growth: Founding team members step into expanded roles as we scale
