Senior AI Engineer
Indexed description
Let's make healthcare free and accessible to everyone through AI. We're building an AI doctor that already handles millions of consultations - our goal is to scale this to billions while maintaining medical safety and accuracy.
What You'll Build
Core AI Systems
- Multi-agent consensus architectures where specialized models debate cases before conclusions
- RAG pipelines processing thousands of clinical guidelines built for LLM consumption
- Fine tuning and model distillation to support efficient performance
- Real-time inference systems handling millions of medical consultations each month
- Custom workflows for domain-specific medical reasoning
- NLP pipelines extracting structured data from patient conversations (HIPAA-compliant)
- QHIN integrations for automated EHR data retrieval and reconciliation
- Intelligent triage systems routing between AI and human providers
- Documentation generation matching provider-specific protocols
- Emergency detection with sub-second escalation to human oversight
- Validation layers ensuring 99%+ treatment plan accuracy
- Distributed systems handling rapid growth and peak loads
- Fail-safe mechanisms for critical path decisions in regulated environments
How We Work
- Engineering-first org: no project managers, just senior engineers
- Flat structure with direct CEO reporting and high autonomy
- Own features end-to-end from minimal specs to production
- AI coding tools encouraged
- Ship fast with good judgment; daily standups for alignment, not micromanagement
- CS degree OR equivalent demonstrated expertise
- Hard science degrees (Physics, Math, Engineering) welcomed with strong technical foundation
- Preference for graduates from top programs at top universities
- Preference for founders, founding engineers, or extensive startup experience
- Independent problem solver who collaborates well cross-functionally
- 7+ years engineering with LLM and generative AI expertise
- Deep knowledge of OpenAI GPT, Anthropic Claude, Meta LLaMA, and foundation models
- Production AI systems with real-time inference requirements
- Python, TensorFlow/PyTorch, modern AI frameworks
- Prompt engineering, fine-tuning, model optimization for specialized domains
- AI systems for healthcare, medical, or life sciences applications
- Medical terminology, clinical workflows, healthcare data standards (HL7, FHIR)
- Medical AI safety, bias detection, fairness in healthcare
- NLP for domain-specific applications
- Work with medical professionals or regulated healthcare environments
- Published research in AI/ML, especially healthcare or safety-critical applications
- Seed/Series A experience in AI or healthcare
- Advanced degree in CS, AI/ML, or related field
- Competitive salary plus significant equity
- Build AI systems transforming healthcare for millions
- Direct CEO reporting with significant autonomy
- Access to leading AI technologies and medical experts
- Benefits reimbursement
- Union Square Ventures led our seed (Feb 2025)
- Lightspeed Venture Partners preempted our Series A six months later (Aug 2025)
- Abstract preempted our Series B five months later (Jan 2026)
- Significant equity stake in fast-moving, well-backed company
Compensation Range: $200K - $300K
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