Principal AI Engineer

Senior AI Engineer (Healthcare)

Location: New York City — On-site

Employment Type: Full-time | Department: Engineering

Compensation: $200,000–$350,000 + Equity

Overview

We’re hiring a world-class Senior AI Engineer to build cutting-edge systems for an AI doctor platform. You’ll design and deploy safety-critical, production AI that delivers diagnostic reasoning, chronic disease management, and seamless healthcare data processing—all with rigorous accuracy and clinical safeguards.

What You’ll Build

Core AI Architecture

• Multi-agent consensus: specialized models debate cases before reaching conclusions.
• RAG at scale: pipelines ingesting thousands of clinical guidelines curated for LLMs.
• Real-time inference: optimize latency and throughput for millions of daily consultations.
• Domain workflows: custom reasoning chains for condition- and specialty-specific care.

Clinical Data Systems

• HIPAA-compliant NLP: extract structured data from patient conversations.
• EHR connectivity: integrate with QHINs for automated retrieval/reconciliation.
• Intelligent triage: route cases between AI and clinicians via complexity scoring.
• Documentation: generate notes that conform to provider protocols and coding rules.

Safety & Scale Infrastructure

• Emergency detection with sub-second human escalation.
• Validation layers targeting 99%+ plan accuracy vs. clinical standards.
• Distributed systems for explosive peak loads and rapid user growth.
• Fail-safes for regulated, critical-path decisions.

You’ll also tackle voice/video interfaces, multilingual medical NLP, predictive health modeling, and the platform foundation for the next billion patient interactions.

Required Qualifications

Education & Background

• BS in CS (or equivalent experience). Hard-science degrees (Physics/Math/Engineering) welcome.
• Startup DNA preferred: founding engineer, founder, or deep early-stage experience.
• Proven self-direction with excellent cross-functional collaboration.

Technical Expertise

• 7+ years engineering; expert in LLMs and generative AI.
• Deep experience with OpenAI GPT, Anthropic Claude, LLaMA, and other FMs.
• Strong prompt engineering, fine-tuning, and model optimization in specialized domains.
• Built real-time production AI systems.
• Proficient in Python and TensorFlow/PyTorch; modern AI tooling.

Preferred Qualifications

• Healthcare/med-tech AI experience; familiarity with HL7, FHIR, clinical workflows.
• Safety, bias detection, and fairness in medical AI.
• Domain NLP research/implementation.
• Worked with clinicians or in regulated environments.
• Publications in AI/ML (healthcare/safety-critical a plus).
• Seed/Series A startup experience.
• Advanced degree in CS/AI/ML or related field.

What We Offer

• Competitive base + meaningful equity at a seed-stage company with top-tier investors.
• Direct impact building AI that transforms care for millions of patients.
• High autonomy and technical leadership, reporting to the CEO.
• Access to cutting-edge models, tooling, and clinical advisors.
• Collaboration with leading physicians and AI researchers.
• Benefits reimbursement.