Software Engineer | NYC | In-Office

Software Engineer who can own end-to-end delivery of AI-native healthtech product features, designing core architecture for clinical workflows and scheduling logic, building real-time voice pipelines for AI-driven patient calls, and working across LLM systems, backend infrastructure, and product UI, while collaborating directly with enterprise healthcare customers and shipping into production systems, working fully in-office in New York City (West Village).

Responsibilities

• Design core system architecture and abstractions for clinical workflows and scheduling logic
• Build and optimize real-time voice pipelines for AI-driven patient calls including scheduling, triage, and confirmations
• Work across the full stack including LLM systems, backend infrastructure, and product UI
• Work directly with healthcare customers to model complex workflows and deploy into production enterprise systems
• Own features end-to-end from design to build to deployment to iteration
• Ship quickly in a high-urgency environment with minimal process and high autonomy
• Productionize solutions inside enterprise health systems and iterate based on real-world usage

Required Skills

• Full-stack or backend-heavy engineering experience
• Strong startup experience at high-hiring-bar companies
• Experience shipping production systems end-to-end
• Exposure to LLM systems strongly preferred including RAG, agents, and fine-tuning
• Ability to work across systems including frontend, backend, and infrastructure
• Strong CS fundamentals and fast learning ability
• High ownership mindset with comfort operating in ambiguity and rapid iteration
• Strong customer-facing collaboration skills to translate healthcare workflows into production systems

Preferred Skills

• Production-grade LLM system experience (RAG, agents, fine-tuning)
• Real-time or low-latency systems experience such as voice or streaming pipelines
• Experience building healthcare workflow or scheduling systems in production environments