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AI/ML Senior Software Engineer

Health Note

Salary not specified
Sep 5, 2025
Remote, US
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Health Note is looking to humanize healthcare administration by automating the entire patient journey and delivering a concierge experience for every patient, while also providing a scalable path to automation for every clinic.

Requirements

  • 5+ years of experience building robust, scalable full-stack applications and developer tools.
  • Hands-on experience with LLMs or AI services (e.g., OpenAI, Anthropic, Vertex AI, Llama).
  • Significant experience designing, building, deploying, and maintaining production applications at scale.
  • Proficiency with Javascript/Typescript, React, NodeJS (NestJS), and PostgresQL.
  • Familiarity with modern web technologies (HTTP2, WebSockets, gRPC, GraphQL).
  • Strong engineering craft: able to architect solutions to ambiguous problems and leave the codebase better than you found it.
  • A product-oriented approach: you consider usability, outcomes, and business impact alongside technical design.

Responsibilities

  • Design, implement, and maintain scalable, high-performance services and applications.
  • Integrate LLMs and AI services into production systems with attention to safety, observability, performance, and cost-effectiveness.
  • Build abstractions, APIs, and tooling that make it easier for engineers and product teams to use AI responsibly.
  • Approach problems with a product engineer mindset: balance technical tradeoffs with user experience, speed-to-market, and long-term maintainability.
  • Improve code quality through refactoring, automated testing, CI/CD, and strong developer productivity practices.
  • Mentor engineers and contribute to shared standards, ensuring long-term maintainability.
  • Collaborate with cross-functional teams to design AI-enabled product experiences that meet client needs.

Other

  • 5+ years of experience
  • Comprehensive health benefits, including medical, dental, and vision, as well as disability and life insurance coverage.
  • 401k with a company match
  • Flexible PTO policy
  • Bachelor's degree or equivalent experience
  • Ability to work in a fully distributed, remote-first startup