Clinical Development Lead, AI/LLM

Neko Health • New York, NY

5d • Hybrid

About The Position

Neko is redefining prevention by making data-driven, preventative care accessible to more people before symptoms appear. Our proprietary technology and direct clinical care combine to deliver personalized, actionable insights in a single, non-invasive visit. We are looking for an exceptional Clinical Development Lead to own the clinical accuracy and safety of all generative AI surfaces Neko Health builds, including the member-facing LLM chat, Gen AI UX, Doctor Scribe, and Pre-brief. This is a high-impact role for a clinician who can set and maintain the quality bar for generative output in a clinical context. You will lead the LLM and AI pillar within Clinical product and development, partnering directly with the LLM and AI Product Manager and Engineering lead. Your goal is to ensure engagement through clinical quality and safety, making sure that generative AI outputs are correct every time. You will be the DRI (Directly Responsible Individual) for the clinical safety of what these surfaces communicate. This role requires clinical judgment, rigorous evaluation, and strong advisory capabilities in a fast-paced, post-Series B environment.

Requirements

• A practising or recently practising physician with the credibility to set the clinical bar and act as DRI, or an equivalent clinical-scientific background with deep clinical fluency.
• Direct experience with LLMs or generative AI in a healthcare or clinical-content setting: building, evaluating, or clinically validating generative outputs.
• Strong grasp of the failure modes of generative models in a clinical context (hallucination, unsafe advice, missed escalation) and how to evaluate against them.
• Working understanding of medical-device and clinical-software quality and safety obligations (e.g. EU MDR, GCP) as they apply to AI.
• Ability to produce and validate specialist clinical content, not only to coordinate others who do.
• Comfort operating across Swedish, UK, and US clinical contexts, and the judgment to know when to override the tool with clinical reasoning.

Responsibilities

• Set clinical requirements and the quality bar for all generative AI surfaces, acting as clinical DRI from scoping through rollout.
• Build and run the clinical evaluation framework for generative outputs, and define the acceptance threshold behind the >90% eval score.
• Own the clinical safety case for member-facing chat, addressing hallucination, unsafe or incorrect advice, and missed escalation.
• Validate Doctor Scribe output against auto-generated debrief and referral-accuracy targets.
• Partner with the LLM and Gen AI PM and Engineering lead on the pillar roadmap, validating every release against clinical safety, accuracy, and compliance.
• Work alongside the Member Experience and Medical Tools clinical leads, plus Quality & Compliance, Learning & Education, Operations, and market/clinic leadership, across the product lifecycle.
• Carry a small, protected clinical commitment (roughly 0.05–0.1 FTE) to stay grounded in clinic reality.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior