Founding AI Engineer ($130k-$200k + Equity) at Stealth YC company
About The Position
You will own the AI core of an innovative medical practice, building LLM-powered systems for immediate diagnosis and treatment. This role moves beyond chatbots, focusing on high-stakes medical decisions, clinical accuracy, and safety. Working directly with physicians, you will ship production-ready AI that directly impacts patient health outcomes and lives. Location: San Francisco, USA Why this role is remarkable: Ship code that powers real-world medical decisions including prescriptions and lab orders rather than just building demos. Join a high-performance founding team led by experienced entrepreneurs who previously scaled a telemedicine company to over $100M in revenue. Benefit from significant ownership and career growth, with the potential to lead engineering domains or management as the team scales.
Requirements
- 3+ years of software engineering experience with at least 12 months shipping LLM applications to production environments.
- Expert-level Python skills and deep familiarity with token economics, vector databases, and RAG architectures.
- An AI-native builder who uses modern tools like Cursor/Claude daily and prioritizes safety in high-stakes domains.
Responsibilities
- Optimize LLM integration and prompt engineering for clinical accuracy, medical insights, and safety-critical diagnosis.
- Architect AI infrastructure including RAG systems, semantic search, and complex memory systems for multi-turn patient conversations.
- Implement medical safety guardrails and evaluation frameworks to eliminate hallucinations and ensure groundedness in high-risk scenarios.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
1-10 employees
