Lead Software Engineer - Medical OS

Neko Health • New York, NY

6d

About The Position

Mission Neko is redefining prevention by making data-driven preventative care accessible before symptoms appear. Through a single, non-invasive visit, proprietary technology and direct clinical care provide members with personalised, actionable insights.

The Medical OS team builds the software used throughout each Neko visit, from check-in and scanning to the doctor's conversation with the member. The team is developing an AI-first clinical platform that prepares personalised briefings, drafts documentation, and coordinates routine work, while keeping clinicians responsible for clinical decisions. The platform is supported by a longitudinal health record that grows richer with each scan.

In the first 6–12 months, the Lead Software Engineer will deliver AI-native clinical workflows across the stack, help develop a clinician-in-the-loop system, and spend time directly with clinicians and members to understand their work and turn those insights into shipped products.

Requirements

• Full-stack engineering experience and the depth to lead complex, cross-functional delivery end-to-end.
• Ability to work across both back-end and front-end development, including demonstrating how to close gaps in a less-strong area, potentially with AI.
• Solid command of architectural concepts and relevant frameworks, with the ability to explain and defend trade-offs.
• A product-minded, customer-driven track record of shipping well-rated products with excellent customer experience.
• Experience deciding what to build through direct conversations with customers and participating in product decisions.
• Demonstrable AI-first working practices, including daily use of agentic tooling and experience building AI or automation into products.
• Strong communication skills and ability to mentor engineers.

Nice To Haves

• Consumer (B2C) product experience delivering a polished user experience, or experience with a modern, well-rated B2B or B2B2C product.
• Med-tech, clinical, or healthcare experience.
• Experience in regulated industries, such as fintech, and familiarity with regulatory constraints.
• Exposure to hardware or firmware integrations or device ecosystems.

Responsibilities

• Lead complex, cross-functional software delivery end-to-end across the stack.
• Build and ship AI-native clinical workflows, including personalised pre-briefs, drafted debriefs, and intelligent assessment tools, with clinicians retaining decision-making authority.
• Develop the clinician-in-the-loop flywheel, using clinician expertise to improve the system and helping clinicians spend more time with members.
• Work directly with clinicians and members, including spending time in clinics, and translate first-hand observations into shipped product.
• Contribute to product decisions by speaking with customers and determining what to build.
• Mentor other engineers and communicate effectively across the team.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed