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Nexia

Senior Software Engineer – AI/LLM Applications (Healthtech) (San Francisco)

Nexia, San Francisco

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Senior Software Engineer AI/LLM Applications (Healthtech)

Senior Software Engineer AI/LLM Applications (Healthtech)

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A mission-driven healthtech startup is building a next-gen AI platform to transform how care is delivered at home. With strong commercial traction and serious backing, were assembling a founding team to embed AI across every layer of the patient journey, from risk prediction to workflow automation.

Were looking for a Senior Software Engineer to join a newly formed AI team focused on applying large language models (LLMs), intelligent agents, and real-time voice tools to clinical workflows.

What Youll Do

  • Build AI-powered tools that generate clinical summaries, surface patient risk, and streamline care coordination.
  • Work with technologies like RAG, embeddings, conversational AI, and agent frameworks to solve real-world healthcare problems.
  • Collaborate across product, ops, and clinical teams to move quickly from prototype to production.
  • Own systems end-to-end, from design and implementation to measurement and iteration.

What You Bring

  • 8+ years of backend or full-stack experience (Python or JS/TS)
  • 5+ years working with LLMs and applied AI systems
  • (e.g. prompt engineering, summarization, RAG, embeddings, voice/chat interfaces)
  • Proven ability to ship fast in fast-moving environments
  • Curiosity, pragmatism, and a bias for action

Bonus: Experience with healthcare data (FHIR, HL7, clinical notes) is a BIG plus

  • LangChain, LangGraph

Why This Role

  • High impact: Youll be building tools that directly improve patient outcomes
  • Autonomy: Low red tape, high ownership
  • Strong foundation: Real revenue, strong margins, and rapid growth
  • Future-facing: AI sits at the core of the companys long-term strategy

Seniority level

  • Seniority level

    Mid-Senior level

Employment type

  • Employment type

    Full-time

Job function

  • Job function

    Information Technology
  • Industries

    Technology, Information and Media, Biotechnology Research, and Pharmaceutical Manufacturing

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