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Tomorrow Health

AI/LLM Full-Stack Engineer

Tomorrow Health, New York, New York, us, 10261

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Location : Hybrid, New York City

Seniority : Senior / Staff

Salary range : $225,000 to $300,000/yr, depending on experience and qualifications, plus equity

About Tomorrow Health

Tomorrow Health enables exceptional healthcare for patients and their families in the place they want to be most - home. At Tomorrow Heath, we build technology that rewires the way home-based care is ordered, delivered, and paid for. Tomorrow Health connects patients, providers, health plans, and home-based care suppliers, to ensure patients receive the correct and timely care they need to remain healthy at home.

The Team

The Engineering team at Tomorrow Health builds the technology that connects and scales the home health ecosystem in order to transform the home into the preferred place of care for positive patient outcomes. Our products serve a diverse set of users - doctors, insurance companies, medical equipment suppliers - and ultimately enable us to deliver a higher quality patient experience.

The Role

Tomorrow Health is hiring a

Full Stack Engineer

with strong

backend experience

and hands-on work with

Large Language Models (LLMs) . You'll lead technical decisions across the stack, with a focus on

integrating LLMs into real product flows

that affect patient care, operations, and internal decision-making. Reporting to the Engineering Manager, you'll work closely with Product, Data, and Clinical teams to

evaluate models ,

design AI-powered features , and

ship production-grade systems that support our AI-first strategy .

What You'll Do Design and own architecture for AI-powered features (scalable, safe, maintainable) Evaluate, compare, and integrate LLMs (e.g. OpenAI, Anthropic, open-source) Build backend systems in

Python / Django , plus APIs (REST / GraphQL) Work across stack as needed:

React / TypeScript / Node.js Partner with product, clinical, operations teams to align AI with business outcomes Work with data engineers / ML teams: pipeline, feedback loops, monitoring Build internal tools / dashboards to monitor model performance & safety Mentor engineers; champion software quality and AI best practices About You

8+ years building and scaling software; deep backend expertise (Python / Django) Hands-on experience

deploying LLMs or similar foundation models

in production Strong knowledge of LLM constraints:

tokens, latency, prompt design, fine-tuning, guardrails Experience in system design, APIs, relational databases (Postgres) Comfortable with AWS or similar cloud infra Familiarity with frontend stack: React, TypeScript, Node.js Strong cross-team communication; able to simplify AI concepts for non-technical stakeholders Passion for mentoring, engineering standards & excellence Experience in fast / ambiguous environments; willing to own projects end to end Alignment with mission: improving home-based health care via technology Benefits

100% employer-paid medical, dental and vision benefits HSA and FSA (Dependent Care and Commuter) Fully covered membership in One Medical for on-demand primary care, and Teladoc for 24/7 virtual care 12 weeks of paid parental leave for all caregivers Free mental health support with BetterUp through CONCERN EAP Short-term, and long-term disability plan availability Company-sponsored Life and AD&D insurance Educational reimbursement Monthly wellness stipend Commuter Benefits Competitive salary and meaningful equity Access to Vanguard 401k plan Unlimited vacation and 11 corporate holidays

Learn more about our core values and working with us on our careers page!

Tomorrow Health is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law.