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NxT Level

Senior AI Engineer

NxT Level, New York, New York, us, 10261

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Senior AI Engineer (Healthcare) Location:

New York City — On-site Employment Type:

Full-time |

Department:

Engineering Compensation:

$200,000–$350,000 + Equity

Overview We’re hiring a world-class

Senior AI Engineer

to build cutting-edge systems for an AI doctor platform. You’ll design and deploy safety-critical, production AI that delivers diagnostic reasoning, chronic disease management, and seamless healthcare data processing—all with rigorous accuracy and clinical safeguards.

What You’ll Build Core AI Architecture

Multi-agent consensus : specialized models debate cases before reaching conclusions.

RAG at scale : pipelines ingesting thousands of clinical guidelines curated for LLMs.

Real-time inference : optimize latency and throughput for millions of daily consultations.

Domain workflows : custom reasoning chains for condition- and specialty-specific care.

Clinical Data Systems

HIPAA-compliant NLP : extract structured data from patient conversations.

EHR connectivity : integrate with QHINs for automated retrieval/reconciliation.

Intelligent triage : route cases between AI and clinicians via complexity scoring.

Documentation : generate notes that conform to provider protocols and coding rules.

Safety & Scale Infrastructure

Emergency detection

with sub-second human escalation.

Validation layers

targeting

99%+

plan accuracy vs. clinical standards.

Distributed systems

for explosive peak loads and rapid user growth.

Fail-safes

for regulated, critical-path decisions.

You’ll also tackle voice/video interfaces, multilingual medical NLP, predictive health modeling, and the platform foundation for the next billion patient interactions.

Required Qualifications Education & Background

BS in CS (or equivalent experience). Hard-science degrees (Physics/Math/Engineering) welcome.

Startup DNA preferred: founding engineer, founder, or deep early-stage experience.

Proven self-direction with excellent cross-functional collaboration.

Technical Expertise

7+ years

engineering; expert in

LLMs

and

generative AI .

Deep experience with

OpenAI GPT ,

Anthropic Claude ,

LLaMA , and other FMs.

Strong

prompt engineering ,

fine-tuning , and

model optimization

in specialized domains.

Built

real-time production AI

systems.

Proficient in

Python

and

TensorFlow/PyTorch ; modern AI tooling.

Preferred Qualifications

Healthcare/med-tech AI experience; familiarity with

HL7 ,

FHIR , clinical workflows.

Safety, bias detection, and fairness in medical AI.

Domain NLP research/implementation.

Worked with clinicians or in regulated environments.

Publications in AI/ML (healthcare/safety-critical a plus).

Seed/Series A startup experience.

Advanced degree in CS/AI/ML or related field.

What We Offer

Competitive base + meaningful

equity

at a seed-stage company with top-tier investors.

Direct impact building AI that transforms care for millions of patients.

High autonomy

and

technical leadership , reporting to the CEO.

Access to cutting-edge models, tooling, and clinical advisors.

Collaboration with leading physicians and AI researchers.

Benefits reimbursement.

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