Logo
Tomorrow Health

Staff Full-Stack Engineer, AI/LLM

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

Save Job

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. We believe that a team’s strength is in its people. Our goal is to raise the industry standard for patient experience, and we realize this cannot be achieved without a team that reflects the vast diversity in race, ethnicity, gender, sexuality, and set of experiences and perspectives of the patients we serve. We believe in putting patients first, that many perspectives are stronger than one, and in treating those we serve just as we would our own family members. If you’re passionate about improving healthcare delivery, leveraging technology to serve people, and working in a collaborative, diverse environment, we hope you’ll join us. 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. Our team of mission-driven technologists is highly collaborative, supportive, empathetic, curious, and impact-oriented. We partner with the Product, Operations, and Customer Experience teams to identify opportunities to enable a faster, simpler, and more transparent process for patients and healthcare partners. THE ROLE Tomorrow Health is seeking a

Staff Full Stack Software Engineer

with deep

backend expertise

and a proven track record in working with

Large Language Models (LLMs) . This role is pivotal to driving our

AI-first strategy , helping evaluate, integrate, and operationalize cutting-edge models into core product experiences. As a Staff Engineer, you will lead technically across the stack, but with a critical lens toward how AI can shape our workflows, decision-making, and patient outcomes. You’ll report to the Engineering Manager and collaborate closely with Product, Data, and Clinical teams to deliver high-impact platform capabilities. You’ll also play a central role in

LLM-based feature design ,

model evaluation , and the

implementation of production-grade AI services . Please note: this is a hybrid-role which will require this team member to work out of our New York City office 4 days per week. WHAT YOU'LL DO Lead

technical design and architecture

for AI-powered product features, ensuring scalability, maintainability, and clinical safety. Evaluate and integrate

LLM platforms

(e.g., OpenAI, Anthropic, open-source models), shaping model selection, prompt frameworks, and performance benchmarking. Design and implement robust backend systems (Python/Django) and scalable APIs to support AI-first features across the platform. Work across the stack (React/TypeScript/NodeJS) as needed to deliver full product experiences. Collaborate with cross-functional stakeholders to align AI initiatives with business and clinical goals, especially around new

payor onboarding and integrations . Partner with data engineers and ML practitioners to ensure proper

data pipelines , feedback loops, and real-world performance monitoring for AI models. Build internal tools and observability features to

measure the impact and safety of AI models

in production. Mentor engineers across the org on best practices for software engineering and AI integration. ABOUT YOU 8+ years of experience building and scaling customer-facing software; deep backend expertise (Python/Django) required. Proven experience evaluating, integrating, and/or deploying

LLMs or similar foundation models

in a production environment. Strong understanding of LLM performance considerations:

token limits, latency tradeoffs, prompt engineering, fine-tuning, and guardrails . Strong system design skills and experience with APIs (REST/GraphQL), relational databases (Postgres), and cloud platforms (AWS preferred). Familiarity with modern frontend technologies: React, TypeScript, and NodeJS. Strong cross-functional collaboration and communication skills — able to simplify complex AI concepts for stakeholders. Passionate about mentoring, code quality, and engineering excellence. Startup mindset: thrive in a fast-paced, dynamic environment and take ownership of ambiguous challenges. Deeply aligned with Tomorrow Health’s mission to transform healthcare and improve patient outcomes through 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 Competitive salary and meaningful equity Access to Vanguard 401k plan Unlimited vacation and 11 corporate holidays Salary range for this position: $250,000 to $275,000/yr, depending on experience and qualifications, plus equity 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. Create a Job Alert Interested in building your career at Tomorrow Health? Get future opportunities sent straight to your email. Apply for this job

* indicates a required field First Name * Last Name * Preferred First Name Email * Phone Resume/CV * Enter manually Accepted file types: pdf, doc, docx, txt, rtf LinkedIn Profile * Website This is hybrid role which will require you to work 4 days a week in our NYC office. Does this schedule meet your expectations? * Select... What do you currently reside? * Will you, now or in the future, require sponsorship for employment in the United States? * Select... In a brief paragraph, give us a past example on how you've integrated AI/LLM into product features * U.S. Standard Demographic Questions

We invite applicants to share their demographic background. If you choose to complete this survey, your responses may be used to identify areas of improvement in our hiring process. How would you describe your gender identity? (mark all that apply) Select... How would you describe your racial/ethnic background? (mark all that apply) Select... How would you describe your sexual orientation? (mark all that apply) Select... Do you identify as transgender? Select... Do you have a disability or chronic condition (physical, visual, auditory, cognitive, mental, emotional, or other) that substantially limits one or more of your major life activities, including mobility, communication (seeing, hearing, speaking), and learning? Select... Are you a veteran or active member of the United States Armed Forces? Select... Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey.Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiringprocess or thereafter. Any information that you do provide will be recorded and maintained in aconfidential file. As set forth in Tomorrow Health’s Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law. If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection.As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measurethe effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categoriesis as follows: A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability. A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service. An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense. An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985. Select... Voluntary Self-Identification of Disability

Form CC-305 Page 1 of 1 OMB Control Number 1250-0005 Expires 04/30/2026 Voluntary Self-Identification of Disability Form CC-305 Page 1 of 1 OMB Control Number 1250-0005 Expires 04/30/2026 Why are you being asked to complete this form?

We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years. Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp . How do you know if you have a disability?

A disability is a condition that substantially limits one or more of your “major life activities.” If you have or have ever had such a condition, you are a person with a disability.

Disabilities include, but are not limited to: Alcohol or other substance use disorder (not currently using drugs illegally) Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS Blind or low vision Cancer (past or present) Cardiovascular or heart disease Celiac disease Cerebral palsy Deaf or serious difficulty hearing Diabetes Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders Epilepsy or other seizure disorder Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome Intellectual or developmental disability Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD Missing limbs or partially missing limbs Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS) Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities Partial or complete paralysis (any cause) Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema Short stature (dwarfism) Traumatic brain injury

Disability Status Select... PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.

#J-18808-Ljbffr