Nxt Level
AI

Staff Engineer, AI / Prompt Engineering

Nxt Level · · $200k - $350k

Actively hiring Posted 3 months ago

Role overview

  • 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.
  • 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.
  • 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.

Basic qualifications

  • 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.
  • 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.

Benefits

  • 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.

Tags & focus areas

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Fulltime Ai Ai Engineer