Founding AI Engineer

Posted 3 Days Ago
New York City, NY, USA
In-Office
160K-220K Annually
Mid level
Artificial Intelligence • Healthtech • Software • Telehealth
The Role
Build and maintain backends and clinician tooling, integrate LLMs and custom models into production, design evals and observability, implement safety/fallback strategies, and support product expansion across clinical apps.
Summary Generated by Built In

THE MISSION

Nolla is building AI doctors so that top-quality healthcare is accessible to everyone. Nolla Skin is the #1 medical skincare treatment app in the U.S. App Store. We've treated thousands of acne patients in the U.S., scanned 1% of Norway's population for skin cancer, and our in-house clinical models are state of the art on clinical benchmarks. We just launched NollaMD, our urgent care app, and we're building dedicated specialty apps for conditions like birth control and allergies. We raised a $4.5M seed from General Catalyst.

THE ROLE

This is an AI engineering role, not an ML engineering role. You won't be training models (unless you want to). You will wire LLMs and other custom models into production systems where the cost of getting it wrong is high, build the eval infrastructure that tells us when we're getting it right, and ship the backend surface area that keeps the product moving. You'll work directly with the founding team and your work reaches patients immediately.

WHAT YOU'LL BUILD

App Backends

  • Build and maintain backends for our existing apps, plus stand up new ones as we launch new specialty apps

  • Own backend systems end to end, from schema design to production

Clinician Tooling

  • Build the clinician-facing dashboards and tooling our medical team uses to review AI output

  • Develop internal tools that clinical ops and physicians use daily

AI Systems

  • Work on prompts, tool calling, and inference optimization for the AI features in our apps

  • Build evals and observability that give us confidence in what we deploy. You'll define what "good" looks like for our AI systems

  • Implement abstention, routing, and fallback strategies that favor safety and correctness

Jack-of-all-Trades Surface Area

  • Support a wide range of work: payments, user flows, clinical infra, model deployment

  • Help architect systems that support rapid product expansion: new verticals, new states, new clinical modalities

WHAT YOU BRING

  • 4+ years of backend, platform, or product engineering experience

  • You ship your own things. You have a portfolio: side projects, open source, apps you launched

  • You've worked on small teams and built things from zero

  • Comfortable with the AI engineering toolkit: prompts, evals, tool calling, RAG, common LLM APIs. You have opinions on when each tool is the right one

  • Strong product instincts: you don't need a PM to tell you what to build, you can scope and ship

  • Strong TypeScript and Python

BONUS POINTS

  • Regulated industry experience (healthcare, fintech)

  • Comfortable with infra and can deploy what you build (Docker, CI/CD, etc.)

  • Familiarity with FHIR, HL7, or healthcare data standards

  • Experience with observability stacks: Langfuse, Sentry, or similar

  • Prior work in clinical AI, digital health, or other regulated domains

STACK

TypeScript · Python · Node.js · PostgreSQL · AWS · OpenAI / Anthropic APIs · EMR systems · Eval frameworks

ROLE LOGISTICS, COMPENSATION & BENEFITS

  • Role Type: Engineering

  • Salary: $160,000-$220,000, based on experience

  • Job Type: Full-time

  • Work Setup: In-person, New York City

  • Equity: Meaningful equity, commensurate with experience

  • Health Insurance: Medical, dental, and vision

  • HSA/FSA: Eligible

  • Time Off: Flexible, unlimited vacation

  • Additional Perks: Meal stipends, team retreats

  • Work Hours: Flexible but demanding. We're building something that matters

  • Growth: Founding team members step into expanded roles as we scale

Skills Required

  • 4+ years of backend, platform, or product engineering experience
  • Proven ability to ship projects independently (portfolio, side projects, open source, launched apps)
  • Experience working on small teams and building products from zero
  • Comfortable with AI engineering toolkit: prompts, evals, tool calling, RAG, common LLM APIs
  • Strong product instincts; able to scope and ship without a PM
  • Strong TypeScript and Python
  • Experience owning backend systems end-to-end (schema design to production)
  • Regulated industry experience (healthcare, fintech)
  • Ability to deploy infrastructure and services (Docker, CI/CD)
  • Familiarity with FHIR, HL7, or healthcare data standards
  • Experience with observability stacks (Langfuse, Sentry, or similar)
  • Prior work in clinical AI, digital health, or other regulated domains
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The Company
0 Employees
Year Founded: 2024

What We Do

Nolla Health is a healthtech startup that provides an AI-powered skin health platform. It combines proprietary AI models with clinician oversight to offer personalized, asynchronous treatment plans for skin conditions like acne, redness, and wrinkles. The company operates a subscription-based model that includes daily AI-powered skin scans, clinician-reviewed treatment plans, and medication delivery, aiming to provide accessible, dermatologist-level care to patients.

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