Full-Stack AI Health Engineer — Real-Time & LLMs (Sydney)

Medow Health; Sydney; On-site; AUD 120,000 - 160,000; Full time

Job summary

Medow Health is hiring engineers to ship end-to-end features and build integrations with practice management systems, focusing on real-time audio and voice workloads. You will work with LLMs in production, evaluating output and quality, and collaborate with product, clinical, and data science colleagues to translate real problems into shipped software.

The role emphasizes a startup/scale-up mindset, ownership, and comfort with ambiguity, with on-site work in Sydney and occasional home days.

Qualifications

• Startup or scale-up experience with ambiguity and end-to-end ownership.
• Experience building products on top of LLMs is required.
• Track record delivering production-grade web applications across the stack.
• Strong fundamentals in relational databases, API design, and testing.
• Able to translate business and clinical requirements to technical solutions.

Responsibilities

• Ship features end to end.
• Build and maintain integrations with practice management systems.
• Work on real-time audio and voice systems.
• Build with LLMs in production and evaluate output quality.
• Collaborate with product, clinical, and data science teams to ship software.

Skills

Startup experience

LLM-based products

Production-grade web apps

Relational databases

API design

Testing

Cross-functional collaboration

AI tooling

Education

Bachelor's degree in Computer Science or related field

Tools

TypeScript

React

NestJS

PostgreSQL

Job description

Medow Health is hiring engineers to ship end-to-end features and build integrations with practice management systems, focusing on real-time audio and voice workloads. You will work with LLMs in production, evaluating output and quality, and collaborate with product, clinical, and data science colleagues to translate real problems into shipped software.

The role emphasizes a startup/scale-up mindset, ownership, and comfort with ambiguity, with on-site work in Sydney and occasional home days.