We are a team of multiple‑time Y Combinator founders building the AI Operating System for healthcare practices—powering every patient interaction through human‑like voice agents, intelligent chat/SMS, automated scheduling, and deep PMS/EHR integrations. We work with dental, ENT, ortho, and primary care practices nationwide, supporting millions of patient interactions and rapidly expanding across the U.S.
Our Mission is Simple:
Automate the entire patient journey. Make care access effortless. Supercharge every practice.
This is an opportunity to join one of the fastest‑moving teams in applied AI + health care, right as we scale from dozens to hundreds of practices.
The Role
We’re looking for a Product‑Focused Engineer—someone who thrives where product, engineering, and UX converge. This is not a narrow IC role; it’s for someone who wants to own core product surfaces, work directly with the founders, and ship features that touch thousands of patient interactions from day one.
- Conversational AI pipeline (voice, chat, SMS)
- Scheduling and automation logic
- PMS/EHR integrations
- Front‑end portals (practice admin dashboards, analytics, configuration)
- Real‑time telephony, call handling, and workflow automation
What You’ll Own
- Take high‑level problem statements and turn them into shipped features
- Collaborate directly with founders to prioritize roadmap
- Lead product discovery, user validation, and rapid iteration cycles
- Build experiences that are beautifully simple for practice admins and staff
- Architect, develop, and deploy features end‑to‑end
- Improve reliability, reduce system‑wide errors, and optimize latency
- Contribute to scheduling logic, workflow automations, and backend pipelines
- Work with our AI/ML stack to improve conversational performance
Make the Product Self‑Serve
- Design onboarding flows and configuration tools that allow practices to self‑launch
- Build UI for scheduling rules, provider mapping, call routing, etc.
- Reduce customer success overhead by creating clean, intuitive UX
- Listen to customers, shadow calls, dive into logs
- Translate real‑world workflows into product decisions
- Validate features through rapid cycles—hours/days, not weeks
Who You Are
- Full‑stack engineer comfortable across backend, APIs, front‑end, and devops
- Think in products, not just code
- Love turning messy workflows into elegant systems
- Have a strong sense of UX and can simplify complex logic for users
- Thrive in fast‑moving, zero‑bureaucracy environments
- Hungry, resourceful, detail‑obsessed, and execution‑driven
- Want meaningful ownership and to shape the future of the product
Bonus (but not required)
- Experience with healthcare tech, HIPAA, PMS/EHR APIs
- Voice AI, LLM agents, or multi‑modal AI
- Start‑up or founder experience
- Strong product instincts / user empathy
Why Join Neurality?
- We ship daily. We experiment relentlessly. No red tape.
- Build the future of healthcare.
- Your work directly impacts patients, practices, and entire care organizations.
- You will own major product surfaces end‑to‑end. You will not be a cog.
- Work with founders daily
- Direct collaboration with founders. No middle layers.
- We are at an inflection point with massive demand and enterprise pipelines.
Seniority Level
Mid‑Senior level
Employment Type
Full‑time
Job Function
Engineering and Information Technology
Industries
Technology, Information and Internet
Location: New York, NY