Lead AI & Automation Systems Engineer — Clinical Ops

Generation Next Fertility

New York (NY)

Hybrid

USD 150,000 - 200,000

Full time

14 days+

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Benefits offered by this job

Competitive salary
Bonus
Health insurance
401(k) matching
Work flexibility

Job summary

Generation Next Fertility in New York is seeking a Lead Clinical Automation & AI Systems Engineer to own the architecture powering autonomous clinical agents and agentic workflows. You will design, build, and deploy scalable pipelines that integrate with EHRs, insurance systems, and lab data, while ensuring PHI safeguards and HITL oversight.

This role blends software engineering with healthcare operations, delivering reliable automation that reduces friction for clinicians and accelerates

Qualifications

  • 3–5+ years of professional software development experience.
  • Proficient in Python and/or modern TypeScript.
  • Knowledge of API architecture (REST, webhooks, GraphQL) and relational databases.
  • Healthcare workflows and PHI safeguards, HIPAA/HITECH required.
  • Experience with AI automation tooling and agentic frameworks.
  • Experience with LLM orchestration frameworks like LangGraph, LangSmith, and related tools.

Responsibilities

  • Design, build, edit, and deploy internal software and agentic workflows powering GNFs operations.
  • Architect resilient, event-driven pipelines bridging LLM outputs with clinical workflows.
  • Develop HITL architectures allowing clinicians to supervise AI actions before production.
  • Build reliable API integrations with EHR/IVF systems, billing engines, and lab data layers.
  • Implement validation layers, guardrails, and evaluation suites to monitor latency, hallucinations, and accuracy.
  • Collaborate with clinicians to reverse-engineer workflows into scalable software solutions.

Skills

Python
TypeScript
API architecture
Event-driven systems
Relational databases

Tools

LangGraph
LlamaIndex
CrewAI
AutoGen
Temporal
Inngest
AWS Step Functions
Pydantic
LangFuse

Job description

Generation Next Fertility in New York is seeking a Lead Clinical Automation & AI Systems Engineer to own the architecture powering autonomous clinical agents and agentic workflows. You will design, build, and deploy scalable pipelines that integrate with EHRs, insurance systems, and lab data, while ensuring PHI safeguards and HITL oversight.

This role blends software engineering with healthcare operations, delivering reliable automation that reduces friction for clinicians and accelerates

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