Remote Senior ML Engineer - Dermatology Vision & AI

Dover; New York (NY); Hybrid; USD 180,000 - 325,000; Full time

Benefits offered by this job

Equity

Medical coverage

Unlimited PTO

Direct access to founders

Weekly leadership demos

Job summary

Tono is building autonomous specialty care software starting with dermatology. You will own the end-to-end path from research idea to production model, developing image-based diagnosis support and longitudinal lesion tracking across visits.

You will work closely with physicians and engineers to ensure results are useful, trustworthy, and integrated into our EHR and patient portal. We ship in a regulated environment with feature flags and careful reviews, focusing on patient safety and reliable

Qualifications

• Develop, train, evaluate, and deploy dermatology models from idea to production.
• Collaborate with physicians and engineers to define useful, trustworthy results.
• Experience with vision or multimodal models, and calibration for clinical use.

Responsibilities

• Train and fine-tune vision and multimodal models on dermatology images.
• Build longitudinal pipelines to compare lesions across visits weeks/months apart.
• Create labeled datasets with clinicians and evaluate models honestly.
• Set up inference services: model serving, batching, latency, cost.
• Add confidence scoring and human-in-the-loop reviews for safety.
• Monitor model performance across skin tones and patient groups.

Skills

Python

Deep learning

Computer vision

PyTorch

ML in production

Data pipelines

TypeScript basics

Tools

dbt

DuckDB

BigQuery

PostgreSQL

Inngest

Mastra

OpenAI

Anthropic

Vertex

Cloudflare

AWS

Job description

Tono is building autonomous specialty care software starting with dermatology. You will own the end-to-end path from research idea to production model, developing image-based diagnosis support and longitudinal lesion tracking across visits.

You will work closely with physicians and engineers to ensure results are useful, trustworthy, and integrated into our EHR and patient portal. We ship in a regulated environment with feature flags and careful reviews, focusing on patient safety and reliable