Senior AI Engineer for Autonomous Clinical Care

Dover; New York (NY); Hybrid; USD 180,000 - 275,000; Full time

Benefits offered by this job

Unlimited PTO

Medical, dental, and vision coverage

Direct access to founders

Hybrid NYC office

Job summary

Tono is building autonomous specialty medicine clinics, starting with dermatology. You will own and ship AI agents that handle clinical notes, intake triage, care coordination, and admin tasks, working in a TS monorepo with engineering and care teams.

You’ll also build shared infrastructure for high reliability, tracing, and evaluation. We seek 5+ years of TS experience, hands-on LLM agent work, eval design, and a drive to deliver in a regulated healthcare setting.

Qualifications

• 5+ years of software engineering experience with strong TypeScript across frontend and backend.
• Hands‑on experience building and shipping LLM‑powered agents in production.
• Experience designing evals and tying quality metrics to outcomes.
• Practical sense of making LLMs reliable with structured outputs and fallbacks.
• Experience with data-labeling techniques and feedback loops.
• Solid PostgreSQL fundamentals and schema design.
• Comfort shipping iteratively with feature flags and instrumentation.
• Ability to break down ambiguous problems and deliver.

Responsibilities

• Own the agents that run Tono's clinic end to end and ship AI features.
• Design evals and labeled datasets from clinician feedback to prevent regressions.
• Build self‑improving loops where corrections flow back into prompts and tuning.
• Add guardrails, human‑in‑the‑loop review, and safe fallbacks for reliability.
• Debug agents with traces, logs, and replay to diagnose issues.

Skills

TypeScript

LLM agents

Eval design

Reliable LLMs

Data labeling

PostgreSQL

Feature flags

Tools

Mastra

LangGraph

Inngest

LoRA

Fine-tuning

Job description

Tono is building autonomous specialty medicine clinics, starting with dermatology. You will own and ship AI agents that handle clinical notes, intake triage, care coordination, and admin tasks, working in a TS monorepo with engineering and care teams.

You’ll also build shared infrastructure for high reliability, tracing, and evaluation. We seek 5+ years of TS experience, hands-on LLM agent work, eval design, and a drive to deliver in a regulated healthcare setting.