Senior Full-Stack Engineer - AI-Driven Healthcare

Dover; New York (NY); Híbrido; USD 160.000 - 275.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, dental, and vision

Unlimited PTO

Equity

Direct access to founders

Weekly leadership demos

Descripción de la vacante

Tono in New York City is seeking a senior full‑stack engineer to own features end‑to‑end in a modern TypeScript monorepo, from database design to React components.

You will work with care for production reliability, AI-enabled workflows, and collaborate with doctors and engineers. The role offers hybrid work, meaningful equity, and direct access to the founders.

If you enjoy solving hard problems at the intersection of healthcare and software, come help us transform specialty care.

Formación

• Senior-level full stack experience building and operating production systems.
• Strong TypeScript skills across frontend and backend.
• Expert relational database fundamentals: schema design, migrations, query performance.
• Comfort shipping iteratively: feature flags, instrumentation, and tight feedback loops.
• You care about code quality because you take pride in your craft.
• You can drive outcomes. You have the ability to take an ambiguous problem, break it down into workstreams, manage and execute.
• You have worked on agent systems. Designing evals, data-labeling techniques, self-improving agent loops, and LoRA fine tuning.
• Nice to have (not required): experience in startups, healthcare, regulated industries, complex domain modeling, or multi-tenant systems.
• You have built with AI/LLM APIs and understand what it takes to make them reliable in production.

Responsabilidades

• Own features end-to-end across a TypeScript monorepo: database schema design, migrations, tRPC API endpoints, and React components in our EHR and patient portal.
• Invest in platform to accelerate the rest of the team: building foundational infra, telemetry abstractions, realtime durability primitives, etc.
• On any given week you might be building an AI-powered clinical note editor or refining billing workflows, or analyzing data to reduce patient drop-offs in intake.
• We build AI features that must be reliable in production with structured outputs, evaluation loops, monitoring, human-in-the-loop review, and safe fallbacks.
• You will help turn LLM capabilities into tools clinicians actually want to use.

Conocimientos

Senior-level experience

TypeScript

Full stack

Relational databases

Feature flags & instrumentation

Code quality

Ambiguity breakdown

AI/LLM APIs

Startup experience (nice to have)

Descripción del empleo

Tono in New York City is seeking a senior full‑stack engineer to own features end‑to‑end in a modern TypeScript monorepo, from database design to React components.

You will work with care for production reliability, AI-enabled workflows, and collaborate with doctors and engineers. The role offers hybrid work, meaningful equity, and direct access to the founders.

If you enjoy solving hard problems at the intersection of healthcare and software, come help us transform specialty care.