Staff Software Engineer — AI-Driven EHR & Clinician Tools

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

Benefits offered by this job

Equity

Medical/dental/vision coverage

Unlimited PTO

Weekly leadership demos

Job summary

Tono is building autonomous specialty care software starting with dermatology, combining software and operations for faster, easier delivery. You will own end-to-end features in a modern TypeScript monorepo, designing schemas, migrations, APIs, and React components for the EHR and patient portal.

We value builders who ship with discipline in a regulated environment and who can drive outcomes across frontend, backend, data, and infra.

Qualifications

• Staff-level 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 with feature flags and instrumentation.
• You value clean code and pride in craft.
• Experience with agent systems, evals, data-labeling techniques, and self-improving loops.

Responsibilities

• Own features end-to-end across a TS monorepo: database schema design, migrations, API endpoints, and UI components.
• Build foundational infrastructure to accelerate the team, including telemetry and real-time primitives.
• Develop AI-powered tools and ensure reliable production performance with safety checks and human-in-the-loop reviews.

Skills

Full stack engineering

TypeScript

Relational databases

Feature flags

Code quality

AI/LLM integration

Tools

Next.js

tRPC

Prisma

PostgreSQL

OpenAI / Anthropic / Vertex

Job description

Tono is building autonomous specialty care software starting with dermatology, combining software and operations for faster, easier delivery. You will own end-to-end features in a modern TypeScript monorepo, designing schemas, migrations, APIs, and React components for the EHR and patient portal.

We value builders who ship with discipline in a regulated environment and who can drive outcomes across frontend, backend, data, and infra.