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Added 11 mins ago
Senior AI Engineer, Release Engineering
Intercontinental Exchange (ICE)
Omaha, NE
The Senior Engineer is a full-stack engineer with strong AI and large language model (LLM) expertise, embedded within the Release Engineering Development team. This team designs and…
Added 28 mins ago
J
Sr. Systems Engineer – AI Gateway Platform
Jobgether
Remote, United States
- $125,000 to $180,000 USD / year
Proficiency in modern programming languages used in backend or full-stack development, such as Python, JavaScript, TypeScript, or Go.
Added 42 mins ago
Staff Machine Learning Engineer - Edge AI
Samsara
Remote, United States
…will work closely with ML Engineers and Scientists, as well as full-stack and firmware engineers to deliver core product features, services, and…
Added 48 mins ago
Senior Software Developer - Environmental Services
Burns & McDonnell
Kansas City, MO
…sophisticated software programs and applications, with a focus on a full-stack, AI-enabled geospatial platforms that support our major enterprise initiatives and digital delivery offerings.…
Added 56 mins ago
Senior Full Stack Software Engineer – AI/ML
HTC Global Services Inc
Dearborn, MI
We are seeking a Senior Full Stack Software Engineer with experience in building, developing, and deploying scalable software applications and AI-powered solutions. The ideal candidate will…
Added 56 mins ago
EG
Senior Full Stack Developer
Eliassen Group
Farmington Hills, MI
- $60 to $70 USD / hour
Our client seeks a Senior Full Stack Developer to design, develop, and support secure, scalable web applications and APIs for enterprise Wealth & Asset Management solutions. The role…
Added 1 hour ago
J
Senior Software Back End Engineer
Jobgether
Remote, United States
- $122,275 to $165,431 USD / year
…measurable results. You will collaborate across the technology stack, contribute to modernization initiatives, and help strengthen engineering practices. You will also mentor other…
Added 1 hour ago
O
Principal Backend Developer - Clinical Applications
Oracle
Jefferson City, MO
- $114,600 to $234,600 USD / year
This is a full-stack engineering role with a strong emphasis on backend development, distributed systems, and scalable platform architecture. You will work on mission-critical healthcare…
Added 2 hours ago
Software Developer
MIT Lincoln Laboratory
Lexington, MA
…the project, potentially including user interface design and full stack development, and documenting software. Close collaboration with subject-matter experts and system analysts is…
Added 2 hours ago
Python AI Engineer
EPAM Systems
Boston, MA
Full-stack observability across application, pipeline, database, and model-serving behavior
Added 3 hours ago
Senior Software Engineer
Workato
San Francisco, CA
Our stack: Python, FastAPI, Postgres, Kubernetes, AWS. You don't need prior experience with all of it - we care that you can pick it up fast.
Added 3 hours ago
Software Developer – Entry Level (Top Secret Clearance Required)
CGI
Fairfax, VA
Develop and maintain software features using modern programming languages and frameworks, contributing to front-end, back-end, or full stack solutions.
Added 4 hours ago
TT
Senior Full Stack Engineer
True Talent Solutions Partners
Boston, MA
- $185,000 to $210,000 USD / year
…with serious chronic conditions. This hands-on role combines full stack engineering, product ownership, and technical leadership to deliver patient-centered products and enterprise…
Added 4 hours ago
Data Analytics and Systems Analyst, Tax Technology
Google
Chicago, IL
Lead the development and deployment of full-stack technology solutions, including web applications (e.g., Java backend, TypeScript frontend, gRPC) and internal APIs, ensuring seamless data…
Added 4 hours ago
T
Engineer Signal Image Processing 2
TEKsystems
Cincinnati, OH
- $40 to $50 USD / hour
…across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive…
Added 5 hours ago
Lead AI Engineer
Jobgether
Remote, United States
Lead full-stack application development, including front-end, back-end, API, and data-layer design, implementation, documentation, testing, and debugging.
Added 5 hours ago
J
Full-Stack Platform Engineer
Jobgether
Remote, United States
- $190,000 to $215,000 USD / year
Lead the architecture, design, and development of full-stack applications using React, Node.js/Express, Python frameworks such as Flask and FastAPI, REST APIs, and advanced SQL.
Added 5 hours ago
Full Stack Engineer
True Talent Solutions Partners
San Francisco, CA
- Typically 1 to 3 years of full stack engineering experience, including strong internship experience for standout early-career candidates.
Added 5 hours ago
M
Member of Technical Staff, Microsoft Robotics (Robot Learning)
Microsoft
WA · Redmond, WA · Redmond
- $102,100 to $219,200 USD / year
…act in the physical world. This engineer will work across the full robot learning stack, from data pipeline construction and model architecture experimentation through training at scale on…
Added 5 hours ago
Full Stack Developer
Jobgether
Remote, United States
Strong full-stack development skills using C#, .NET, Python, JavaScript, and TypeScript.
Added 5 hours ago
Model Engineer, Multimodal Understanding
SpaceXSI
Palo Alto, CA
SpaceXSI is building Super Intelligence to help humanity understand the universe. Our teams are building the full Super Intelligence stack: from our Colossus supercomputers, to Grok models,…
Added 6 hours ago
Sr. Software Engineer, Data Engineering (X)
SpaceXSI
Palo Alto, CA
SpaceXSI is building Super Intelligence to help humanity understand the universe. Our teams are building the full Super Intelligence stack: from our Colossus supercomputers, to Grok models,…
Added 6 hours ago
Sr. Software Engineer, Ads Product
SpaceXSI
Palo Alto, CA
SpaceXSI is building Super Intelligence to help humanity understand the universe. Our teams are building the full Super Intelligence stack: from our Colossus supercomputers, to Grok models,…
Added 7 hours ago
Senior Security Engineer
PathAI
Boston, MA
At PathAI, we are constantly evaluating our tech stack and our current tools consist of:
Added 7 hours ago
Senior Software Engineer, AI/ML
Google
Mountain View, CA
…qualities and be enthusiastic to take on new problems across the full-stack as we continue to push technology…

Tono Health

Senior Software Engineer, Dermatology Inference

Brooklyn, NY, United States

$180,000 to $325,000 USD / year

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Job details

Pay: $180,000 to $325,000 USD / year
Experience: 5+ years of software engineering experience, including training and shipping ML or computer vision models into production
Posting language: English

Original job description

About Tono Specialty care is hard to access and even harder to run. Patients often wait months, and clinics rely on fragmented tools and manual workflows. Tono builds software and operations together to make specialty care faster to access and easier to deliver, starting with dermatology. We’re building a fully autonomous specialty medicine clinic: continuous, real-time care for patients anywhere. What makes us different is how we build. We run two clinics of our own, a national telehealth practice and an in-person clinic in DUMBO, Brooklyn. Our engineers work side by side with our doctors and care coordinators to build (mostly) every piece of the software from scratch. The long-term goal is for specialty clinics across the country to run on our autonomous EHR, freeing them from the administrative burden that slows care down. Today we see patients in 33 states, covering more than 80% of the US population. You will work closely with the co-founders and a team of engineers and physicians (backgrounds include Amazon, Apple, and leading academic medical centers). We are backed by Village Global (backed by Mark Zuckerberg, Jeff Bezos, Michael Dell, chaired by Reid Hoffman), HOF Capital, and Oncology Ventures. What You'll Do Build the specialized models that help our dermatologists see more, catch change earlier and decide faster. You'll own the full path from research idea to production model: developing, training, evaluating and deploying models for dermatology, including image-based diagnosis support and longitudinal lesion detection and tracking across a patient's visits over time. You'll work side by side with our physicians to define what a useful, trustworthy result looks like, and with the engineers who build our EHR and patient portal to get it in front of doctors.

On any given week you might be:

Training and fine-tuning vision and multimodal models (including LoRA and other adaptation methods) on dermatology images, and deciding when to build custom versus adapt an open source model
Building longitudinal pipelines that align and compare lesions across photos taken weeks or months apart, handling differences in lighting, angle, camera and skin tone
Building labeled datasets and annotation workflows with clinicians, and using them to evaluate models honestly
Standing up inference services: model serving, batching, latency and cost
Adding confidence scoring, uncertainty estimation and human-in-the-loop review so doctors are never asked to trust a black box
Monitoring models in production for drift, image quality problems and failure cases, with performance broken out across skin tones and patient groups
Integrating results into our TypeScript product (tRPC, Prisma, Postgres) so output fits naturally into the doctor's workflow

Patients and doctors deserve better than a demo. We ship in a regulated environment with careful reviews, feature flags and safe rollouts. How We Work

We ship quickly, with discipline: small PRs, clear ownership, and tight feedback loops.
Small team, broad scope. Engineers regularly work across frontend, backend, data, and infrastructure.
We ship with confidence in a regulated environment: feature flags, careful reviews, and safe migrations (including backfills). We use AI all the time but we do not vibe code our way into debt. Patients and doctors deserve better.
We invest in maintainability. Dependency upgrades, performance work, and removing dead code are part of the roadmap.
Observability is built-in. Logs, metrics, alerting, and error monitoring are part of the job.
We value builders. Curiosity, good taste, and a willingness to pick up whatever the system needs goes a long way.

•

Stack Frontend: Next.js, TanStack Start, React Backend: Fastify, tRPC, Prisma, PostgreSQL Durable Workflows: Inngest AI: Mastra, OpenAI, Anthropic, Vertex Infra: Cloudflare, Turborepo, Doppler, AWS, GCP Observability: Posthog Data: Motherduck/DuckDB, dbt, dlt, Prefect, BigQuery What We're Looking For

5+ years of software engineering experience, including training and shipping ML or computer vision models into production
Strong Python and deep learning experience (PyTorch or similar), with hands-on work in computer vision such as classification, detection, segmentation or image registration
Experience with fine-tuning and adaptation methods (LoRA, transfer learning) on vision or multimodal models
A rigorous approach to evaluation: clinically meaningful metrics, calibration, held-out and external validation sets, and an awareness of bias and failure across skin tones and imaging conditions
Experience building and serving models in production: GPU workloads, inference performance, cost and monitoring
Experience building datasets and labeling workflows with domain experts
Comfort with relational databases, data pipelines (we use tools like dbt, DuckDB and BigQuery), and shipping iteratively with feature flags and instrumentation
Comfort working in a TypeScript product codebase, or eagerness to learn it
Care about patient safety, privacy and reliability, and take pride in your craft
Nice to have: dermatology or medical imaging experience, longitudinal or change-detection models, published research or open source work in vision, regulated environments (HIPAA, FDA SaMD), startups, or experience working directly with clinicians

Compensation & Benefits Salary: 180k - 325k commensurate with experience Equity: Meaningful equity in a high-growth, venture-backed company Medical: Medical, dental, and vision coverage Growth: Direct access to founders and an agile team where your impact is highly visible. We do weekly demos with leadership PTO: Unlimited PTO to recharge when you need it Location New York City preferred. We are hybrid and currently spend a few days per week in our DUMBO, Brooklyn office. We will consider fully remote for the right candidate.

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More about this job

Skills

Research
EHR
Open source model
Develop models
TypeScript
Workflow
Next.js
React
PostgreSQL
AWS
Google Cloud
dbt
BigQuery
ML
Python
Deep learning
PyTorch

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