Founding AI Engineer (LLMs + Backend) - Healthcare AI Startup

 Posted 2 days ago
  
 Mexico
  
 €80000 - €90000 per year
  
5-10 years experience
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AI Summary

Design and develop an AI-powered oncology MVP and architect a scalable backend system for clinical AI orchestration. Build LLM pipelines for clinical document understanding and decision-support workflows while ensuring strict healthcare data compliance.

This is a remote position.

Founding AI Engineer (LLMs + Backend) - Healthcare AI Startup

Remote (Europe / Americas) · Full-time · €80k–€90k  (open to negotiation) + Up to 5% equity

About GeminAI DX

GeminAI DX is building the intelligent orchestration layer for clinical AI - a platform that helps physicians navigate complex diagnostic and therapeutic decisions using AI.

We’ve recently raised ~$2M in funding and are entering a critical phase: launching our oncology-focused MVP with partner hospitals.

Our vision is ambitious:

To create an AI ecosystem embedded in the daily workflow of clinicians, combining proprietary models and third-party tools into a unified, intelligent system.

You’ll be working directly with:

  • Founders
  • Clinical advisors (including oncologists in the US)
  • Early hospital partners

The Role

We’re looking for a hands-on Founding AI Engineer - someone who can own the technical direction, build fast, and turn complex clinical workflows into real-world AI products.

This is not a “ticket-taking” role.
This is for a builder who wants to shape the product, architecture, and company.

Strong potential to evolve into CTO as the company scales.


What You’ll Do

1. Build the MVP (0 → 1)

  • Design and develop our AI-powered oncology MVP (first 3 months)
  • Work directly with clinicians to translate real-world needs into product features
  • Rapidly prototype, test, and iterate based on feedback

2. Architect & Scale the Backend

  • Design and implement backend systems (Python/FastAPI preferred)
  • Integrate clinical data sources and external AI tools
  • Evolve the system into a modular, scalable architecture

3. Develop AI Capabilities

  • Build LLM-powered pipelines for:
    • Clinical document understanding (radiology, pathology reports)
    • Information extraction & structuring
    • Decision-support workflows
  • Implement RAG pipelines and reasoning systems
  • Work with models like OpenAI, Anthropic, Llama, Mistral

4. Own the Full Lifecycle

  • Deploy and monitor systems in cloud environments (AWS, GCP, Azure, Render)
  • Ensure data security, privacy, and compliance (GDPR, HIPAA)
  • Continuously improve model performance based on real-world usage

5. Collaborate & Lead

  • Work closely with clinicians and gather product feedback
  • Conduct user interviews and iterate on workflows
  • Potentially build and lead a small engineering team

What We’re Looking For

We care more about ownership and execution than checkboxes — but strong candidates will have:

Core Requirements

  • 5+ years experience in software engineering (ideally 5–8 sweet spot)
  • Strong backend experience (Python + FastAPI preferred)
  • Proven experience building and shipping production systems

AI / LLM Expertise

  • Experience with LLMs (OpenAI, Anthropic, or open-source models)
  • Strong understanding of:
    • Prompt engineering
    • RAG pipelines
    • Information extraction from complex documents

Systems & Integration

  • Experience building:
    • REST APIs
    • Data pipelines
    • Microservice architecture
  • Strong backend integration skills (critical for this role)

Bonus (Highly Valuable)

  • Healthcare / clinical data experience
  • Knowledge of FHIR, HL7, or medical data standards
  • Experience with vector databases (Pine cone, Weaviate, FAISS)
  • Exposure to regulated environments (finance, health, etc.)
  • Frontend/dashboard tools (Streamlit, React)

Why Compliance Matters

You’ll be working with:

  • Radiology & pathology reports
  • Patient evolution data
  • Sensitive healthcare workflows

While current inputs are anonymised, future hospital integrations will require strict GDPR/HIPAA compliance - making security and privacy a key part of the system design.


Practical Details

  • Remote: Europe or Americas (async-friendly)
  • Start Date: May–June
  • Contract: Full-Time
  • Compensation: €80k–€90k (open to negotiation)
  • Equity: Up to 5% (after 3 months probation period)
  • Probation Period: 3 months (full-time)

Why Join

  • Build real AI used by doctors in hospitals
  • Work at the intersection of AI + healthcare + impact
  • High ownership, fast execution environment
  • Shape the future of the product - and the company
  • Clear path to Founding Engineer → CTO
  • Work alongside physicians and AI product leaders from world-class institutions, including Harvard University, Amazon and top pharma companies.


Who This Is NOT For

  • Engineers who prefer highly structured environments
  • Candidates without strong backend or LLM experience
  • People who don’t want ownership or ambiguity



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