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
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