Senior AI Engineer

Ready to redefine what’s possible in molecular diagnostics?

Join a team of brilliant, passionate innovators who wake up every day determined to transform healthcare. At Billion To One , we’ve built something extraordinary—a culture where transparency fuels trust, collaboration drives breakthroughs, and every voice matters in our mission to make life-changing diagnostics accessible to all. We don’t just aim for incremental improvements; we strive to build products that are 10x better than anything that exists today.

Our people are our greatest asset: talented scientists, engineers, sales professionals, and visionaries united by an unwavering commitment to changing the standard of care in prenatal and cancer diagnostics. This is where cutting‑edge science meets human compassion—every innovation you contribute helps remove fear of unknown from some of life’s most critical medical moments.
If you’re driven by purpose, energized by innovation, and ready to help build the future of precision medicine, this is where you belong.

As Billion To One  scales rapidly, we are building a world‑class Commercial Data & Applied AI team. We are currently seeking a highly motivated Senior AI Engineer to support the design and implementation of AI and automation solutions that optimize operations across our commercial, billing, and customer experience teams.

This is a full‑time senior role for engineers excited about applying LLMs, AI, and automation to real‑world business challenges in healthcare. You will have the opportunity to join a new team and help shape the vision and culture. You will collaborate cross‑functionally with stakeholders in Sales, Marketing, Revenue Operations, Billing, Customer Experience, and IT to identify high‑impact opportunities for AI‑driven solutions that improve scalability and efficiency.

We are builders  value a strong sense of ownership, intellectual curiosity, and a bias toward action.

This is a hybrid role requiring 2‑3 days per week on‑site in Menlo Park with the team.

• Build and deploy LLM‑powered applications (retrieval systems, AI agents, workflow automation, vector storage) that integrate with internal systems and data sources
• Partner with business stakeholders to identify automation opportunities, scope requirements, and define success metrics
• Build lightweight data pipelines and analytics to support AI applications and measure their impact
• Own projects end‑to‑end: from prototyping and iteration through production deployment and monitoring
• Establish best practices for prompt engineering, evaluation, and responsible AI use as the team scales
• Develop and lead internal training sessions on LLM fundamentals, prompt engineering, and AI‑assisted development tools

• 5+ years of experience in software engineering, data science, or ML engineering
• Hands‑on experience building applications with LLM APIs (OpenAI, Anthropic, etc.)
• Strong Python proficiency and comfort with SQL and relational databases
  
  Experience deploying and maintaining production systems
• Familiarity with AWS
• Excellent communication skills and ability to translate business problems into technical solutions
• Self‑directed and comfortable with ambiguity in a 0‑to‑1 environment

• Previous entrepreneurial experience
• Experience with retrieval architectures, vector databases, and embedding models
• Familiarity with agent frameworks or workflow orchestration tools
• Experience with traditional ML frameworks (scikit‑learn, PyTorch, Tensor Flow)
• Prior work in healthcare, biotech, or other regulated industries

• Working alongside brilliant, kind, passionate and dedicated colleagues, in an empowering environment, toward a global vision, striving for a future in which transformative molecular diagnostics can help millions of patients
• Open, transparent culture that includes weekly Town Hall meetings
• The ability to indirectly or directly change the lives of hundreds of thousands patients
• Multiple medical benefit options; employee premiums paid 100% of select plans, dependents covered up to 80%
• Extremely generous Family Bonding Leave for new parents (16 weeks, paid at 100%)
• Supplemental fertility benefits…