Machine Learning Engineer
Job in
New York, New York County, New York, 10261, USA
Listed on 2026-09-13
Listing for:
Recruiting from Scratch
Full Time
position Listed on 2026-09-13
Job specializations:
-
Software Development
AI Engineer (Applied/Software), Machine Learning/ ML Engineer
Job Description & How to Apply Below
Title of the Role: Machine Learning Engineer
Location
:
New York, NY
Company Stage of Funding
:
Early-Stage, Venture-Backed AI Healthcare Startup
Office Type: Hybrid; some weeks may require up to 5 days/week in-office, other weeks only 1 days but we average 3 days a week
Role OverviewWe’re an early-stage, venture-backed startup building AI systems for medical coding and revenue cycle workflows. We’re looking for a Founding AI Engineer to take end-to-end ownership of core AI systems—from data ingestion and retrieval to model adaptation and production deployment.
This is a hands-on role in a fast-paced environment with high responsibility and meaningful equity upside.
What You’ll Work On- Design and build RAG systems over clinical notes, billing data, and coding guidelines
- Adapt and fine-tune LLMs (LoRA/QLoRA, instruction tuning) for medical coding and explanations
- Help architect and operate GCP-based infrastructure (Cloud Run/GKE, Vertex AI, Big Query, Pub/Sub)
- Build evaluation and feedback loops to measure accuracy and quality
- Own integrations with EHRs, RCM systems, and other healthcare data sources
- Experience building and shipping LLM + RAG systems in production
- Hands-on experience with model adaptation or fine-tuning techniques
- Comfortable working with messy, real-world data and production systems
- Ownership mindset and ability to move quickly in an early-stage startup
- Healthcare, EHR, or medical coding experience (ICD-10, CPT, HCPCS)
- Experience handling PHI and working in HIPAA-regulated environments
- Familiarity with Vertex AI or high-performance inference
- NYC-based or able to be in-office periodically
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