Location: Hybrid, New York City

Seniority: Senior / Staff

Salary range: $225,000 to $300,000/yr, depending on experience and qualifications, plus equity

About Tomorrow Health

Tomorrow Health enables exceptional healthcare for patients and their families in the place they want to be most — home. At Tomorrow Heath, we build technology that rewires the way home-based care is ordered, delivered, and paid for. Tomorrow Health connects patients, providers, health plans, and home-based care suppliers, to ensure patients receive the correct and timely care they need to remain healthy at home.

The Team

The Engineering team at Tomorrow Health builds the technology that connects and scales the home health ecosystem in order to transform the home into the preferred place of care for positive patient outcomes. Our products serve a diverse set of users – doctors, insurance companies, medical equipment suppliers – and ultimately enable us to deliver a higher quality patient experience.

The Role

Tomorrow Health is hiring a Full Stack Engineer with strong backend experience and hands-on work with Large Language Models (LLMs). You'll lead technical decisions across the stack, with a focus on integrating LLMs into real product flows that affect patient care, operations, and internal decision-making. Reporting to the Engineering Manager, you'll work closely with Product, Data, and Clinical teams to evaluate models, design AI-powered features, and ship production-grade systems that support our AI-first strategy.

What You'll Do

Design and own architecture for AI‑powered features (scalable, safe, maintainable)
Evaluate, compare, and integrate LLMs (e.g. OpenAI, Anthropic, open‑source)
Build backend systems in Python / Django, plus APIs (REST / GraphQL)
Work across stack as needed: React / TypeScript / Node.js
Partner with product, clinical, operations teams to align AI with business outcomes
Work with data engineers / ML teams: pipeline, feedback loops, monitoring
Build internal tools / dashboards to monitor model performance & safety
Mentor engineers; champion software quality and AI best practices

About You

8+ years building and scaling software; deep backend expertise (Python / Django)
Hands‑on experience deploying LLMs or similar foundation models in production
Strong knowledge of LLM constraints: tokens, latency, prompt design, fine‑tuning, guardrails
Experience in system design, APIs, relational databases (Postgres)
Comfortable with AWS or similar cloud infra
Familiarity with frontend stack: React, TypeScript, Node.js
Strong cross‑team communication; able to simplify AI concepts for non-technical stakeholders
Passion for mentoring, engineering standards & excellence
Experience in fast / ambiguous environments; willing to own projects end to end
Alignment with mission: improving home‑based health care via technology

Benefits

100% employer-paid medical, dental and vision benefits
HSA and FSA (Dependent Care and Commuter)
Fully covered membership in One Medical for on-demand primary care, and Teladoc for 24/7 virtual care
12 weeks of paid parental leave for all caregivers
Free mental health support with BetterUp through CONCERN EAP
Short-term, and long-term disability plan availability
Company-sponsored Life and AD&D insurance
Educational reimbursement
Monthly wellness stipend
Commuter Benefits
Competitive salary and meaningful equity
Access to Vanguard 401k plan
Unlimited vacation and 11 corporate holidays

Learn more about our core values and working with us on our careers page!

Tomorrow Health is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law.

AI/LLM Full-Stack Engineer

Job Type