Senior Engineer - AI - Remote

Overview

Pair Team is looking for a builder to deliver value at the intersection of healthcare and artificial intelligence. In this role, you’ll focus on fast iteration—prototyping and launching zero-to-one AI-powered experiences that directly improve outcomes for patients and unlock scale for our care teams.

In Short

• Rapidly prototype, test, and ship AI-powered features that solve real problems for patients and care teams
• Optimize for speed-to-learning—working in tight loops to validate assumptions and improve outcomes
• Apply modern AI patterns (LLMs, embeddings, RAG, agents, fine-tuning, etc.) in creative, practical ways
• Collaborate closely with product, engineering, operations, and clinical stakeholders to align AI efforts with user needs
• Build robust evaluation pipelines and quality gates to ensure we ship AI features that are trustworthy and useful especially in high risk care delivery scenarios

Requirements

• 2+ years of experience as a high-performing builder in a fast-paced startup environment
• Familiarity with modern AI tools and frameworks (e.g., OpenAI, Llama, etc)
• Proven ability to go from zero to one—rapidly prototyping and delivering AI-driven features and systems
• Able to translate complex user needs into creative AI-driven features
• Comfortable evaluating model performance, designing feedback loops, and managing trade-offs between speed, quality, and risk
• Comfortable working across the stack; experience with Ruby on Rails or similar backend frameworks is a plus
• Experience working in iterative environments, with a bias toward shipping value early and often
• Passionate about building technology that improves care for individuals navigating chronic health and social challenges—including homelessness, severe mental illness, and substance use disorder

Benefits

• Competitive salary: $180,000 - $220,000
• Equity compensation package
• Flexible vacation policy – take the time you need to recharge
• Comprehensive health, vision & dental insurance
• $50 employer contribution to active HSA accounts
• 401k through Guideline
• Life insurance and AD&D
• Work entirely from the comfort of your own home
• Monthly $100 work from home expense stipend
• We provide the equipment needed for the role
• Opportunity for rapid career progression with plenty of room for personal growth!