Senior Software Engineer, AI - UpDoc

Remote, USA
Posted Jun 14, 2026
Full-time

About UpDoc

At UpDoc, we are building the world's first clinically validated, physician-supervised conversational agent that manages chronic diseases; the first step towards a true "AI doctor". With partners including Stanford, Mayo Clinic, Eli Lilly, UCSF Health, and Microsoft, UpDoc is working to build a future where all patients can access high-quality, high-touch care. Learn more about us here.

We are seeking a talented and motivated senior engineer to join our team. You will primarily work on UpDoc’s patient-facing conversational agent. This is a fully remote position.

Who You Are

You’re an experienced senior engineer with a backend tilt. You’re well-versed in all things web and have experience building LLM applications end-to-end, even if not in a professional context. You follow the AI/LLM space closely, play with new technologies as they come out, and are excited to use these technologies to build safe, reliable medical AI systems.

What You'll Do

  • Lead the development of our patient-facing conversational agent

    Implement a scalable, low-latency system for voice/multimodal conversations

    Implement rigorous prompt engineering processes and develop useful metrics for system evaluation

    Identify where fine-tuning and alignment might be valuable, and create data pipelines to enable fast experimentation

    Work with other backend engineers to deploy AI models and chat/voice APIs

    Help identify, evaluate, and implement emerging LLM technologies, tools and frameworks

    Collaborate with clinical experts to validate performance and medical accuracy

    Work on developing backend services using FastAPI and Pydantic

What You’ll Need

  • 5+ years of professional software development experience, including 2+ years of experience with backend web development

    Experienced and comfortable working with type-hinted, modern Python

    2+ years of experience building end-to-end LLM applications, personally or professionally

    Experience integrating/optimizing LLMs in production environments

  • Knowledge of evaluation frameworks

  • Knowledge and experience with MLOps/LLMOps best practices

    Experience building AI infrastructure from 0 -> 1

    Experience with cloud platforms (especially Azure) and containerization technologies

Highly Desired

  • Professional experience building end-to-end LLM-powered applications

    Experience with model fine-tuning/alignment

    Experience in an early stage startup environment

    Experience with healthcare industry standards, such as FHIR, and regulations, including HIPAA and SOC 2

Why You Should Join Us

  • Join a small, high-impact team building the future of healthcare

    Work with cutting-edge LLM tools that support world-class medical institutions

    Shape core technical architecture in an emerging field

    Competitive compensation and equity in an early-stage startup

Interview Process

  1. Application form

  2. Conversation with our CTO

  3. Technical interviews:

    1. Coding interview focused on a real-world application relevant to the role (e.g., LLMs, backend engineering)

      Architecture/whiteboarding interview focused on discussing general application-design relevant to the role

  4. Conversation with our CEO

Originally posted on Himalayas

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