CF

AI PRODUCT ENGINEER — CLINICAL AI

Carnaby Fox H-1B Information Technology Full-timeNew York City, NY $220K – $245K + Competitive Equity
Posted Sep 29, 2026 · Expires Oct 21, 2026

Quick facts

Pay
$220K – $245K + Competitive Equity
Type
Full-time
Location
New York City, NY
Skills
Python, TypeScript
Industry
Information Technology — 671 open jobs
Visa in listing
H-1B
Apply
Free to apply — never pay anyone for a job offer or visa sponsorship

Job description

HIRING: AI PRODUCT ENGINEER — CLINICAL AI

We’re looking for an AI Product Engineer to join a fast-moving healthcare AI team building the technical foundation of an agentic clinical AI platform.


Candidates with a strong ML research background but without hands-on product engineering experience are not a fit for this role.


This role is ideal for a product-minded full-stack engineer who enjoys working across applied AI, backend systems, LLMs, and user-facing product experiences and wants to build AI systems that solve complex, real-world clinical workflows.

Location: New York City, NY

Work Model: Hybrid

Employment Type: Full-time

Salary: $220K – $245K + Competitive Equity

Experience: 3+ years in product engineering, with a focus on LLM-based systems

VISA: Visa sponsorship/ Open to visa transfers (H1B transfers)


WHAT YOU’LL DO

  • Build and evolve an agentic clinical AI platform, including context management, tool use, orchestration, permissions, memory, and human-in-the-loop workflows.
  • Rapidly prototype new clinical AI experiences and transform promising concepts into production-quality software used by real clinicians.
  • Design AI evaluations, regression suites, and launch criteria to measure task success, clinical quality, reliability, safety, latency, and cost.
  • Build robust observability infrastructure across model behavior, tool calls, traces, errors, and end-to-end workflow outcomes.
  • Collaborate closely with clinicians, product leaders, and engineers to translate complex clinical workflows into reliable and trustworthy software.
  • Own meaningful product capabilities from early prototype through production, helping shape the architecture and user experience of the platform.

REQUIRED TECHNICAL SKILLS

  • Python
  • TypeScript
  • LLMs / Large Language Models
  • Agentic AI frameworks
  • RAG / Retrieval Systems
  • APIs & Backend Services
  • Production experience with tool calling, orchestration, and context management
  • Experience building LLM evaluations, regression testing, or AI observability tooling

REQUIRED EXPERIENCE

  • 3+ years of product engineering experience with a focus on LLM-based systems
  • Proven experience building agentic or LLM systems in production
  • Experience working within healthcare or another highly regulated domain
  • Experience conceptualizing, architecting, and building a product end-to-end
  • Strong understanding of AI system reliability, evaluation, observability, and production deployment
  • Ability to communicate technical trade-offs clearly to non-technical stakeholders.

NICE TO HAVE

Experience with:

  • Agent harnesses
  • Workflow engines
  • Coding-agent infrastructure
  • Advanced agent orchestration systems
  • AI evaluation and observability infrastructure

WHO WE’RE LOOKING FOR

We’re looking for someone who is more than a pure ML researcher — someone who can take an ambiguous problem, design the solution, build the product, evaluate it, and take it into production.

The ideal candidate combines:

  • Applied AI expertise
  • Strong product engineering skills
  • Backend and full-stack development
  • Hands-on LLM/agentic AI experience
  • Understanding of healthcare or regulated environments
  • Strong evaluation and observability mindset
  • Excellent communication and collaboration skills

INTERESTED?

If you have hands-on experience building LLM-powered products, agentic systems, AI workflows, or production AI infrastructure and are excited about applying these technologies to healthcare, we’d love to hear from you.

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Visa sponsorship record

No public sponsorship records found

We didn't find H-1B, H-1B1, E-3 or green card (PERM) filings under the name Carnaby Fox in the Department of Labor and USCIS data. That doesn't mean the job can't be sponsored — the company may file under a different legal name, be new to sponsorship, or sponsor a visa that isn't in these datasets (for example H-2B or J-1).

Tip: ask the recruiter early, in writing, which visa they sponsor and whether they cover the legal and filing fees.

Which visas can work for this job

Occupation: Software Developers (SOC 15-1252).

  • Mentioned in the listing

    H-1B

  • H-1B cap-exempt employer

    Regular cap-subject employer — a new H-1B needs to win the lottery in March (unless you already hold cap-counted H-1B status).

  • TN (citizens of Canada and Mexico)

    This kind of role may fit the USMCA profession “Computer Systems Analyst (or Engineer, for engineering-degree holders)” — it depends on the actual duties. No lottery, no cap; you need the matching degree or license.

  • E-3 (Australia) and H-1B1 (Chile, Singapore)

    Same degree requirement as H-1B, but no lottery and a separate quota that is rarely filled.

  • O-1 (extraordinary ability)

    For candidates with awards, publications, press, a high salary or critical roles at distinguished organizations. No cap, no lottery; the employer files a petition.

  • STEM OPT extension (F-1 students)

    Requires an E-Verify employer. We didn't find this company in the E-Verify list — ask HR.

Salary vs prevailing wage

Level IV (fully competent)

Software Developers · New York-Newark-Jersey City, NY-NJ. Annual prevailing wages set by the Department of Labor (OFLC).

L1L2L3L4
LevelPrevailing wageH-1B lottery odds*
Level I$109,845~15%
Level II$137,717~31%
Level III$165,589~46%
Level IV$193,461~61%

This job pays $220,000–$245,000 a year — that's Level IV (fully competent). In the wage-weighted H-1B lottery a Level IV registration gets 4 entries; estimated selection chance about 61% — better than average.

* Odds are DHS projections for the FY2027 wage-weighted lottery (actual results vary by year and employer). Since the FY2027 cap season the H-1B lottery is weighted by wage level: Level I = 1 entry, II = 2, III = 3, IV = 4. The level is set by the offered wage against the prevailing wage for the occupation and worksite. Separately, a $100,000 fee for new H-1B petitions for workers outside the US was announced in 2025; as of September 2026 a federal court ruling keeps it unenforceable while appeals continue — check the current status.

Sources: U.S. Department of Labor OFLC disclosure data (H-1B/H-1B1/E-3 LCA, PERM), OFLC prevailing wage data, USCIS H-1B Employer Data Hub, E-Verify participating employers. Data loaded: LCA FY2024–FY2026, PERM, USCIS Data Hub, OFLC wages; updated 2026-10-03. Employers are matched by name, so records of companies with similar names can occasionally be mixed up. This is general information, not legal advice — talk to an immigration attorney about your case.