AI Engineer at Dexter Health

About Dexter Health

At Dexter Health, we build AI-powered software designed to alleviate the administrative workload for healthcare teams. Our core mission is to empower caregivers by freeing up their time, allowing them to focus more on patient interaction and care.

About the Role

We are seeking a highly motivated and proactive AI Engineer who is passionate about building and shipping AI features at speed. This is a hands-on engineering position, distinct from research or prompt-only roles. You will be instrumental in transforming abstract product concepts into robust, production-ready AI functionalities. The role primarily focuses on developing new AI product features, with a secondary focus on AI systems and infrastructure as needed. You'll collaborate closely with product and engineering teams, taking significant ownership and driving technical decisions in an ambiguous, fast-paced environment. Proficiency with AI development tools like Claude Code, Codex, Cursor, or Copilot is essential for daily use.

Responsibilities

As an AI Engineer, your key responsibilities will include:

• Developing new AI-powered product features from conception through to production.
• Enhancing existing AI workflows to improve quality, reliability, latency, and overall user value.
• Designing and implementing LLM-based workflows, including structured output generation, validation logic, and fallback mechanisms.
• Building robust evaluation loops, comprehensive tests, and quality assurance checks for AI-generated outputs.
• Integrating AI capabilities seamlessly into existing product and backend systems.
• Working with both commercial and open-source LLMs, maintaining flexibility across different providers.
• Supporting self-hosted model workflows where beneficial for quality, speed, cost, or control.
• Debugging AI feature failures across various components, including inputs, outputs, data, backend logic, and user flows.
• Utilizing AI development tools as an integral part of your daily workflow.
• Prioritizing rapid deployment while maintaining high production quality standards.

Requirements

We value practical skills, intelligence, initiative, and a focus on product impact over formal seniority. Candidates who operate with founder-like urgency, excel in ambiguous situations, and prioritize outcomes are highly encouraged.

Must-Have Qualifications:

• Strong software engineering proficiency, particularly in Python or a similar backend language.
• Demonstrated experience in building AI-powered product features or LLM-based workflows.
• Proven ability to translate ambiguous product ideas into functional software rapidly.
• Solid understanding of designing, testing, validating, and refining AI outputs.
• Experience integrating AI workflows into production environments.
• Excellent debugging skills across application logic, data, model outputs, and user behavior.
• Experience with evaluation, testing, validation, or quality assurance for AI-generated outputs.
• Significant, daily hands-on experience with AI development tools such as Claude Code, Codex, Cursor, Copilot, or similar.
• High intelligence, rapid learning capacity, a strong bias for action, and a deep sense of ownership.
• Comfort navigating ambiguity, making swift decisions, and thriving in a high-trust startup culture.
• Clear and effective written and spoken English communication skills.

Nice-to-Have Qualifications:

• Experience with frontend or full-stack product development.
• Background in self-hosted LLMs, model serving, inference optimization, or related systems.
• Experience with open-source LLMs and their deployment workflows.
• Proven track record in improving the latency, cost, quality, or reliability of AI systems.
• Familiarity with healthcare software, healthcare data, or regulated industry environments.
• Experience with structured data extraction, documentation automation, voice workflows, or general workflow automation.
• German language proficiency.
• Knowledge of nursing home or elderly care workflows.

This role is likely not a fit if:

• You are primarily seeking an ML research position.
• You are a prompt engineer without strong foundational coding skills.
• You require detailed specifications before initiating work.
• You prefer slow-paced, highly structured corporate environments.
• Your primary goal is management rather than hands-on development.
• You intend to use AI tools only occasionally, rather than integrating them into your daily workflow.
• You prioritize perfect processes over fast, reliable execution.

Benefits

• Remote work flexibility.
• Competitive compensation aligned with your skills, experience, and location.
• Opportunity to own critical backend systems.
• Work on impactful software used in real-world healthcare settings.
• Experience a modern, AI-native development workflow.
• Ample opportunities for professional growth within a scaling company.

Why Join Dexter Health?

Caregivers are burdened by excessive documentation, coordination, and administrative tasks. Our technology is designed to significantly reduce this load. AI is fundamental to our product, but creating truly useful AI features requires more than just basic implementation. It demands strong engineering principles, rapid iteration cycles, rigorous evaluation, production-ready thinking, and unwavering ownership of the user experience and outcomes. If you are driven to build AI product features that are shipped, improve essential workflows, utilize AI tools daily, and take ownership within a dynamic team, we encourage you to apply.