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Applied AI Engineer at Abby Care

Join an elite team of ~23 people in San Francisco led by the former Head of Health AI at Amazon to build the future of caregiving. This Sequoia-backed startup has raised $35M to create AI-native copilots that support 50 million family caregivers. As a key early engineer, you will own the full AI lifecycle—from LLM orchestration to production deployment—shaping a platform that has already reduced hospitalizations by 38%. If you want to move beyond moving dashboard metrics and build AI that transforms lives in a high-ownership, 4-day in-person environment, this is your chance to lead.

Overview

Role overview

As a key early engineer, you will design and build AI-native products that serve as intelligent copilots for families and clinicians. Reporting to the former Head of Health AI at Amazon, you will own the full lifecycle of applied AI systems, transforming clinical data into proactive care models that have already reduced hospitalizations by 38%.

Company

Abby Care

Abby Care

$35M Sequoia-backed healthtech startup reinventing family caregiving

Responsibilities

What you will do

  • Own end-to-end development of applied AI systems, from model selection and fine-tuning to production deployment and evaluation of agentic workflows.
  • Collaborate with clinical and compliance teams to design safe, trustworthy AI solutions that navigate complex, highly regulated healthcare environments.
  • Proactively prototype and iterate on intelligent features based on real-time feedback from the families and clinicians using your products daily.

Candidate profile

Who this is a fit for

  • 3+ years of professional experience in applied AI/ML engineering with a proven track record of shipping products to production.
  • Deep proficiency in Python and the modern AI toolchain, including experience with LLM orchestration, data processing, and cloud platforms like AWS.
  • A pragmatic builder who thrives in ambiguity and is passionate about applying human-in-the-loop AI to solve massive, real-world social challenges.

What makes it remarkable

Why this role is remarkable

  • Work under Xiaoyu Miao (VP Engineering), a pioneer who launched health agents for 1M+ One Medical members and was a founding engineer on Google Glass.
  • Join a Sequoia-backed team that has already delivered 1.9 million hours of care, building on a fully AI-native architecture rather than legacy healthcare systems.
  • High-impact ownership where your models directly support 50 million unpaid family caregivers, moving beyond dashboard metrics to save lives and improve home-based care.

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