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Senior Software Engineer, AI

Tono Health

$180K–275K/yrNew York, New York, United StatesFull-time5-10 yearsHybrid
Posted 9 hours ago· America/New_York· New York, New York, United States

✨ Why This Is a Good Vibe Coding Job

Tono Health represents the evolution of vibe coding by explicitly integrating AI tools into their workflow while prioritizing medical-grade reliability. Their TypeScript-heavy stack and use of frameworks like Mastra and Inngest make it an ideal environment for developers who use AI to handle boilerplate while they focus on high-level agent logic and system design. This role allows you to bridge the gap between rapid AI iteration and disciplined, production-ready engineering.

The Mission: Autonomous Specialty Care

Tono Health is reimagining the medical experience by developing a fully autonomous clinic infrastructure. As a Senior AI Engineer, you will lead the creation of sophisticated AI agents that manage the heavy lifting of specialty medicine—from generating reliable clinical notes to triaging patient intake. You'll work at the intersection of software and healthcare, building the 'autonomous EHR' that eliminates the administrative friction currently slowing down doctors and patients alike.

A High-Leverage Tech Stack

The environment is built for developers who thrive on modern, high-velocity tools. You will work within a TypeScript monorepo utilizing Next.js, tRPC, and Prisma, backed by the durable workflow capabilities of Inngest and Cloudflare. This architecture is perfectly suited for AI-assisted development, allowing you to focus on building complex agentic loops, evaluation harnesses, and self-improving systems using models from OpenAI, Anthropic, and Vertex.

Growth and Engineering Excellence

Joining this venture-backed team means shipping at a rapid pace without sacrificing quality. You will own the end-to-end lifecycle of clinical agents, ensuring they fail gracefully and improve over time through structured feedback loops. This is a unique chance to apply 'vibe coding' speed to a regulated industry, proving that AI-driven development can meet the highest standards of safety and observability in the healthcare sector.

Benefits

Medical coverageDental coverageVision coverageEquityUnlimited PTO

Skills & Tags

TypeScriptLLM-powered agentsPostgreSQLNext.jsReactFastifytRPCPrismaInngestCloudflareTurborepoAWSGCPData labelingEvaluation designSystem architecture

Keywords

TypeScriptLLMAI AgentsNext.jsReactFastifytRPCPrismaPostgreSQLInngestCloudflareTurborepoAWSGCPPosthogMotherduckDuckDBdbtdltPrefectBigQueryMastraFlueOpenAIAnthropicVertexHealthcareDermatologyEHRTelehealth

Categories

SoftwareTechnologyHealthcareEngineeringData & Analytics

Listing transparency: Job facts are based on the original employer or job-source listing. GoodVibeCode may use AI assistance to summarize and structure the description, followed by editorial checks.

Source: dover

Last reviewed: Oct 29, 2026. How we source and review jobs.