Senior Applied AI Engineer

Abby Care is building an AI-native operating system for home care—one that manages the full lifecycle from caregiver and patient intake through care delivery, billing, and compliance.

As we expand our capacity to support more family caregivers at scale, we’re looking for a Senior Applied AI Engineer to design and build production AI systems that automate complex, consequential healthcare workflows. Reporting to the Applied AI Leader, you will own major initiatives from initial problem definition through production deployment and measurable impact.

Depending on the problem, you may build an agent that collects clinical documentation, interprets evidence across multiple records, prepares a prior authorization packet, assists a nurse during a visit, identifies billing risk, or coordinates operational follow-up.

You will determine how workflows should be decomposed, what context and tools an AI system needs, how its behavior should be evaluated, where deterministic controls are required, and when a human must intervene. You will work closely with product engineers, product managers, designers, clinicians, operators, and analysts to ensure that the systems you build reflect real-world workflows and produce meaningful outcomes.

High-agency and pragmatic, you are comfortable operating in ambiguity, moving between experimentation and production engineering, and owning technically complex systems end to end. If you are excited to apply frontier AI capabilities to difficult, high-impact problems while transforming care in the home, we’d love to hear from you!

This is a full-time hybrid opportunity based in San Francisco, California, with four days per week in person.

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