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Principal AI Engineer: Voice, Memory & Clinical Safety (Fractional)

Wellfound
Remote Posted Aug 22, 2026
RemoteUSD 70,000 - 140,000 / year

About this role

Principal AI Engineer: Voice, Memory & Clinical Safety (Fractional)

  • $70k – $140k • 0.05% – 0.25%
  • Remote (Canada • United States +2)
  • 5 years of exp
  • Contract

Posted: today • Recruiter recently active

Hires remotely in

Canada -

United States -

United Kingdom -

Western Europe

Remote Work Policy Remote only

Company Location

San Diego • San Diego County

Visa Sponsorship Not Available

Preferred Timezones Pacific Time

Collaboration Hours 8:00 AM - 12:00 PM Pacific Time

RelocationNot Allowed

Skills

  • Python

  • Machine Learning

  • PostgreSQL

  • WebRTC

  • TypeScript

  • Docker

  • AWS

  • NLP

  • Generative AI

  • Large Language Models (LLMs)

  • Retrieval-Augmented Generation (RAG)

  • Amazon Bedrock

  • About NuVee and Koa

  • NuVee is building Koa, an AI care system designed to support people using GLP-1 medications between clinical visits. Koa is live on iOS and preparing for her first real-world patient pilot.

  • What You Will Own

  • You will work directly with our CTO, physician founder, and engineering team to strengthen Koa’s intelligence, reliability, and safety.

Your initial responsibilities will include:

  • Audit the current voice, memory, context, reasoning, and safety architecture.
  • Improve longitudinal memory, temporal pattern detection, and user-state management.
  • Strengthen real-time voice orchestration, interruptions, latency, and context handoffs.
  • Build an evaluation system that tests each safety function separately:
  • Detect the relevant signal.
  • Ask the appropriate confirmation question.
  • Select the correct escalation.
  • Complete the handoff.
  • Monitor the later outcome.
  • Create regression tests for memory retrieval, pattern recognition, intervention selection, escalation, and follow-up.
  • Instrument model performance, latency, retrieval quality, failure rates, token and voice costs, and safety behavior.
  • Identify when a failure is caused by prompting, architecture, data, workflow, or product design.
  • Improve the existing system without proposing an unnecessary ground-up rewrite.

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