AI Engineer

Nu Image Medical is building a new NJ presence in the Mahwah / Wyckoff area, and this role is hands-on from day one. You will work in person and partner directly with the CTO to ship AI agent-powered workflows and production code. As a founding member of the office, you will help shape how the team builds, reviews, debugs, and improves secure systems built for healthcare-grade privacy.

Nu Image is a US telehealth company founded in 2004 and operating online since 2008, serving all 50 states and certified by LegitScript. The NJ office role supports a modern stack and a culture of ownership, initiative, and direct collaboration with leadership.

What you’ll do

• Own the AI engineering and the hands-on code development from architecture through shipped changes.
• Review diffs from agents running in parallel on branches, push back on bad code, and write the tricky parts yourself.
• Work through architecture and priorities with the CTO, then turn plans into production-ready code.
• Take ownership of code agents generate by reading every line, debugging and fixing issues by hand when needed.
• When something breaks in production, handle it rather than relying on what an agent produced.
• Investigate odd issues using logs, queries, a debugger, and careful debugging to find root causes.
• Spot issues nobody asked about (such as slow queries, flaky jobs, or tools that could save hours) and address them.
• Communicate outcomes: what shipped, what broke, and what you want to try next.
• Build a modern web platform and internal tools people actually enjoy using.
• Create integrations and automation that connect systems and remove busywork.
• Build AI-powered workflows, including agent setups, guardrails, and review steps that enable a small core to build like a much bigger one.
• Deliver secure, reliable, well-tested systems with healthcare-grade privacy and security baked in from day one.
• Take initiative: identify problems, fix them, and build better ways with visible follow-through.

What you’ll build with (with our CTO)

• A modern web platform and internal tools people actually enjoy using.
• Integrations and automation that connect systems and take busywork off people’s plates.
• AI-powered workflows with agent setups, guardrails, and review steps.
• Secure, reliable, well-tested systems with healthcare-grade privacy and security from day one.

Requirements

• Ship with AI coding agents daily, including Cursor and the Grok ecosystem (including Grok Bot), plus similar tools.
• Stay current with today’s AI tools and how they change month to month.
• Build real agent workflows with task breakdown, parallel agents, prompt and agent orchestration, and review loops.
• Verify agent output using tests first, reading diffs line by line, and not trusting output that only looks correct.
• Keep sensitive data (customer information, secrets, credentials) out of prompts, logs, and tools that aren’t approved.
• Build and debug without AI when needed; read unfamiliar code, step through it, and fix it by hand.
• Demonstrate solid software architecture and the ability to explain why systems are shaped as they are.
• Strong PHP and Laravel: queues, jobs, the scheduler, events, and Eloquent without N+1 issues.
• Real SQL skills with MySQL: schema design, indexing, migrations, query plan reading, and writing queries.
• Debugging experience using logs, stack traces, Xdebug or similar, and reproducing issues to reach root cause.
• Security and privacy best practices including authentication and authorization, input validation, encryption, least privilege, OWASP top risks, and secrets handling.
• Ability to commute to the Mahwah / Wyckoff area and want to be in the office.

Technologies you’ll work with

• Cursor, Grok, Grok Bot
• PHP, Laravel
• MySQL
• Xdebug
• Vue, Tailwind
• REST APIs
• Redis
• AWS
• Pest, PHPUnit
• GitHub Actions
• Laravel Nova, Filament
• AWS CDK, Terraform, Pulumi
• OWASP Top Risks

Benefits

• Health insurance
• Paid time off (PTO)

How to apply

Email [email protected] with the subject line "AI Engineer – NJ" and include:

• Your GitHub, portfolio, or anything you have shipped that they can review.
• A short note (a few paragraphs is perfect) on the coolest thing you built with AI agents: what it did, how you set up the agents, what went wrong, and how you fixed it.
• Where you’re based.

No cover-letter templates, please. Write it the way you’d explain it to a friend.