THE MISSION
Nolla is building AI doctors so that top-quality healthcare is accessible to everyone. Nolla Skin is the #1 medical skincare treatment app in the U.S. App Store. We've treated thousands of acne patients in the U.S., scanned 1% of Norway's population for skin cancer, and our in-house clinical models are state of the art on clinical benchmarks. We just launched NollaMD, our urgent care app, and we're building dedicated specialty apps for conditions like birth control and allergies. We raised a $4.5M seed from General Catalyst.
THE ROLE
This is an AI engineering role, not an ML engineering role. You won't be training models (unless you want to). You will wire LLMs and other custom models into production systems where the cost of getting it wrong is high, build the eval infrastructure that tells us when we're getting it right, and ship the backend surface area that keeps the product moving. You'll work directly with the founding team and your work reaches patients immediately.
WHAT YOU'LL BUILD
App Backends
Build and maintain backends for our existing apps, plus stand up new ones as we launch new specialty apps
Own backend systems end to end, from schema design to production
Clinician Tooling
Build the clinician-facing dashboards and tooling our medical team uses to review AI output
Develop internal tools that clinical ops and physicians use daily
AI Systems
Work on prompts, tool calling, and inference optimization for the AI features in our apps
Build evals and observability that give us confidence in what we deploy. You'll define what \"good\" looks like for our AI systems
Implement abstention, routing, and fallback strategies that favor safety and correctness
Jack-of-all-Trades Surface Area
Support a wide range of work: payments, user flows, clinical infra, model deployment
Help architect systems that support rapid product expansion: new verticals, new states, new clinical modalities
WHAT YOU BRING
4+ years of backend, platform, or product engineering experience
You ship your own things. You have a portfolio: side projects, open source, apps you launched
You've worked on small teams and built things from zero
Comfortable with the AI engineering toolkit: prompts, evals, tool calling, RAG, common LLM APIs. You have opinions on when each tool is the right one
Strong product instincts: you don't need a PM to tell you what to build, you can scope and ship
Strong TypeScript and Python
BONUS POINTS
Regulated industry experience (healthcare, fintech)
Comfortable with infra and can deploy what you build (Docker, CI/CD, etc.)
Familiarity with FHIR, HL7, or healthcare data standards
Experience with observability stacks: Langfuse, Sentry, or similar
Prior work in clinical AI, digital health, or other regulated domains
STACK
TypeScript · Python · Node.js · PostgreSQL · AWS · OpenAI / Anthropic APIs · EMR systems · Eval frameworks
ROLE LOGISTICS, COMPENSATION & BENEFITS
Role Type: Engineering
Salary: $160,000-$220,000, based on experience
Job Type: Full-time
Work Setup: In-person, New York City
Equity: Meaningful equity, commensurate with experience
Health Insurance: Medical, dental, and vision
HSA/FSA: Eligible
Time Off: Flexible, unlimited vacation
Additional Perks: Meal stipends, team retreats
Work Hours: Flexible but demanding. We're building something that matters
Growth: Founding team members step into expanded roles as we scale
Nolla is building an ecosystem of care for everyone. AI-driven healthcare that gives every person access to the kind of medicine that used to require a doctor in the family. We make this real through a consumer app that handles diagnosis, prescription, and treatment tracking end to end, with general primary care launching this summer. We're at the forefront of medical AI research and working on peer-reviewed clinical publications. We’ve raised $6.5M from General Catalyst, Chelsea Clinton's Metrodora and others.
We're looking for someone to lead growth at Nolla. You'll own growth across social, paid, organic, and new channels, and build the team and infrastructure to support scaling our monthly growth budget from the low hundreds of thousands to millions.
You'll be building the growth function, with ownership of strategy, hiring, budget allocation, and results. That means getting close to the work early, finding what brings people to Nolla and keeps them coming back, and hiring great people to scale it.
Set targets and allocate budget, using CAC, conversion, retention, and payback to decide where to scale.
Own performance across paid acquisition, organic social, SEO, creators, referrals, and new channels.
Own paid acquisition across Meta, TikTok, Google, and new platforms, including media strategy, campaign performance, and budget allocation.
Build the team and creative testing process to continually launch new ads, learn what converts, and scale winning campaigns.
Grow paid spend while maintaining healthy CAC and payback, with clear decisions on when to scale, iterate, or stop.
Build a process for producing and testing ad creative, social content, and creator partnerships at scale.
Develop organic channels that earn attention and trust and bring people to Nolla over time.
Own lifecycle strategy across onboarding, activation, retention, and reactivation, using email, push, and in-app messaging.
Build segmented, automated journeys that help people move from signup to first consultation and stay engaged with their care.
Work with product to improve conversion and identify why patients drop off or return.
Set retention targets and use cohort analysis and testing to improve repeat usage and lifetime value.
Put the attribution, reporting, and tools in place to understand performance and make investment decisions.
Build the planning, forecasting, and operating processes to support millions in monthly spend without losing visibility into results.
Hire and lead people across performance marketing, creative, content, and lifecycle as needs evolve.
Decide what to build in-house and where agencies, freelancers, or specialist partners can help.
Set clear goals and accountability and stay close enough to the work to keep standards high.
You've scaled growth at a consumer startup and know what it takes to build a team around it. You can move between a budget review and a creative review, and make good decisions in both.
You're comfortable with an early-stage environment where the priorities, team, and processes are still taking shape. You take initiative, get into the details when needed, and know when to hire or delegate so the company can move faster.
Track record of growing a consumer business, with ownership of acquisition and measurable business results.
Experience managing and scaling substantial growth budgets while maintaining healthy unit economics.
Experience hiring, managing, and developing a growth or marketing team.
Experience scaling paid acquisition across platforms such as Meta, TikTok, and Google.
Experience building lifecycle programs that improve activation, retention, and customer lifetime value.
Strong creative judgment and an understanding of organic social and content.
Strong analytical judgment and fluency in CAC, LTV, conversion, retention, and payback.
Ability to set strategy and stay involved in execution while building the team.
Experience scaling monthly acquisition spend into seven figures.
Experience in consumer healthcare, wellness, or another business where trust is central to conversion.
Experience growing subscription businesses or consumer mobile apps.
An established network of growth hires, creators, and specialist partners.
Role Type: Growth / Marketing
Salary: $150,000-$200,000, based on experience
Job Type: Full-time
Work Setup: In-person, New York City
Equity: Very meaningful equity, commensurate with experience, early exercise possible
Health Insurance: Medical, dental, and vision
HSA/FSA: Eligible
Time Off: Flexible, unlimited vacation
Additional Perks: Meal stipends, team retreats
Work Hours: Flexible but demanding. We're building something that matters
Growth: Founding team members step into expanded roles as we scale