About Sully.ai

Sully.ai is redefining how AI-powered automation transforms the healthcare industry, with a strong focus on EHR integrations, voice automation, and workflow optimization. We’re tackling scalability challenges in AI-first healthcare applications and need a Head of AI who can architect, build, and deploy AI-driven solutions end-to-end.

We’re a small but highly technical team, and we need a leader who is both a technical expert in AI/ML and an experienced startup builder. If you’ve been a Co-Founder, Founder, CTO, or an early team member at a startup (<10 people, ideally <20), this role is for you.

The Role

As our Head of AI, you will lead the AI strategy, architecture, and development at Sully.ai, ensuring we deliver scalable, real-time AI solutions for healthcare workflows. You’ll work hands-on with LLMs, AI automation, and cloud infrastructure, setting the foundation for a rapidly growing product.

What You’ll Do

• Own AI end-to-end – from research to production, ensuring a robust, scalable AI pipeline.
• Architect and optimize LLM integrations, ensuring efficiency and cost-effectiveness.
• Lead AI-driven automation efforts for EHR workflows, voice assistants, and decision support.
• Scale AI infrastructure, working closely with DupliCloud (DevOps/SecOps CI/CD) and cloud partners.
• Experiment with and fine-tune LLMs (Together.ai, OpenAI fine-tuning, LLaMA).
• Ensure AI and ML scalability, addressing our current platform bottlenecks.
• Hire and mentor AI engineers as we scale.
• Work closely with leadership to align AI capabilities with business strategy and revenue growth.

Who You Are

This is a high-ownership, independent leadership role that requires a deep technical background and a bias for action. We’re looking for someone who:

🚀 Must-Have Experience

✅ Startup Experience – You’ve been a Founder, Co-Founder, CTO, or an early technical hire (sub-10 person team, ideally sub-20).
✅ End-to-End AI System Building – You’ve designed, built, and deployed AI-powered products from scratch.
✅ LLM Expertise – You’ve worked hands-on with LLMs, fine-tuning, and AI/ML APIs (OpenAI, Together.ai, LLaMA, etc.).
✅ Strong Backend & Cloud Infrastructure Skills – Proficient in Node.js, Python, Firestore DB, Google Cloud, and cloud-scale architectures.
✅ EHR/Healthcare AI Knowledge (Preferred, Not Required) – Experience integrating with EHR systems (Epic, Cerner, Athenahealth, etc.) is a big plus.
✅ Scalability & Performance Optimization – You’ve built AI platforms that scale efficiently.

💡 Bonus Points If You...

• Have side projects or personal AI/ML experiments that showcase your initiative.
• Have experience setting up AI-driven paywalls, payment gateways, or revenue models.
• Are comfortable working in a high-growth, ambiguous startup environment where you wear multiple hats.

Tech Stack & Tools You’ll Work With

💾 Database: Firestore (Firebase)
🖥 Backend: Node.js (server-side), Python (EHR integrations)
📡 Cloud Storage: Google Cloud (for voice/audio data)
🧠 AI/LLMs: OpenAI fine-tuning, Together.ai, LLaMA, Custom AI models
🔧 DevOps/SecOps: DupliCloud (CI/CD)
🛠 Automation: UI Automation for EHR systems

Why Join Sully.ai?

🔥 Build category-defining AI in healthcare—work on real-world AI automation for doctors.
📈 Join early & shape the AI roadmap—as an early hire, you’ll have massive ownership.
🌍 Remote-first with strong engineering culture—work with brilliant technologists solving complex problems.
💰 Competitive salary & equity—build AI that matters, and own a part of it.
🏆 Scalability challenges worth solving—land a big deal, hire a team, and build something that lasts.

Interview Process

1. Recruiter Screen (20 min.)
2. CTO Screen (30 min.)
3. Hackathon OR Onsite Paired Programming/Systems Design (2.5-4 Hours)
4. Virtual Onsite/Onsite Meeting Leadership (1.5 Hours)