Job Description
Sage is on a mission to improve care and quality of life for older adults starting with those residing in senior living facilities. Falls are the leading cause of injury-related death among adults over 65. And yet fall prevention and emergency response systems for older adults are archaic and ineffective. At Sage we've built a more modern way of understanding when older adults need help including methods for residents to alert caregivers when in need of help and corresponding software for caregivers to triage response. Our company mission is to create a product that our client counterparts love and this role is a key part of that objective.
Sage is a small tight team of ambitious multi-disciplinary entrepreneurs. We are a software-enabled mission-driven company and are focused only on the problems that are central to achieving that mission. At Sage we work hard and fast but also know that to build a truly important company we need to treat our work as a marathon and not a sprint. The journey matters.
About this RoleAs a Senior Engineer on the Detect team working on applied machine learning you're a fullstack engineer who owns the end-to-end lifecycle of the AI models that power our camera-based detection system — from data collection and labeling through prompting training evaluation and production deployment. Today Detect uses frontier multi-modal vision models to analyze video streams and detect falls in real time. Your job is to make these external models dramatically better and more capable.
You'll take ownership of our ML experimentation platform and infrastructure maturing it into a robust system that enables the team to rapidly iterate on model quality at scale. You'll design repeatable fine-tuning pipelines that allow models to continuously improve with new production data and expand the system's detection capabilities beyond falls into new behavioral categories. This is a hands-on high-autonomy role where you'll directly impact the accuracy of a life-saving system used every day by caregivers across the country.
Responsibilities- Improve detection accuracy and reduce false positives through prompt engineering model fine-tuning and novel inference strategies
- Work closely with the backend engineering team to integrate model improvements into the real-time video processing pipeline
- Own and evolve our ML experimentation platform maturing existing infrastructure into a production-grade system the team relies on daily
- Build data pipelines for collecting labeling and preparing production video and image data for model training
- Design repeatable fine-tuning and evaluation pipelines that enable rapid experimentation and measure model performance at scale
- Expand detection capabilities into new behavioral categories
- 5+ years of professional software engineering experience
- Experience training fine-tuning or improving external ML/AI models in a production setting
- Strong understanding of model evaluation methodology and experiment tracking
- Proficiency in Python or TypeScript
- Experience with cloud AI platforms (Google Vertex AI AWS SageMaker or similar)
- Experience fine-tuning multi-modal models (VLMs) or large language models (LLMs)
- Familiarity with Kotlin Java or similar JVM languages
- Full-stack capability with TypeScript/React for building internal tool UIs
- Background in computer vision video processing or working with image/video data at scale
- Experience building internal ML tooling (labeling experiment tracking evaluation)
- Experience maturing early-stage internal tools into production-grade systems
Our headquarters are located in New York City's Union Square. We believe in cross team collaboration. We think good ideas can come from anyone and we've designed our processes to encourage participation from all. While we take our mission seriously we don't take ourselves too seriously. We like to host offsites outings and team meals where we can connect as people not just as colleagues. We offer office lunch and a fully stocked snack bar. While we are an in office culture we allow up to 2 remote days per week.
Our benefits package for employees includes competitive base compensation along with stock options. The expected annual salary range for this role is $180000 - $210000 USD depending upon the job level which will depend on your level of expertise your experience and your qualifications. We also provide fully-paid health and dental insurance coverage for all of our employees along with other health benefits including vision insurance membership to premium primary and urgent care and online medical health providers. We also have a take as you need time off policy in addition to 7 paid holidays and a company wide winter break during the holidays.
EEO StatementSage is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race color sex religion sexual orientation national origin disability genetic information pregnancy or any other protected characteristic as outlined by federal state or local laws.
This policy applies to all employment practices within our organization including hiring recruiting promotion termination layoff recall leave of absence compensation benefits training and apprenticeship. Sage makes hiring decisions based solely on qualifications merit and business needs at the time.
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What the Team is Saying



What We Do
Sage is an innovative one-of-a-kind operations management system that transforms how senior living communities deliver care. Unlike traditional nurse call systems Sage offers a comprehensive platform that provides real-time insights into care delivery and operational efficiency. Our technology empowers caregivers with the tools and data they need to provide personalized care while boosting productivity. By leveraging real-time staffing data and customizable insights Sage helps communities optimize staffing models and make informed decisions resulting in enhanced resident satisfaction and staff engagement. Sage is the solution the Senior Living industry has been waiting for revolutionizing care management and operational excellence.
Why Work With Us
Sage is a small tight team of ambitious multi-disciplinary entrepreneurs. We are a software-enabled mission-driven company and are focused only on the problems that are central to achieving that mission. At Sage we work hard and fast but also know that to build a truly important company we need to treat our work as a marathon not a sprint.
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Sage Offices
Hybrid Workspace
Employees engage in a combination of remote and on-site work.
Our headquarters are located in New York City's Union Square. We believe in cross team collaboration. We think good ideas can come from anyone and we've designed our processes to encourage participation from all.
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Date Posted
04/01/2026
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