Mission Neko is redefining what prevention means, from treating illness when it arrives, to sustaining health before it's ever at risk. Our mission: make data-driven, preventative care accessible to more people, before symptoms appear.   In a single, non-invasive visit under an hour, proprietary technology and direct clinical care combine to deliver personalised, actionable insights. It's a team that thinks in 10x, not 10%. Every role here plays a part in building a world where prevention is the norm, and where your work genuinely helps people live longer, healthier lives. Role Purpose: We are looking for an experienced Cardiac Sonographer to join our clinical team in New York City. This role is focused on delivering high-quality, independent echocardiographic assessments as part of Neko's preventive health offering. You will perform transthoracic echocardiograms (TTEs), including Global Longitudinal Strain (GLS) evaluations in line with Neko’s clinical protocols, and produce accurate, same-session reports — working autonomously within defined escalation protocols. You will work closely with the NYC Medical Area Lead, our consulting cardiologists and the broader clinical team to ensure echocardiographic findings are integrated into each member's full health picture. This is a full-time role that will require rotating between our NYC clinics. What You'll Deliver in the First 6–12 Months: * Perform comprehensive transthoracic echocardiographic examinations in accordance with American Society of Echocardiography (ASE) guidelines and Neko clinical protocols. * Ensure accurate image acquisition and proper labeling for cardiology review * Collaborate with the multidisciplinary clinical team to incorporate echo findings into full-body preventive health assessments. * Participate in regular cardiology MDT meetings and contribute findings that inform care pathways. * Liaise directly with our consulting cardiologist when escalation is necessary. * Follow Neko's escalation protocols consistently and document findings in the clinical record accurately. * Basic troubleshooting of imaging equipment to support a high quality and frictionless member experience * Participate in quality assurance activities including audit and peer review. * Contribute to continuous improvement of echo protocols as the US clinical model develops. Minimum Requirements: * ARDMS (RDCS) or CCI (RCS) certification in adult echocardiography, enabling independent reporting without routine cardiologist co-signature. * Minimum two years of post-certification independent reporting experience. * Demonstrated ability to perform and interpret a full range of TTE studies, including Global Longitudinal Strain (GLS), required * Strong communication skills — able to explain findings clearly to members without medical backgrounds and to clinical colleagues. * Commitment to high clinical standards and active engagement in ongoing professional development. * Eligible to work in the United States. Preferred: * Experience with 3D echocardiographic imaging. * Familiarity with integrating echo findings into broader preventive or longitudinal health assessments. * Experience in a high-volume or technology-forward clinical setting. * Prior involvement in clinical research, protocol development, or health technology initiatives. About titles at Neko We use a simplified internal title framework that prioritises clarity over hierarchy, so internal titles may differ from market‑facing role titles. Scope, impact and level of the role are fully aligned and will be clearly discussed throughout the process. Hiring Process Candidates progress from application and structured screening through thoughtfully designed interviews culminating in a formal offer and final pre-employment checks before joining the team. Equal Opportunity & Inclusion Statement Neko Health is committed to inclusive hiring and member-first care. We welcome candidates from all backgrounds and encourage you to request reasonable adjustments to support your application.