The Opportunity A well-funded AI company in the healthcare infrastructure space is building the engine that automates some of the most complex workflows in health plan operations. This role exists because the product is working and the team needs a senior engineer who can own significant parts of the AI architecture independently. In the first year, you will go from shipping production pipelines to being the person who defines how the company builds LLM-powered systems at scale. What You'll Own - Architect and ship LLM-powered pipelines that automate complex multi-step clinical decision workflows end-to-end - Build and maintain back-end services in Python that integrate directly with enterprise health systems (FHIR, HL7, EDI) - Own the quality and reliability of AI outputs through evaluation frameworks, structured outputs, and production monitoring - Drive integrations with external enterprise environments, handling compliance constraints and audit requirements that come with healthcare data - Translate requirements from product and customer success teams into scoped technical solutions, working directly with non-technical stakeholders when needed - Operate across the stack from RA... Click Apply to read the full job description.