Pivotal Health

Senior Applied AI/ML Engineer

Pivotal Health
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1 month ago
Remote, United States or Santa Monica, CA, USASenior / Staff+

Base Salary

$210k - $230k/yr

Responsibilities

  • Design, build, deploy, and optimize production AI/ML systems for healthcare products and operational workflows.
  • Develop LLM-powered applications using retrieval, structured generation, tool use, orchestration, and agentic workflows.
  • Create AI-powered systems that automate complex, multistep operational processes.
  • Own projects from problem definition and experimentation through development, deployment, monitoring, and ongoing optimization.
  • Design evaluation frameworks, benchmarks, testing methodologies, and feedback loops to improve system quality and business outcomes.
  • Translate complex business and operational requirements into scalable, production-ready AI solutions.
  • Improve prompts, retrieval strategies, model selection, system logic, and application performance through experimentation.
  • Contribute to AI infrastructure architecture, observability, testing, versioning, rollout safety, and operational reliability.
  • Build solutions using structured and unstructured healthcare data while maintaining accuracy, privacy, security, and compliance.
  • Help establish scalable AI-native practices and improve organizational productivity.

Requirements

  • 5–8+ years of experience building production software systems and delivering complex technical solutions.
  • Experience building and operating applied AI, machine learning, LLM-powered, or agentic systems in production.
  • Strong software engineering background with Python and backend systems supporting production-scale AI applications.
  • Experience designing and interpreting experiments, evaluation frameworks, benchmarks, or performance measurement systems.
  • Ability to translate complex operational requirements and real-world data into reliable, scalable, shipped products.
  • Understanding of production engineering practices including testing, monitoring, observability, system reliability, and safe rollouts.
  • Product-oriented judgment, comfort with ambiguity, and ability to drive initiatives from concept through deployment.
  • Strong communication and collaboration skills across engineering, product, data, and operations teams.
  • Preferred experience with AI products in healthcare, insurance, financial services, or other regulated industries.
  • Preferred experience with healthcare data, clinical documentation, insurance claims, explainable AI, model fine-tuning, embedding models, vector databases, retrieval systems, AI evaluation platforms, document intelligence, decision support, workflow automation, or human-in-the-loop AI systems.

Benefits

  • Competitive compensation including equity, full health, dental, and vision coverage, a 401(k) retirement savings plan, flexible time off, and company-wide connection and events.
  • Primarily hires around Los Angeles and New York core hubs while remaining open to exceptional talent elsewhere; remote and hybrid flexibility varies by role and team.

Tech Stack

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Pivotal Health

About Pivotal Health

1-10 employees
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