Senior Machine Learning Engineer
Core
Building AI-powered lab interpretation, clinician decision support, and conversational experiences directly into the Fullscript product.
Role type
Senior individual contributor machine learning engineer (LLM & agentic AI)
Builds
AI-generated lab summaries, practitioner-facing conversational agents, and clinical workflow tools
Domain
Healthcare technology / Clinical decision support
Deliverable
production ML models | product features
Required skills
LLM application development, RAG workflows, tool use, agentic systems, Python backend development, SQL, LLM integration (OpenAI/Gemini/Anthropic), orchestration frameworks (LangChain/LangGraph/Hugging Face), CI/CD, evaluation and monitoring, hallucination detection
Preferred skills
Elixir, Phoenix, functional programming, healthcare AI experience, MCP, Langfuse, multi-step AI workflows
Technologies
Python, SQL, OpenAI, Gemini, Anthropic, LangChain, LangGraph, Hugging Face, Elixir, Phoenix
Responsibilities
Design, build, and deploy LLM-powered product features; build backend services integrating LLMs and ML models; develop AI systems for open-ended clinical questions; implement prompting, grounding, retrieval, and safety strategies; build evaluation, testing, monitoring, and CI/CD workflows; partner with medical, product, analytics, and engineering teams; own AI systems end to end; contribute to architecture decisions; stay current with LLM and agentic AI ecosystems
Seniority
Senior, hands-on IC
