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Machine Learning Engineer

San Francisco💼 Full-time💰 $225,000–$225,000🗓 2022-01-22 → 2026-07-31

Core

Design, develop, and operate production-grade ML systems for real clinical workflows, focusing on verifiable reinforcement learning and fine-tuning foundation models for clinical reasoning and medical question answering.

Role type

Senior/Staff Machine Learning Engineer (Clinical AI)

Builds

Production ML systems for clinical decision support and patient-facing applications

Domain

Healthcare / Clinical AI / Large Language Models

Deliverable

production ML models

Required skills

Machine learning, software engineering, system architecture, model training and fine-tuning, evaluation framework design, tradeoff analysis (accuracy/latency/cost/safety), independent operation in ambiguous environments, product judgment

Preferred skills

LLM deployment, distributed systems, large-scale data pipelines, regulated dataset experience

Technologies

PyTorch

Responsibilities

Own end-to-end ML systems from architecture to production deployment; Train and fine-tune LLMs for clinical reasoning and evidence-grounded generation; Develop evaluation frameworks for model safety and clinical validity; Integrate ML systems into product workflows; Monitor system performance and iterate based on real-world usage; Define correctness criteria in ambiguous clinical workflows

Seniority

Senior/Staff, hands-on IC with system ownership

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