Note: The job is a remote job and is open to candidates in USA. Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. They are seeking a Senior Applied AI/ML Engineer to build and improve high-impact AI systems that will transform healthcare reimbursement, focusing on generative AI and operational workflows. The role involves hands-on engineering to create robust systems that directly influence business KPIs.

Responsibilities

• Own and improve hands-on applied AI and ML systems that influence our most critical business KPIs and workflows
• Build and refine production workflows around generative AI models, including decisioning, retrieval, and orchestration
• Design and run robust evaluation frameworks (evals) and experiments that improve model quality, workflow quality, and business outcomes
• Partner with product, operations, and engineering teammates to define success metrics and translate messy real-world problems into buildable systems
• Improve prompt, model, and workflow behavior through tight feedback loops and practical iteration
• Contribute to the engineering quality of these systems, including instrumentation, testing, rollout safety, and operational visibility
• Utilize AI as a force multiplier in your own work and help the team move faster by bringing strong AI-native habits

Skills

• Experience with applied ML, LLM systems, agent workflows, or decisioning systems in production
• Experience designing and interpreting experiments, evals, or optimization loops
• Experience with Python and backend systems that support production AI workflows
• Experience turning messy operational data and product requirements into shipped systems
• Experience with healthcare or other operationally complex industries
• A product-oriented mindset with the ability to move from rough opportunity to concrete execution quickly
• Experience in domains like marketplaces, pricing, ad tech, credit decisioning, lending, or revenue optimization
• Experience with retrieval, prompt engineering, structured generation, model routing, or tool-using agent workflows

Benefits

• Competitive compensation, including equity
• Full health, dental, and vision coverage
• Retirement savings plan through 401(k)
• Flexible time off
• Opportunities for company-wide connection and events

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