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AI/ML Engineer | Python | LLM Agents | Agentic Workflows | Must have startup experience

Optimal

New York · Hybrid Full-time Lead $180k – $280k/yr Today

About the role

AI/ML Engineer | Python | LLM Agents | Agentic Workflows | Must have startup experience | NYC

Location

  • New York, NY (Hybrid — 3 days/week in office)

Package

  • $180,000 - $280,000 + meaningful equity

Eligibility

  • Open to candidates with existing work authorization – US Residents Only

🚨 Please only apply if you have ALL of the following 🚨

  • Python backend engineering
  • Hands‑on experience building and deploying AI agents or LLM‑powered systems
  • Production‑grade ML/AI deployment (not just research or modelling)
  • Startup or fast‑moving VC‑backed company experience
  • Working across prototype → production at pace
  • 3+ years as an ML/AI engineer or applied researcher

Required Background

  • 3+ years as an ML/AI engineer or applied researcher
  • Proven delivery of production AI/ML systems in real‑world environments
  • Experience at a VC‑backed AI‑native startup or fast‑moving, reputable tech company
  • Strong grounding in CS, mathematics, engineering, or a related technical field
  • Able to operate with a founding‑engineer mindset – own it, ship it, improve it

ℹ️ Very Important Notes

  • This is not suitable for full‑stack or backend engineers without applied AI/ML depth
  • Must be comfortable in a fast‑moving, high‑autonomy startup environment
  • Customer interaction is part of the role – you’ll work directly with healthcare providers
  • High ownership expected – you will design, build, deploy, and iterate at pace

Must‑Haves

  • Strong Python backend development
  • Experience building LLM‑powered applications or AI agent architectures
  • Hands‑on with agentic workflows, multi‑agent orchestration, or RAG systems
  • Startup mindset with a track record of high personal output
  • Ability to translate real‑world workflow problems into technical direction
  • Strong problem‑solving and full ownership of systems end‑to‑end

Bonus Experience

  • Reinforcement learning or RL‑from‑human‑feedback experience
  • Background in healthcare, insurance, or billing workflows
  • PhD in a relevant field (CS, Data Science, ML)
  • Open‑source contributions in AI/ML tooling
  • Past founding engineer or early technical hire

Hands‑On Experience With

  • Python (backend systems and ML infrastructure)
  • LLM technologies – prompting, fine‑tuning, RAG
  • Agentic orchestration frameworks (e.g., Temporal, LangChain, or similar)
  • PyTorch, Transformers, or equivalent ML tooling
  • Deploying and monitoring AI agents in production at scale

What You’ll Be Doing

Agent Engineering

  • Design and build the architecture for a multi‑agent AI system handling real‑world insurance workflows
  • Develop specialised agents for denial classification, root cause analysis, policy reasoning, and appeal generation
  • Build reusable agent infrastructure and orchestration frameworks across the platform

Quality & Reliability

  • Create evaluation frameworks and feedback loops to continuously improve agent performance
  • Design prompt engineering strategies and fine‑tuning approaches for production use cases
  • Translate field insights and customer feedback into technical priorities

Collaboration

  • Work directly with billing managers and healthcare providers to understand workflows
  • Partner with the engineering team on production infrastructure and monitoring
  • Actively contribute to the AI/ML technical roadmap and company direction

What They’re Looking For

  • A technically sharp, scrappy engineer who moves fast and takes ownership
  • Someone who’s built real AI systems – not just run notebooks or fine‑tuned models
  • A builder who thrives in ambiguity and turns customer insight into working product
  • An engineer who wants to be one of the first 20 people shaping a category‑defining company

If you have the background above and want to build production‑grade AI agents that fix one of the most broken systems in healthcare – get in touch for a fast response.

Requirements

  • Python backend engineering
  • Hands-on experience building and deploying AI agents or LLM-powered systems
  • Production-grade ML/AI deployment (not just research or modelling)
  • Startup or fast-moving VC-backed company experience
  • Working across prototype → production at pace
  • Proven delivery of production AI/ML systems in real-world environments
  • Experience at a VC-backed AI-native startup or fast-moving, reputable tech company
  • Strong grounding in CS, mathematics, engineering, or a related technical field
  • Able to operate with a founding-engineer mindset - own it, ship it, improve it
  • Strong Python backend development
  • Experience building LLM-powered applications or AI agent architectures
  • Hands-on with agentic workflows, multi-agent orchestration, or RAG systems
  • Startup mindset with a track record of high personal output
  • Ability to translate real-world workflow problems into technical direction
  • Strong problem-solving and full ownership of systems end-to-end

Responsibilities

  • Design and build the architecture for a multi-agent AI system handling real-world insurance workflows
  • Develop specialised agents for denial classification, root cause analysis, policy reasoning, and appeal generation
  • Build reusable agent infrastructure and orchestration frameworks across the platform
  • Create evaluation frameworks and feedback loops to continuously improve agent performance
  • Design prompt engineering strategies and fine-tuning approaches for production use cases
  • Translate field insights and customer feedback into technical priorities
  • Work directly with billing managers and healthcare providers to understand workflows
  • Partner with the engineering team on production infrastructure and monitoring
  • Actively contribute to the AI/ML technical roadmap and company direction

Skills

AIAgentic orchestration frameworksAWS LambdaDockerLangChainLLMMLPyTorchPythonRAGReinforcement learningTemporalTransformers

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