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Posted 4 hours agoSenior Applied AI/ML Engineer
Santa Monica, United StatesHybrid
Responsibilities
- Design, build, deploy, and optimize AI/ML solutions that support critical healthcare products and operational workflows.
- Build LLM-powered applications.
- Develop production systems involving large language models, retrieval, structured generation, tool use, orchestration, and agentic workflows.
- Develop intelligent workflow automation.
- Create AI-powered systems that automate complex, multistep processes and improve the speed, consistency, and quality of operational decision-making.
- Own solutions end-to-end.
- Design evaluation and experimentation frameworks.
- Create testing methodologies, benchmarks, and feedback loops that improve model quality, system performance, reliability, and business outcomes.
Requirements
- Pivotal Health combines software, data, and service into a seamlessly integrated, AI-driven platform that simplifies these complex reimbursement workflows.
- ABOUT THE ROLE Pivotal Health is investing heavily in AI as a core strategic capability to transform healthcare operations.
- As a Senior Applied AI/ML Engineer, you will design, build, and improve production AI systems that solve complex healthcare and operational challenges.
- You will work at the intersection of machine learning, software engineering, product development, and business operations to deliver scalable AI-powered solutions.
- This is an applied AI engineering role—not research in isolation.
- We are looking for product-oriented engineers who thrive in ambiguous environments, move quickly from ideas to execution, and are excited to build AI systems that create measurable impact.
- Whether your background is rooted in machine learning engineering, LLM applications, agentic systems, or intelligent workflow automation, success in this role requires strong technical judgment, a bias toward shipping, and a commitment to continuous improvement.
- WHAT YOU'LL DO Own and improve production AI systems.
- Experience building and operating applied AI, machine learning, LLM-powered, or agentic systems in production. - Strong software engineering background, particularly with Python and backend systems that support production-scale AI applications. -
- Experience designing and interpreting experiments, evaluation frameworks, benchmarks, or performance measurement systems. - Proven ability to translate complex operational
- - Understanding of production engineering practices, including testing, monitoring, observability, system reliability, and safe rollouts.
- - Product-oriented mindset with the ability to navigate ambiguity, make thoughtful technical decisions, and drive initiatives from concept through deployment.
- Experience with model fine-tuning, embedding models, vector databases, retrieval systems, or AI evaluation platforms. -
- Experience building document intelligence, decision-support, workflow automation, or human-in-the-loop AI systems at scale.
Benefits
- ABOUT PIVOTAL HEALTH Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape.
- Today, many providers face persistent underpayment from health insurance companies, despite delivering high-quality care.
- - Strong communication and collaboration skills, with the ability to partner effectively across engineering, product, data, and operational teams. EXTRA CREDIT EXPERIENCE -
- Experience building AI-powered products in healthcare, insurance, financial services, or another regulated industry. -
- Applicants must be legally authorized to work in the United States on a permanent basis without the need for current or future visa sponsorship.
- Benefits Include: - 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 Ready to Make an Impact? We’re building something meaningful; and we want you on the team.
- Bring your ideas, curiosity, and drive, and let’s transform healthcare reimbursement together.
- Equal Employment Opportunity Pivotal Health is an Equal Opportunity Employer.
Additional details
- While processes like IDR (Independent Dispute Resolution) were designed to promote fairness, they’re often administrative-heavy, time-consuming, and difficult to navigate without the right tools.
- We help providers efficiently dispute underpaid claims, reduce administrative burden, and recover the reimbursement they’re entitled to; without adding more work to already stretched teams.
- Our full-service IDR solution is just the starting point.
- We’re building solutions that enable providers to operate with clarity, control, and confidence across the reimbursement journey.
- We are building intelligent systems that automate complex workflows, improve decision-making, and drive measurable business outcomes across the organization.
- You will own systems end-to-end, from experimentation and model development through deployment, evaluation, monitoring, and continuous improvement.
- Your work will directly influence critical products, workflows, and business decisions across Pivotal Health.
- Take projects from problem definition and experimentation through development, deployment, monitoring, and ongoing optimization.
- Translate business problems into scalable systems.
- Partner with product, operations, data, and engineering teams to define success metrics and turn complex