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Added 6 mins ago
Staff Analytics Engineer
Jobgether
Remote, United States
As a Staff Analytics Engineer, you will play a pivotal role in designing and scaling the data infrastructure that powers analytics, reporting, and strategic decision-making across a large…
Added 34 mins ago
O
Lead Principal Application Software Engineer- Forward Deployed Engineer
Oracle
Pierre, SD
- $104,600 to $264,100 USD / year
Oracle Customer Success Services (CSS) is seeking a Senior Principal Forward Deployed Engineer to lead the delivery of strategic AI and data transformation programs for Oracle's largest…
Added 34 mins ago
Software Test Engineer
WCG Clinical
Pierre, SD
The Software Test Engineer is a member of the Quality Engineering team, responsible for supporting the testing, validation and delivery of WCG namedproducts and systems.The role applies…
Added 2 hours ago
Enterprise Applications Engineer
United Imaging North America
United States
We are seeking a proactive and technically skilled Enterprise Applications Engineer to support, maintain, and enhance business-critical applications across our North American operations.
Added 2 hours ago
GTM Systems Engineer
Jobgether
Remote, United States
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a GTM Systems Engineer based in the United States.
Added 2 hours ago
AI Solution Engineer
Colgate-Palmolive Company
Piscataway, NJ
The AI Solution Engineer designs, builds, deploys, and supports secure, production-grade enterprise applications powered by LLMs and multi-agent architectures. The role combines modern…
Added 3 hours ago
Design Engineer, Amazon Logistics
Amazon.com Services LLC
Bellevue, WA
The Amazon Logistics Last Mile Design Engineering team is searching for an innovative, solutions-oriented design engineer to spearhead new initiatives and develop the next generation of…
Added 3 hours ago
Power Systems Engineer
Open Systems International, Inc.
Medina, MN
…manage, control, and optimize the grid. As a DMS Application Engineer you will be involved in all aspects of the successful delivery of systems to our customers. You will be engaged with…
Added 4 hours ago
Digital Support Engineer
Roche
Indianapolis, IN
Bachelor’s Degree in Computer Science preferred, Information Technology, Management Information Systems, and two years of laboratory IT, general IT, product line experience or 4 years of…
Added 4 hours ago
Digital Solutions Engineer
Roche
Indianapolis, IN
Bachelor’s Degree in Computer Science preferred, Information Technology, Management Information Systems, and two years of laboratory IT, general IT, product line experience or 4 years of…
Added 4 hours ago
AE
Campus Graduate Masters Summer Internship Program - 2027 AI Engineer, Enterprise Technology Services- Phoenix, AZ
American Express
Phoenix, AZ
- $24.05 to $63 USD / hour
As an AI Engineer Intern, you’ll contribute at an early-career level while learning how intelligent systems are built, validated, integrated, monitored, and governed in an enterprise…
Added 4 hours ago
Senior PostgreSQL Database Engineer
Valiant Solutions, LLC
St. Louis, MO
Valiant Solutions is seeking a Senior PostgreSQL Database Engineer to join our rapidly growing, innovative team!
Added 5 hours ago
Senior Integration Engineer – AI - Tax And Audit AI
Thomson Reuters (Tax & Accounting) Inc
Brooklyn, NY · Frisco, TX · Chicago, IL · Ann Arbor, MI · Eagan, MN
Help bring AI into the systems tax and audit professionals rely on every day. As a Senior Integration Engineer, you will connect AI solutions with Thomson Reuters products and client…
Added 5 hours ago
Senior Software Engineer, Identity Graph
Baselayer
San Francisco, CA
…surface of customer-facing API products. We're hiring a senior engineer to own product features across that surface end-to-end: schema design, data ingestion, entity resolution, API…
Added 6 hours ago
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Software Systems Engineer - GitHub Enterprise
HP
Vancouver
- $105,050 to $161,800 USD / year
…organization. If you’re passionate about building scalable systems, improving developer velocity, and shaping the future of platform engineering, this is an opportunity to contribute to a…
Added 6 hours ago
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Software Engineer
Triangle Manufacturing
Upper Saddle River, NJ
- $80,000 USD / year
…through process automation and the synergies of interconnected systems. Work with cross-functional teams to solve operational challenges and translate business requirements into application…
Added 6 hours ago
TI
Applied AI Engineer, Go-to-Market
Tutor Intelligence
Watertown, MA
- $130,000 to $250,000 USD / year
As our first Applied AI Engineer on Go-to-Market, you'll build the operating system for how Tutor finds, wins, and grows customers across the physical economy. You'll design the process…
Added 6 hours ago
TI
Applied AI Engineer, Finance
Tutor Intelligence
Watertown, MA
- $130,000 to $250,000 USD / year
As our first Applied AI Engineer on Finance, you'll build the operating system for how Tutor runs its finances: planning and forecasting, billing, the close, and the numbers leadership and…
Added 6 hours ago
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IT - Systems Engineer
Apex Systems LLC
Denver, CO
- $70 to $75 USD / hour
Senior Identity & Access Management (IAM) Engineer
Added 6 hours ago
Staff Systems Engineer - Modeling Simulation & Analysis - 20144
Northrop Grumman
Huntsville
Northrop Grumman Defense Systems is seeking a Staff Systems Engineer - Modeling, Simulation & Analysis (level 5) to join its team. This position is in Huntsville, AL.
Added 6 hours ago
BF
Senior Full Sack & GenAI Developer
BC Forward
Cincinnati, OH
- $65 USD / hour
…frontend interfaces, APIs, Terraform IaC, and CI/CD pipelines. * Engineer performance for data-heavy, low-latency, and reliable applications. * Integrate with enterprise platforms such as…
Added 7 hours ago
Senior Full Stack Engineer
FacilityOS
Annapolis, MD
We are looking for a highly capable Sr. Full Stack Engineer who can ramp up quickly, collaborate effectively with the existing team, and begin contributing meaningful delivery outcomes…
Added 7 hours ago
Senior Software Engineer
FacilityOS
Annapolis, MD
We are looking for a highly capable Sr. Back-End Engineer who can ramp up quickly, collaborate effectively with the existing team, and begin contributing meaningful delivery outcomes within…
Added 7 hours ago
COBOL Developer
Social Security Administration
Woodlawn, MD
Added 8 hours ago
BIM Systems Engineer, Design Services (DS)
Amazon Data Services, Inc.
Austin, TX · Herndon, VA
…implementing, managing, and adopting new BIM technologies and systems to support the design, construction, and operation of Amazon-owned data center…

TailorCare

Lead ML/AI Engineer

United States

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Job details

Posting language: English
Posted: Nov 1, 2026

Original job description

About the Role

TailorCare's Data Science team builds the ML/AI systems that decide which patients we reach, when, and how. We are shipping a portfolio of models and a real-time decision platform that puts them to work across every market we serve and learns from every outcome it touches. Model outputs become events, events reach care teams and payer systems, outcomes come back days later, and every piece has to be versioned, replayable, monitored, and affordable under PHI controls. This role owns the engineering that makes that work in production.

As Lead ML/AI Engineer, you will be the technical lead for the platform that turns model output into action. You will set the engineering standards for our decisioning, streaming, and ML release systems, stay hands-on in the highest-risk components, and hold releases to a production bar through design and code review. You will own how our Databricks lakehouse and AWS-native services fit together as the platform evolves. We are looking for someone who has built systems that decide actions and prove they paid off, not just models that predict. This is a senior individual contributor role. Reporting to the Director, AI & Decision Intelligence, you will work closely with data science, data engineering, software engineering, medical economics, clinical, and operations partners.

Primary Responsibilities

Own the decisioning and feedback layer between score and action: action selection and ranking, holdout and experiment assignment, outcome capture, the production ROI calculation, and the pipelines that measure lift per action and channel.
Own the engineering implementation, auditability, and reproducibility of the production savings calculation, in partnership with medical economics and data science, who own the methodology.
Set the design for event-driven, real-time integrations between model output and the systems that act on it: streaming pipelines, versioned schemas and contracts, replay, ordering, idempotency, and failure handling. Own the contracts with partner teams.
Set the cost-to-serve standard for the platform: define per-model and per-decision budgets for compute, streaming, inference, and LLM spend, and make cost a release criterion alongside latency and accuracy.
Define the production bar for ML models and hold releases to it: CI/CD, model registry, alerting, drift, coverage, and calibration by cohort, market, and payer. Engineer the promotion gate a model or ranking must pass before it goes live.
Own the target architecture and technical roadmap for our AWS-native footprint alongside our Databricks lakehouse, including infrastructure as code, IAM and secure data handling, containerized inference, and managed foundation-model services under PHI controls.
Set technical direction and production standards for our production GenAI applications, including LLM pipelines and agentic workflows, with the evaluation, retrieval, guardrail, and cost controls needed to run them safely on patient data.
Partner with data scientists on modeling and measurement methodology, with medical economics on how savings is defined, and with data and software engineering on shared pipelines, interfaces, and contracts.
Own engineering standards for the team: code review, automated testing, reproducibility, documentation, and release discipline. Lead design reviews, document architecture decisions, and mentor engineers and data scientists on system design and production practice.
Represent the team's technical position with R&D leadership, finance, and clinical and operations partners.
Other duties as assigned

Qualifications

Required

Bachelor's degree in Computer Science, Engineering, or a related field, or equivalent experience.
8+ years in ML engineering, MLOps, or software engineering, including 4+ years operating ML systems in production and 2+ years as the technical lead or architect of a production ML or decisioning system.
Demonstrated experience building or operating prescriptive systems in production: recommendation, decisioning, prioritization, or experimentation platforms that allocate a constrained resource against a measured outcome.
Production experience with AWS data and ML services and infrastructure as code (Terraform, CDK, or CloudFormation).
Production experience with Databricks, PySpark, Delta Lake, MLflow, or equivalent.
Hands-on experience designing and running event-driven or streaming systems (Kinesis, Kafka, or equivalent) with schema or contract management.
Strong Python and SQL, and hands-on experience running ML workloads in production: training pipelines, model serving, feature systems, or ML platform tooling.
CI/CD for ML workloads and model and pipeline monitoring, including calibration across heterogeneous populations.
Track record of setting engineering standards and raising the bar on a team through review and mentorship.
Ability and willingness to travel up to 10% as needed for onsite meetings, team collaboration, and company events.
Ability and willingness to travel up to 10% as needed for onsite meetings, team collaboration, and company events.

Preferred

Building and evaluating ML models with scikit-learn, XGBoost, or PyTorch.
Healthcare economics or value-based care exposure: savings methodology, attribution, payer contract constraints.
dbt and lakehouse data modeling.
Healthcare data (claims, pharmacy, eligibility, prior authorization, EHR) and PHI handling requirements.
Uplift modeling, bandit or sequential decisioning, or holdout-based measurement in production.
Containerized model serving and staged or canary deployment patterns.
Amazon Bedrock or other managed foundation-model platforms under a HIPAA BAA.
Agentic frameworks and retrieval systems in production.
Experience building or operating LLM-based applications, including evaluation and guardrails.

Skills

Engineering Mentality – Finds the common denominator across work and builds the platform that makes the next model faster and safer to ship than the last.
Scientific Approach – Treats a design as a hypothesis, instruments it, and changes course when the data says so.
Seek Simplicity – Builds with the minimum necessary complexity and designs for the person who maintains it next.
Ownership – Takes a system from design to production to monitoring and answers for whether it works in the market, not just whether it shipped.
Collaborative – Works across data science, data engineering, software engineering, medical economics, clinical, and operations to agree on interfaces and hold to them.
Good Communication – Explains what a system does, what it costs, and why it matters in terms a care team or finance partner can act on.

What's In It For You

Meaningful Work: We are dedicated to our mission and deeply value our patients and each other. Each day offers the opportunity to make a positive impact.
Work Environment: We operate as a remote-first company with options for a hybrid work model in Nashville.
Time Off: Our generous paid time off (PTO) and holiday plans ensure you have ample time to rest and recharge.
Family First: We offer paid parental leave and support a healthy work-life balance, encouraging flexibility and autonomy. We love talking about our family and pets!
Comprehensive Benefits: From Day 1, employees enjoy medical, dental, vision, life, and disability insurance, wellness resources and an employer HSA contribution.
Fair Compensation: We are committed to equitable pay for all team members and support your future goals with a 401k plan that includes employer matching.
Community: We foster an inclusive environment where you can rely on your teammates, share honest feedback, and feel comfortable being your authentic self at work each day.

TailorCare seeks to recruit and retain staff from diverse backgrounds and encourages qualified candidates to apply. TailorCare is an equal opportunity employer and does not discriminate on the basis of age, sex, gender identity/expression, sexual orientation, color, race, creed, national origin, ancestry, religion, marital status, political belief, physical or mental disability, pregnancy, military, or veteran status.

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More about this job

Skills

ML
Databricks
AWS
Data engineering
CI/CD
Infrastructure as code
Identity and access management
Test automation
Documentation
Leadership
Computer science
Prioritization
IBM Terraform
PySpark
Mlflow
Apache Kafka
Contract management
Python
SQL
Collaboration
Scikit-learn
XGBoost
PyTorch
Data modelling
EHR
Communication skills

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