AI Engineer

Pain Treatment Centers of America

$90K — $130K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years of software engineering experience in a production setting
  • Hands-on expertise with large language models (LLMs) like OpenAI or Anthropic
  • Proven track record of integrating AI into real-world products
  • Ability to design reliable systems with deterministic interfaces and validation
  • Comfortable working across backend, data, and some frontend development
  • Clear and effective communication skills for cross-functional collaboration
  • Adaptability to a fast-paced, startup-like environment.

Responsibilities

  • Build agentic AI systems capable of executing multi-step workflows with oversight
  • Design and implement LLM workflows including retrieval and structured outputs
  • Integrate AI capabilities into EMR via backend services and APIs
  • Implement retrieval-augmented generation for clinical knowledge workflows
  • Engineer safety and compliance into AI workflows with respect to PHI
  • Evaluate and enhance AI quality using both automated and human assessments
  • Deploy and manage AI services in production with proper monitoring and incident response.

Benefits

  • Collaborative work environment with cross-functional teams
  • Opportunity to work at the forefront of AI in healthcare
  • Engagement in designing innovative solutions for real-world applications
  • Focus on reliability and quality in product development
  • Possibility for professional growth and learning in a dynamic startup atmosphere.
Full Job Description
About Us

AAIT Health (Advanced Artificial Intelligence Technology Health) is building a modern, HIPAA-compliant Electronic Medical Records (EMR) platform. We're focused on turning today's best AI and LLM capabilities into reliable, secure, production-grade workflows embedded directly into the EMR experience, so clinicians and staff can work smarter, faster, and with less administrative burden.

What You'll Do

  • Build agentic AI systems that can execute multi-step workflows (e.g., chart review ? summarize ? recommend next actions ? draft documentation ? route tasks) with appropriate human oversight.


  • Design and implement tool-using LLM workflows (function calling / tools, retrieval, structured outputs, planner-executor patterns, and guardrails).


  • Integrate AI capabilities into our EMR via backend services and APIs (e.g., .NET Core services, MySQL, and modern frontend clients).


  • Implement retrieval-augmented generation (RAG) and clinical knowledge workflows that query patient context, incorporate medical reference content, and cite sources with traceability.


  • Engineer safety, privacy, and compliance into AI workflows, including PHI-safe processing, audit logs, role-based access, minimum-necessary data, prompt/data redaction, and secure storage.


  • Evaluate and improve quality using automated and human-in-the-loop evaluation (e.g., grounding, hallucination rates, task success, latency, and cost).


  • Deploy and operate AI services in production, including monitoring, rate limiting, fallbacks, caching, incident response, and model/provider switching.


  • Collaborate cross-functionally with product, clinical SMEs, security/compliance, and engineering to ship AI-powered features that users trust.

Role Details

  • Full-time position with presence in the office required.


  • Core schedule: Monday-Thursday 8:00 a.m. to 5:00 p.m. and Friday 8:00 a.m. to 12:00 p.m., with occasional work outside regular business hours as needed.


  • Travel may be required.


  • The position operates in a professional office environment and involves significant time writing, typing, speaking, listening, standing, sitting, walking, and reaching.


  • Operation of standard office equipment, non-CDL motor vehicles, mobile phones, and related technology is expected.


Requirements

You Might Be a Fit If

  • You have strong software engineering fundamentals and production experience (APIs, testing, debugging, performance).


  • You have hands-on experience building with LLMs (OpenAI/Anthropic/others), including tool/function calling, structured outputs, and retrieval-augmented generation (RAG).


  • You've integrated AI into real products (not just notebooks or demos) and understand the tradeoffs of latency, cost, and quality.


  • You can design for reliability with deterministic interfaces, schema validation, retries, fallbacks, and evaluation.


  • You are comfortable working across backend and data, and optionally some frontend integration.


  • You communicate clearly, enjoy collaborating with cross-functional partners, and can explain complex AI behavior to non-technical stakeholders.


  • You are comfortable operating in a startup-like environment, prioritizing impact and iterating quickly while maintaining quality.


Bonus Points

  • Experience in healthcare, EMR, or clinical workflows; familiarity with standards such as HL7/FHIR.


  • Experience with .NET Core, MySQL, and cloud deployment (Azure is a plus).


  • Familiarity with security and compliance practices such as HIPAA and SOC2-style controls, including RBAC and audit logging.


  • Experience building evaluation pipelines (golden datasets, offline eval, red-teaming, prompt regression tests).


  • Experience with vector databases/search or building retrieval layers over relational and document stores.


  • Knowledge of PHI de-identification, redaction, and safe data handling.


Tech Stack

  • Frontend: React + Vite + TypeScript


  • Backend: .NET Core services


  • Database: MySQL


  • Cloud: Azure, AWS


  • AI: LLM APIs, retrieval/vector search, observability & evaluation tooling

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