Senior AI Engineer - Healthcare EHR & AI Systems

iCareManager, LLC.; Pakistan; Remote; PKR 24,931,000 - 41,551,000; Full time

Benefits offered by this job

Competitive salary

Flexible work environment

Direct access to founders and CPO

Work on live AI healthcare products

Job summary

iCareManager, LLC. is seeking senior software engineers to own and advance the emrgen.ai module.

You will take over code, infrastructure, models, and prompts, delivering with full documentation and no single point of failure, while working closely with the Head of Delivery and our Pakistan-based team. You will audit architecture, security, data handling, and model behavior, and build guardrails to ensure clinician-approved notes.

Qualifications

• 8+ years as a professional software engineer, including time as a technical lead.
• 3+ years shipping AI features into production.
• Experience building or heavily working on an EHR/EMR system for United States healthcare customers while based in Pakistan.
• Hands-on work with large language models, including prompt design, retrieval, evaluation, and controlling cost and speed; speech-to-text experience is a strong plus.
• Real experience inheriting a system someone else built and making it maintainable.
• Working knowledge of HIPAA, audit trails, and handling protected health information inside AI pipelines.
• Written English strong enough for customer-facing documentation, and comfortable working with United States hours overlap.

Responsibilities

• Take over the emrgen.ai codebase, cloud environment, and AI components, and finish the handover with full documentation, clean access, and no single point of failure.
• Audit what is running today, covering architecture, security, data handling, and model behavior, and deliver a written plan for what to keep, fix, or rebuild.
• Run the AI documentation features end to end, from clinician input to the structured note a clinician reviews and signs.
• Measure AI quality with real evaluation sets, and track accuracy, invented content, and how often clinicians have to edit a generated note.
• Build guardrails so the AI never adds clinical facts that were not in the source, and so a clinician approves every note before it enters the record.
• Protect patient data by enforcing access controls, audit logging, and clear rules on what may reach any outside model provider.
• Connect emrgen.ai to the rest of the iCareManager platform and to state Medicaid billing requirements, so documentation turns into billable services.
• Set up releases, monitoring, and on-call coverage so we find production problems before our customers do.
• Mentor engineers on the Pakistan team and help us hire the people who join you.

Skills

Technical lead

AI in production

EHR/EMR experience

LLM / Prompt engineering

Maintainable systems

HIPAA knowledge

Clinical workflows

English proficiency

Tools

HL7

FHIR

SOC 2

Job description

iCareManager, LLC. is seeking senior software engineers to own and advance the emrgen.ai module.

You will take over code, infrastructure, models, and prompts, delivering with full documentation and no single point of failure, while working closely with the Head of Delivery and our Pakistan-based team. You will audit architecture, security, data handling, and model behavior, and build guardrails to ensure clinician-approved notes.