Enterprise AI Product Architect

Dovetail Health; Boston (MA); Remote; USD 185,000 - 317,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase and 401k

Job summary

Optum Health is seeking a Sr Principal AI/ML Engineer to own the hardest technical bets and build AI-enabled products that integrate with EHRs and care systems. This hands-on role writes production code daily, partnering with product, design, clinical, and operations teams to drive enterprise AI initiatives.

You will work remotely from anywhere in the U.S., building a small, cross-functional team and shaping the product strategy while ensuring reliability and scale across the enterprise.

Qualifications

• 10+ years of professional software engineering experience shipping and operating production systems.
• Experience in the healthcare industry or within a large, matrixed organization.
• Full-stack experience: backend services, APIs, data stores, and enough frontend to ship a complete product.
• Experience building and shipping a large language model application or agent to real users.
• Ability to use AI coding and agent tools daily in work.
• Demonstrated testing and operational discipline: automated tests, CI, observability, on-call ownership.
• Experience with owned cloud infrastructure and deployment: IaC, CI/CD, and security controls.
• Ability to operate at enterprise and market levels, and to document decisions clearly.
• Strong writing skills and ability to document design decisions.

Responsibilities

• Build & Deploy: design, build, test, and deploy production software end to end, including integrations with EHRs and care systems.
• Evaluate & Operate: embed evaluation, monitoring, and incident response in the product lifecycle.
• Partner & Multiply: define engineering practices, collaborate across market and enterprise teams, and document learnings.

Skills

Software engineering

Healthcare domain experience

Full-stack engineering

AI/ML development

Production systems

Education

Bachelor's degree in Computer Science or Engineering

Tools

GitHub

Cloud platforms

Infrastructure as code

APIs

EHR integrations

Job description

Optum Health is seeking a Sr Principal AI/ML Engineer to own the hardest technical bets and build AI-enabled products that integrate with EHRs and care systems. This hands-on role writes production code daily, partnering with product, design, clinical, and operations teams to drive enterprise AI initiatives.

You will work remotely from anywhere in the U.S., building a small, cross-functional team and shaping the product strategy while ensuring reliability and scale across the enterprise.