Lead AI Engineer — Build & Scale Agentic AI Systems

Integrated Home Care Acquisition; Town of Florida (NY); On-site; USD 140,000 - 210,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

401K with employer contribution

Holidays pay 6+ days

PTO 17 days

Wellness program

Job summary

Integrated Home Care Services (IHCS) is seeking a Lead AI Engineer to design, implement, and operate agentic AI systems that enhance our home care benefits management platform. This hands-on role involves building production AI agents while mentoring a small engineering team and shaping technical direction.

You will evaluate LLM providers, optimize data pipelines, ensure regulatory compliance for PHI/BAAs, and deliver solutions that drive measurable business value in a healthcare setting.

Qualifications

• 5+ years of professional software engineering experience delivering production systems.
• 1+ years building and deploying live LLM-powered or agentic systems.
• Experience evaluating multiple LLM providers for a given use case.
• Experience shaping data for model consumption and managing context windows.
• Strong experience with AWS and cloud architectures.
• Experience in regulated industries (healthcare, BAAs) is a plus.
• Experience mentoring or leading engineers.

Responsibilities

• Own the design, implementation, and operation of agentic AI systems.
• Lead and grow a small engineering team while shipping features.
• Set technical direction for architecture and tech stack.
• Deliver solutions that provide measurable business value.

Skills

Software engineering

LLM/agentic systems

LLM evaluation

Data preparation

AWS

Healthcare compliance

Technical leadership

Tools

AWS

Job description

Integrated Home Care Services (IHCS) is seeking a Lead AI Engineer to design, implement, and operate agentic AI systems that enhance our home care benefits management platform. This hands-on role involves building production AI agents while mentoring a small engineering team and shaping technical direction.

You will evaluate LLM providers, optimize data pipelines, ensure regulatory compliance for PHI/BAAs, and deliver solutions that drive measurable business value in a healthcare setting.