Senior AI/ML Product Engineer - Enterprise Health, Remote

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

Job summary

Optum is seeking a Sr Principal AI/ML Engineer to own high-impact AI-enabled products within the AI & Product Office. You will write production code daily, build end-to-end services, and integrate with electronic health records and care systems while ensuring safety and enterprise readiness.

You’ll lead deployments, build AI agents for multiple channels, and collaborate with product, design, clinical, and operations partners to advance health optimization globally.

Qualifications

• 10+ years of professional software engineering experience shipping and operating production systems.
• Experience in the healthcare industry and/or within a large, complex, matrixed organization.
• Full-stack experience: backend services, APIs, and data stores, and enough front-end or mobile to ship a complete product without waiting on another team.
• Experience building and shipping a large language model application or agent to real users, and can explain how it was evaluated.
• Ability to use AI coding and agent tools in your own work every day, and has built with them: an agent, automation, or large language model tool you designed, built, and ran, at work or as a personal project.
• Demonstrated solid testing and operational discipline: automated tests, continuous integration, observability, and on-call ownership of what you ship.
• Experience with owned cloud infrastructure and deployment for a production system: infrastructure as code, continuous integration and deployment, and security controls that pass an enterprise review.
• Ability to work at the enterprise level and at a single market's level, and to tell which one a given decision belongs to.
• Demonstrated clear writing skills: design decisions and findings on this team are written down where the next engineer will find them.
• Ability working proficiency in GitHub, AI coding and agent tools, cloud platforms, and infrastructure as code.
• Experience as a senior individual contributor, hands-on: writes production code every day and owns hard problems end to end, working across functions to deliver them.
• Ability to be a technical owner of a system other engineers built on, including its architecture and the decisions that were hard to reverse.

Responsibilities

• Build & Deploy: design, build, test, and deploy production software end to end, including backend services, data pipelines, and care interfaces used by patients and care teams.
• Own how the team deploys: cloud infrastructure as code, CI/CD, environments, and release practices safe for patient care.
• Build AI agents and large language model features across channels (SMS/voice), with careful prompt design, retrieval, and guardrails.
• Prototype against real systems and push successful ideas to production.
• Define shared foundation with Optum Health engineering teams: integrations, deployment pipeline, evaluation harness.
• Evaluate & Operate: build automated evaluations, monitoring, drift checks, and incident response; operate what you ship.
• Partner & Multiply: set engineering practices, document decisions, and raise AI fluency across market teams.

Skills

Experience shipping prod software

Healthcare domain

Full-stack development

AI/ML engineering

AI coding/tools

Testing/CI/Observability

Infrastructure as code

Enterprise governance

GitHub

Senior IC

Education

Bachelor's degree in CS/Engineering

Tools

Epic

athenahealth

eClinicalWorks

Job description

Optum is seeking a Sr Principal AI/ML Engineer to own high-impact AI-enabled products within the AI & Product Office. You will write production code daily, build end-to-end services, and integrate with electronic health records and care systems while ensuring safety and enterprise readiness.

You’ll lead deployments, build AI agents for multiple channels, and collaborate with product, design, clinical, and operations partners to advance health optimization globally.