Senior AI/ML Product Engineer - Health Tech, Remote

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

Job summary

Optum is seeking a Sr Principal AI/ML Engineer to own the hardest technical bets and shape enterprise AI-enabled products. You will build end-to-end services and AI agents integrated with Electronic Health Records, partnering across product, design, clinical, and operations to ensure safe, scalable deployments.

You will write production code daily, define deployment standards, and drive evaluation and governance for AI across markets, collaborating with Optum Health engineering teams to raise AI

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 production software end to end, from backend services to interfaces used by care teams and patients.
• Own deployment strategy: cloud infrastructure as code, CI/CD, environments and release practices.
• Create integrations with electronic health records and care systems using FHIR, HL7, and vendor APIs.
• Build AI agents and large language model features across channels used by patients and staff.
• Prototype rapidly against real systems and move successful solutions to production.
• Develop shared foundation with engineering teams: integrations, deployment pipelines, and evaluation harness.

Skills

Senior individual contributor

AI/ML engineering

Full-stack development

CI/CD

Cloud infrastructure

GitHub

Security & privacy by design

Education

Bachelor's degree in Computer Science, Engineering, or related field

Tools

Epic

athenahealth

eClinicalWorks

FHIR

HL7

Job description

Optum is seeking a Sr Principal AI/ML Engineer to own the hardest technical bets and shape enterprise AI-enabled products. You will build end-to-end services and AI agents integrated with Electronic Health Records, partnering across product, design, clinical, and operations to ensure safe, scalable deployments.

You will write production code daily, define deployment standards, and drive evaluation and governance for AI across markets, collaborating with Optum Health engineering teams to raise AI