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Machinifyinc is looking for an L6 AI Engineer to tackle complex business problems through applied AI. The role involves working closely with clinical teams, defining metrics, and building production-grade systems capable of delivering accurate results. Successful candidates will have a strong background in machine learning and hands-on experience with agent engineering.
Offering competitive compensation ranging from $180k to $260k+, the position supports a hybrid work environment with exceptional benefits.
We're building production-grade agentic systems that audit medical claims end-to-end — reading raw medical records, reasoning over coding and clinical guidelines, and producing defensible findings that hold up to clinical and regulatory review. Reaching human‑expert accuracy on noisy, long‑context documents is one of the hardest unsolved problems in applied AI, and the field is moving weekly.
We're hiring an L6 AI Engineer to own entire problem areas, not tickets. You'll walk into vague, high‑stakes business problems — "our DRG audit findings aren't holding up on appeal," "we need to expand into a new claim type next quarter," "the agent is too slow and too expensive to roll out broadly" — and you'll be accountable for translating them into a technical bet, scoping it with the business, defining the success metric, building the system, and proving it worked. You'll set the technical direction for a problem area and pull other engineers along with you.
Drive vague business problems to closure. Sit with clinical leads, product, and ops to understand what's actually broken, where the money is, and what "good" looks like. Translate that into a concrete technical problem statement with a measurable target — and push back when the framing is wrong.
Define the metric before you build the system. Decide what you're optimizing (recall on overpayments? appeal‑survival rate? cost per case? agreement with senior coders?), how it will be measured, what the baseline is, and what number constitutes shipping. Build the eval harness that produces it. No metric, no project.
Scope and sequence the work. Break an ambiguous initiative into a phased plan with explicit decision points, kill criteria, and dependencies. Decide what's in scope, what's deferred, and what's not worth doing — and communicate that crisply to non‑technical stakeholders.
Set the technical direction for a problem area. Choose the agent topology, the context strategy, the model mix, the evaluation regime, the deterministic guardrails. Own the architectural call and the tradeoffs behind it. Other engineers — including senior ones — should be able to build against the foundation you set.
Raise the bar on agent engineering. Lead by example on context engineering, structured outputs, citation grounding, eval discipline, and cost/latency control. Review designs and PRs from other engineers on the team and leave the codebase and the patterns sharper than you found them.
Be the technical interface to the business. Present results to clinical, product, and executive stakeholders. Defend the methodology when findings are challenged. Know the domain well enough to argue with a senior coder about why a code is or isn't supported.
Use AI tooling like a force multiplier. A meaningful fraction of your day will be spent driving Claude Code, Codex, and similar tools to plan, scaffold, refactor, debug, and evaluate. We expect you to be dramatically faster with these tools than most engineers are without them, and to teach the rest of the team to be the same.
We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. Machinify is an employment at will employer. We participate in E-Verify as required by applicable law. In accordance with applicable state laws, we do not inquire about salary history during the recruitment process. If you require a reasonable accommodation to complete any part of the application or recruitment process, please let our recruiters know. See our Candidate Privacy Notice at https://www.machinify.com/candidate-privacy-notice/.