Senior GenAI Engineer – Healthcare Reporting (Databricks)

Blue Pearl HQ; Johannesburg; Hybrid; ZAR 900,000 - 1,400,000; Full time

Job summary

Decision Inc. seeks a Senior AI Engineer to develop a GenAI reporting solution for a leading private hospital group.

You will translate clinical reporting needs into governed data structures in Databricks and design LLM-powered workflows that generate structured hospital reports. You will implement retrieval-augmented generation, guardrails, and evaluation frameworks, and deploy the solution in production with monitoring and cost controls.

Qualifications

• Experience in AI/ML engineering with at least one production LLМ solution.
• Strong Databricks experience including Unity Catalog, Delta Lake, Databricks Workflows, MLflow, Mosaic AI Model Serving, Vector Search.
• Production-standard Python, PySpark and SQL skills.
• Prompt engineering and orchestration using LangChain, LangGraph, DSPy or equivalents.
• Experience generating structured outputs from LLMs and designing RAG solutions.
• Knowledge of LLM evaluation methods and regression testing.
• Experience implementing guardrails and protecting sensitive personal data.

Responsibilities

• Translate clinical reporting requirements into governed data points and build tables in Databricks.
• Design prompts, templates and orchestration workflows for structured narrative reports.
• Build retrieval capabilities over clinical guidelines and policy documents.
• Implement guardrails to ground statements in source data and protect patient information.
• Develop LLM evaluation frameworks with clinical stakeholders, including datasets and automated scoring.
• Deploy the solution into production with monitoring, audit trails and cost controls.
• Demonstrate progress to clinical stakeholders during sprints and incorporate feedback.

Skills

AI/ML engineering

LLM in production

Python

PySpark

SQL

RAG

LangChain

LangGraph

DSPy

Prompt engineering

LLM evaluation

Healthcare data

Clinical reporting

POPIA

Azure OpenAI

Unity Catalog

Delta Lake

Databricks Workflows

MLflow

Vector Search

Tools

Unity Catalog

Delta Lake

Databricks Workflows

MLflow

Mosaic AI

Vector Search

Job description

Decision Inc. seeks a Senior AI Engineer to develop a GenAI reporting solution for a leading private hospital group.

You will translate clinical reporting needs into governed data structures in Databricks and design LLM-powered workflows that generate structured hospital reports. You will implement retrieval-augmented generation, guardrails, and evaluation frameworks, and deploy the solution in production with monitoring and cost controls.