Note: The job is a remote job and is open to candidates in USA. Pivotal Health is a leading technology platform focused on improving healthcare reimbursement processes. The Senior Applied AI Engineer will design and enhance AI systems to automate workflows and improve decision-making, directly impacting the organization’s business outcomes.
Responsibilities
- Own and improve production AI systems. Design, deploy, and optimize AI/ML solutions that support critical business workflows and operational decision-making
- Build AI-powered workflow platforms. Develop and refine production workflows leveraging generative AI models, agent frameworks, orchestration systems, and decisioning engines
- Design evaluation and experimentation frameworks. Create robust evaluation methodologies, testing strategies, and measurement systems that improve model quality, workflow performance, and business outcomes
- Translate business problems into scalable systems. Partner with product, operations, and engineering teams to define success metrics and convert ambiguous requirements into production solutions
- Optimize model and workflow performance. Improve prompts, retrieval strategies, agent behavior, and system-level workflows through continuous experimentation and feedback loops
- Drive engineering excellence. Contribute to architecture, testing, observability, deployment safety, and operational reliability across AI-powered systems
- Accelerate AI adoption across the organization. Leverage AI tools and best practices to improve team productivity while helping establish scalable AI-native ways of working
Skills
- 5–8+ years of experience building software systems in production environments, with a strong track record of owning and delivering complex technical solutions
- Experience building and operating applied AI, LLM, agentic, or decisioning systems in production environments
- Experience designing experiments, evaluation frameworks, optimization loops, or performance measurement systems
- Strong software engineering background with Python and backend systems supporting production-scale AI applications
- Proven ability to translate complex operational requirements and real-world data into reliable, shipped products
- Experience working within healthcare or similarly complex operational domains
- Product-oriented mindset with a bias toward ownership, execution, and delivering measurable outcomes
- Comfortable navigating ambiguity and driving initiatives from concept through production deployment
- Demonstrated ability to balance technical excellence with business impact
- Experience in domains such as marketplaces, pricing optimization, ad technology, credit decisioning, lending, revenue optimization, or operational analytics
- Experience with retrieval systems, prompt engineering, structured generation, model routing, agent architectures, or tool-using AI systems
- Familiarity with modern evaluation frameworks and production monitoring approaches for LLM-based applications
- Experience scaling AI systems that support high-volume operational workflows
Benefits
- Competitive compensation, including equity
- Full health, dental, and vision coverage
- Retirement savings plan through 401(k)
- Flexible time off
- Opportunities for company-wide connection and events
Company Overview
Pivotal Health (formerly Radix Health) helps healthcare providers achieve fair reimbursement in an increasingly complex reimbursement landscape. It was founded in 2023, and is headquartered in , with a workforce of 51-200 employees. Its website is http://www.pivotalhealth.ai.