Note: The job is a remote job and is open to candidates in USA. Recruiting from Scratch is a premier talent firm focused on placing top talent at innovative companies. They are seeking a Senior AI Engineer to build and deploy production-grade voice AI systems and design workflows for healthcare automation, contributing to a platform that enhances personalized healthcare for Medicare beneficiaries.
Responsibilities
- Build and deploy production-grade voice AI systems
- Design agentic workflows for healthcare automation
- Build multi-agent orchestration systems
- Develop reinforcement learning feedback loops
- Design evaluation infrastructure for agent performance
- Improve AI quality through reward-driven optimization
- Build real-time STT / TTS pipelines
- Create autonomous care coordination agents
- Design workflow orchestration systems
- Improve production reliability for patient-facing AI systems
- Build data capture pipelines for model improvement
- Work directly with founders on technical roadmap
- Own AI system performance end-to-end
- Design scalable healthcare AI infrastructure
- Ship rapidly in a high-ownership startup environment
- Drive product iteration from real-world usage data
- Lay architectural foundations for scale
- Improve system accuracy using continuous feedback loops
Skills
- 1–10 years of engineering experience
- Strong backend or full-stack engineering fundamentals
- Strong Python proficiency
- Experience shipping production AI systems
- Strong systems design fundamentals
- Comfort with ambiguity
- High ownership mindset
- Ability to work autonomously
- Strong technical judgment
- Fast learner
- Strong product intuition
- Comfort operating in highly unstructured environments
- Ability to move quickly
- Strong debugging and optimization skills
- Ability to work directly with founders
- Built production voice AI systems
- Built production agentic systems
- Multi-agent orchestration experience
- RLHF / reward modeling experience
- Built eval-driven LLM systems
- Production reinforcement learning systems
- Real-time STT / TTS pipeline experience
- Healthcare AI experience
- Startup engineering experience
- Former founder / early engineer
- Strong AI infrastructure background
- Top technical education
- Demonstrated exceptional technical achievement
- Experience building feedback-loop systems
- Strong experimentation mindset
- Fast shipping velocity
- High ambiguity tolerance
- Experience with production-scale LLM optimization
Benefits
- Competitive equity
- Remote-first flexibility
- Hybrid option in Boston / SF
- Direct founder collaboration
- High technical ownership
- Meaningful architectural influence
- Early-stage upside
- Mission-driven healthcare impact
- Production-scale AI challenges
Company Overview