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Job Description

Autonomize AI is building production AI systems for healthcare agents and copilots, where models must perform reliably on real-world workflows. This hands-on AI Engineer role focuses on delivering measurable improvements across the full lifecycle, from LLM/VLM and RAG pipelines to evaluation, monitoring, and fast research-to-production execution.

The position is based in Austin, TX and is onsite. You will work with a modern ML stack to ship systems that support utilization management and payment integrity, claims, and appeals.

What you’ll do

  • Build and optimize production AI pipelines that combine LLMs with classical ML, including RAG, extraction, scoring, summarization, and classification for utilization management, payment integrity, claims, and appeals.
  • Implement VLM- and OCR-based pipelines that convert medical documents, faxes, and healthcare forms into structured, reliable data.
  • Run SFT and parameter-efficient fine-tuning experiments (for example, LoRA) on both open-source and proprietary models.
  • Develop retrieval strategies, prompt chains, tool-using agents, and inference orchestration (for example, LangGraph) for production use cases.
  • Create evaluation harnesses and test sets, conduct error analysis, and translate findings into measurable accuracy gains.
  • Track and improve model quality, latency, cost, explainability, and safety for models in production.
  • Prototype new techniques from recent research and help determine what is ready to move into production.
  • Collaborate with senior MLEs, product, engineering, and domain experts, while documenting work clearly.

Required qualifications

  • 2+ years of experience in applied ML and LLMs.
  • Strong Python skills and familiarity with PyTorch, Hugging Face Transformers, and LLM frameworks such as LangChain, LangGraph, and LlamaIndex.
  • Comfort with embeddings, vector search, retrieval pipelines, and prompt engineering.
  • Experience fine-tuning or adapting models, plus working knowledge of classical ML and NLP.
  • Understanding of model evaluation, observability, and responsible AI practices.
  • Experience deploying models to production, including familiarity with MLOps tooling such as MLflow, Docker, and Kubernetes.
  • Solid software engineering fundamentals with clean, testable code.
  • A bias for experimentation, clarity, and shipping fast.
  • Experience with healthcare, compliance-sensitive data, or regulated environments.
  • BS/MS in Computer Science, Engineering, Data Science, or a related field, or equivalent experience.

Technologies you’ll use

  • Python, PyTorch, Hugging Face Transformers
  • LangChain, LangGraph, LlamaIndex
  • Embeddings, vector search
  • SFT, LoRA
  • MLflow, Docker, Kubernetes

Benefits

  • Real-world impact
  • Category-defining AI products
  • Hard, unsolved ML problems
  • Research to production, fast
  • Significant ownership and autonomy
  • Modern stack and compute
  • Build your public profile
  • Learn with strong peers
  • A high-growth environment with exceptional technical challenges
  • Competitive compensation with performance incentives
  • 100% employer-paid health, vision, and dental insurance
  • Retirement plans (401k), disability insurance, and employee assistance programs

Nice to have

  • Experience with VLMs or document AI
  • Exposure to healthcare payer workflows such as UM, claims, prior authorization, and medical coding
  • Experience with agent frameworks or multi-step reasoning systems
  • Open-source contributions, side projects, or technical writing

How you show up

  • Owner mentality with a focus on learning and getting it done.
  • Curiosity and an experimentation-first approach to problems.
  • Commitment to the team and the mission.
  • Team-first collaboration and a preference for learning and winning together.
  • Clear communication across writing, chat, and video.

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