Senior Machine Learning Engineer building LLM-powered lab interpretation and clinical decision-support tools for Fullscript’s healthcare platform. Owning AI systems from prototyping through production.
Responsibilities
Design, build, and deploy LLM-powered product features, including lab result summaries, clinical workflow tools, and practitioner-facing conversational agents
Build backend services integrating LLMs and ML models into Fullscript’s platform, primarily using Python and increasingly Elixir
Develop AI systems supporting open-ended clinical questions, follow-up interactions, and reasoning over structured and unstructured healthcare context
Implement prompting, grounding, retrieval, and safety strategies
Build evaluation, testing, monitoring, and CI/CD workflows for AI features
Partner with medical, product, analytics, and engineering teams to translate clinical needs into scalable AI capabilities
Own AI systems from experimentation and prototyping through production deployment, iteration, and ongoing improvement
Contribute to architecture and implementation decisions for AI-powered analytics, lab interpretation, and clinical decision-support workflows
Stay current with LLM, agentic AI, and applied ML ecosystems while assessing production readiness
Requirements
7+ years of experience in machine learning engineering, applied AI engineering, backend engineering, or a similar role, with a track record of shipping production systems
2+ years of recent hands-on experience building LLM-powered applications, including conversational agents, RAG workflows, tool use, or agentic systems
Strong backend development experience in Python
Solid SQL fundamentals
Familiarity with MCP, Langfuse, agent orchestration patterns, tool-calling systems, or multi-step AI workflows
Experience integrating LLMs such as OpenAI, Gemini, Anthropic, or similar models into user-facing products
Experience with LangChain, LangGraph, Hugging Face tools, or similar frameworks
Strong engineering practices including Git, testing, CI/CD, observability, evaluation, and production monitoring
Experience evaluating and validating LLM applications for quality, hallucinations, correctness, edge cases, and reliability
Ability to work independently in ambiguous problem spaces and partner with technical, product, medical, and non-technical stakeholders
Benefits
Flexible PTO
RRSP/401k match
Stock options
Premium benefits package with customizable coverage
Applied Machine Learning Scientist developing Generative AI and predictive ML solutions at TD, a major North American bank. Supporting model evaluation, deployment, monitoring, and responsible AI governance.
Applied Machine Learning Scientist developing Generative AI and predictive ML solutions for TD banking. Evaluating models, managing AI lifecycles, and supporting responsible implementation.
Senior Machine Learning Engineer building conversational AI agents and production ML systems. Helping Numa automate automotive dealership service and sales through evaluation - first tooling and infrastructure.
Senior ML Engineer building production ML, RAG, and agentic AI capabilities for SailPoint’s cloud identity security platform. Driving scalable, customer - focused AI solutions from research to production.
Senior ML Engineer developing debiased pCTR and conversion models for Instacart’s grocery advertising ecosystem. Advancing ranking, retrieval, and sequence modeling across ads surfaces.
Senior AI/ML Engineer building Generative AI, RAG, and agentic solutions for pharmaceutical Statistical Programming. Deploying secure, validated, production - ready AI applications with Python and AWS.
Staff ML engineer building models, evaluations, and agentic systems for Sourcegraph’s code - understanding products. Improving enterprise code search quality, latency, cost, and reliability.
Graduate co - op scientist at TD, a global financial institution, developing machine learning models and analytics solutions. Querying data, engineering features, and translating insights into banking decisions.