Staff Machine Learning Engineer working on AI capabilities for clinicians and patients at Fullscript. Contributing to scalable, reliable, and clinically useful AI experiences.
Responsibilities
Lead the design, development, and deployment of production, multi-turn LLM-powered features, including summarization tools and clinician-facing conversational agents that support follow-up questions and reasoning over clinical context
Own backend services in Python that integrate LLM agents with Fullscript’s platform and support reliable production use
Help define technical direction for prompting, grounding, safety, and orchestration strategies used across clinical AI workflows
Establish and improve evaluation approaches for LLM outputs, including accuracy, hallucinations, edge cases, and overall feature quality
Shape engineering patterns for model-related workflows, including testing, CI/CD, observability, and version control
Partner with medical, product, and engineering teams to identify high-value opportunities for AI and turn them into practical, scalable product capabilities
Work cross-functionally with engineering, analytics, and medical SMEs to refine requirements and ensure data and system design support clinical use cases
Provide technical leadership across projects by creating clarity in ambiguous problem spaces, guiding tradeoff decisions, and raising the quality bar for the team
Stay current with the latest LLM research and emerging AI technologies, and help assess where they can be applied effectively at Fullscript
Requirements
6+ years of experience building and implementing machine learning applications in production, including meaningful experience with LLM-powered agents, conversational experiences, or agent-based workflows
A track record of owning complex technical problems end to end and shaping implementation beyond your immediate code contributions
Experience designing and deploying AI systems that answer open-ended questions, support follow-up interactions, and operate reliably in production
Strong experience with LLM application frameworks and tooling, such as LangChain, LangGraph, or similar orchestration and RAG frameworks
Familiarity with evaluation and monitoring frameworks for LLM outputs, conversational quality, and system reliability
Knowledge of MCP, agent orchestration patterns, or related approaches for building multi-step AI systems
Strong proficiency in Python and SQL
Experience making sound technical decisions around quality, safety, maintainability, and scalability in production AI systems
Strong communication and collaboration skills, with the ability to work effectively across technical and non-technical stakeholders.
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