Senior ML Engineer (Europe-based/Remote)

Posted 3 Days Ago
27 Locations
Remote
60K-85K Annually
Senior level
Healthtech
The Role
Own machine learning projects from exploration through production, building reliable agentic LLM systems for clinical settings. Develop evaluation datasets, offline and online testing harnesses, LLM-as-judge workflows, regression tests, and production feedback loops. Improve models through prompting, retrieval, distillation, and fine-tuning. Partner with product, clinical, and engineering teams, while reviewing code, sharing knowledge, and mentoring junior engineers.
Summary Generated by Built In
At Sword, we’re building AI to heal billions and unlock humanity’s full potential. In doing so, we’re pioneering AI Care, a fundamentally new approach to healthcare built for medical reasoning, safety, and real-time treatment, not generic technology applied after the fact. As both a clinical-centric frontier AI lab and an applied AI platform, Sword is reimagining how care is delivered at scale, removing traditional barriers like appointments, waiting rooms, and stigma so more people can access the care they need - and ultimately get back to lives lived in full.
Since 2020, Sword has expanded across Musculoskeletal, Women’s Health, Cardiometabolic, and Mental Health, and is now moving beyond the session to a fully AI-native, 24/7 care program that brings physical activity, therapeutic exercise, psychotherapy, nutrition, and behavior change into one connected experience. More than 1 million members across three continents have completed over 15 million AI sessions, helping 2,000+ enterprise clients avoid more than $1 billion in unnecessary healthcare costs. Backed by 59 clinical studies, 43 patents, and more than $500 million raised from leading investors including Khosla Ventures, General Catalyst, and Founders Fund, Sword is defining a new standard for healthcare.
 
This position is open to candidates based anywhere in Europe.

AI Proficiency at Sword

    AI fluency is a core expectation at Sword. Every candidate is assessed against our three-level framework — be ready to share real examples of how AI is already part of how you work.

  • Explorer (Level 1) — Uses AI daily to boost personal productivity

  • Builder (Level 2) — Creates workflows and tools that elevate the whole team

  • Integrator (Level 3) — Embeds AI into products and processes at scale

  • Every hire must demonstrate at least Level 1. The expected level will vary depending on the seniority of the role.

What you’ll be doing:

  • Own ML projects end-to-end: take problems from exploration through production deployment and keep iterating once real users are on them;
  • Build agentic LLM systems: design multi-step workflows with tool use, retrieval, and orchestration, and make them reliable enough for clinical settings;
  • Treat evaluation as core engineering work: build eval sets, offline and online harnesses, LLM-as-judge pipelines with human review, and regression tests that catch quality drops before they reach users;
  • Improve model quality with whatever fits the problem: prompting, retrieval, distillation, or fine-tuning, chosen on evidence rather than habit;
  • Work across the full AI stack: data prep, model adaptation, serving, monitoring, and the feedback loops that keep systems improving in production;
  • Partner with Product, Clinical, and Engineering: translate clinical requirements into technical decisions and surface tradeoffs early;
  • Help the team get better: review code, share what you learn, and mentor engineers earlier in their careers.

What you need to have:

    • Experience shipping ML systems to production that people actually depend on;
    • Hands-on LLM work in production: prompting, retrieval, tool calling, and agent-style workflows;
    • A rigorous approach to evaluation: you've built eval datasets and frameworks, and you can tell a real improvement from noise;
    • Strong ML fundamentals: you know which approach fits which problem and can reason clearly about tradeoffs;
    • Comfort with ambiguity: you've taken loosely defined problems and turned them into something running in production;
    • Solid engineering skills: production-quality code, familiarity with distributed systems, and the patience to debug messy ML pipelines;
    • Clear communication with both technical and clinical stakeholders.
    • Bonus points

      • Experience with fine-tuning or preference optimization (RLHF, DPO, or similar);
      • Healthcare AI, or other high-stakes domains where errors carry real cost;
      • Built agent frameworks or evaluation tooling from scratch;
      • Open source contributions, technical writing, or other knowledge sharing.

*This range includes base, variable and equity
 
As this role may be filled in different European countries, the compensation range will be adjusted to reflect local market conditions and cost of living in the country of hire.
These compensation bands are just the starting point. Once someone joins and proves they’re outlier talent, we adjust quickly to ensure their compensation aligns with their impact.
Our job titles may span more than one career level. Actual pay is determined by skills, qualifications, experience, location, market demand, and other factors. Compensation details listed in this posting reflect the base salary and any potential variable, bonus or sales incentives, and the Company’s estimation of the value of private company stock options, if applicable. The pay range is subject to change, future value of company stock options is not guaranteed, and compensation may be modified in the future. In addition to our total compensation, Sword offers a number of benefits as listed below.
 
 
Sword Benefits & Perks
 
At Sword, we are committed to supporting our employees in every location. The benefits and perks applicable to this role are those standard to the country where the candidate will be based, in line with local regulations and market practices.
 
SWORD Health, which includes SWORD Health, Inc. and Sword Health Professionals (consisting of Sword Health Care Providers, P.A., SWORD Health Care Providers of NJ, P.C., SWORD Health Care Physical Therapy Providers of CA, P.C.*) complies with applicable Federal and State civil rights laws and does not discriminate on the basis of Age, Ancestry, Color, Citizenship, Gender, Gender expression, Gender identity, Gender information, Marital status, Medical condition, National origin, Physical or mental disability, Pregnancy, Race, Religion, Caste, Sexual orientation, and Veteran status.

Skills Required

  • Experience shipping production machine learning systems that people depend on
  • Production experience with LLM prompting, retrieval, tool calling, and agent-style workflows
  • Experience building evaluation datasets and frameworks and distinguishing real improvements from noise
  • Strong machine learning fundamentals and ability to reason about technical tradeoffs
  • Ability to handle ambiguous problems and turn them into production systems
  • Solid engineering skills, including production-quality code, distributed systems familiarity, and debugging ML pipelines
  • Clear communication with technical and clinical stakeholders
  • Demonstrated AI proficiency at least at the Explorer Level 1
  • Experience with fine-tuning or preference optimization such as RLHF or DPO
  • Healthcare AI or experience in other high-stakes domains
  • Experience building agent frameworks or evaluation tooling from scratch
  • Open source contributions, technical writing, or other knowledge sharing

SWORD Health Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about SWORD Health and has not been reviewed or approved by SWORD Health.

  • Healthcare Strength Health coverage includes comprehensive medical, dental, and vision, with HSA eligibility and optional accident, hospital, and critical-illness coverage. Life and AD&D insurance are also part of the package.
  • Leave & Time Off Breadth Time off is structured as discretionary (unlimited) PTO alongside paid company holidays. Remote-first work and flexible hours further support taking time when needed.
  • Wellbeing & Lifestyle Benefits Free access to the company’s digital therapist is provided for employees and their families. This wellness-oriented perk complements core healthcare coverage.

SWORD Health Insights

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The Company
HQ: New York, NY
197 Employees
Year Founded: 2015

What We Do

SWORD Health is the world’s fastest growing virtual musculoskeletal (MSK) care provider, on a mission to free two billion people from chronic and post-surgical pain. The company’s clinical-grade virtual therapy platform pairs expert physical therapists with FDA-listed wearable technology to deliver a personalized treatment plan that is more effective, easier and less expensive than traditional physical therapy. SWORD Health believes in the power of people to recover at home, without resorting to imaging, surgeries or opioids. Since launching in 2015, SWORD Health has worked with insurers, health systems and employers in the U.S, Europe and Australia to make quality physical therapy more accessible to everyone.

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