Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We’re constantly reimagining what’s possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.
We're building production-grade agentic systems that audit medical claims end-to-end — reading raw medical records, reasoning over coding and clinical guidelines, and producing defensible findings that hold up to clinical and regulatory review. Reaching human-expert accuracy on noisy, long-context documents is one of the hardest unsolved problems in applied AI, and the field is moving weekly.
We're hiring a Staff (L6) AI Engineer to set the technical direction for these systems. You'll own the architecture of our audit agents from the first design decision to production, decide how we measure whether they're right, and make the engineers around you faster and better. This is a hands-on role: you'll write much of the hardest code yourself while leading the design work several engineers build on.
What You'll Do- Own the agent architecture. Decide the loop, the tools, the context strategy and the evaluation harness for our claim-audit agents. Choose between single-agent and multi-agent topologies, between LLM reasoning and deterministic post-passes, between retrieval and direct context loading — and defend each choice with data.
- Set the evaluation strategy. Define, with our clinical and coding experts, what expert-level accuracy means in measurable terms. Build the eval infrastructure the team ships against, diagnose where systems fail, fix the root cause, and prove the fix moved the metric.
- Engineer context at scale. Long, noisy medical records; citation-grounded findings; structured outputs and tool surfaces that models call correctly every time.
- Lead through ambiguity. Turn open-ended problems into technical plans, lead projects that span several engineers and quarters, and make the calls on model choice, build versus buy, and the trade-offs between cost, latency and accuracy.
- Run it in production. Own reliability, observability and cost control for LLM workloads that run on real claims every day.
- Raise the bar. Mentor engineers, review designs and code, and set the team's standards for agent design, evals and engineering quality — including how we use Claude Code, Codex and similar tools to move faster than most teams can without them.
- Become a domain expert. Healthcare claims, coding guidelines, and the medical record itself are unavoidable parts of the job. Strong engineers who lean into the domain become outsized contributors here.
- 8+ years of software or ML engineering experience, including 3+ years building applied ML / AI systems in production, with a Bachelor's in CS, Math, Engineering or a related quantitative field (Master's or PhD preferred).
- Staff-level technical leadership: you've set the architecture of a production system other engineers built on, and led work across a team.
- Hands-on generative AI experience: training or fine-tuning generative models, or building agentic systems that solve real business problems in production.
- Deep, hands-on understanding of agent loops — how a model decides to call a tool, how a tool result re-enters context, how loops terminate, where they fail.
- Hands-on experience with at least one major agent SDK — OpenAI Agents SDK, Anthropic SDK / claude-agent-sdk, LangGraph, or equivalent — and a well-argued view of the trade-offs.
- Working knowledge of how modern coding agents are built and how they engineer context, and fluency with Claude Code / Codex as a power user — including reading their source when needed to understand or extend behavior.
- Strong Python engineering that sets the standard for a team: clean abstractions, type discipline, async, tested code.
- Solid command of VS Code and git — branches, rebases, worktrees, conflict resolution, PR workflows.
- A bias toward measurement: you've built evals a team relies on, you don't ship without one, and you don't believe a number you can't reproduce.
- Prior work on long-context, citation-grounded systems where the model must point to evidence, not just answer.
- Production experience with caching, observability, and cost and latency control on LLM workloads at scale.
- Experience designing structured outputs (Pydantic / JSON Schema) and tool interfaces that LLMs reliably call correctly.
- Familiarity with reasoning models (o-series, Claude extended thinking, Gemini thinking) and a sense of when they earn their cost.
- Healthcare, legal, finance, or any other domain where "mostly right" is unacceptable.
- Document understanding (OCR, layout-aware models, table extraction).
- Vision-language models, multimodal retrieval.
- Published work or substantial open-source contributions on agents, evals or LLM systems.
- Work from anywhere in the US! Machinify is digital-first.
- Top Medical/Dental/Vision offerings
- FSA/HSA
- Tuition reimbursement
- Competitive salary, 401(k) with company match
- Unlimited PTO
- Additional health and wellness benefits and perks
- Flexible and trusting environment where you'll feel empowered to do your best work
The salary for this position is based on an array of factors unique to each candidate, such as years and depth of experience, skill set, and certifications. The base salary range for this role is [L6 range: confirm with Comp before posting]. Compensation also includes meaningful equity, healthcare, unlimited PTO, and more.
Skills Required
- 6+ years of applied ML, AI, or software engineering experience with a Bachelor's degree in Computer Science, Mathematics, Engineering, or equivalent; alternatively, 4+ years with a Master's or PhD in a similar program.
- Ownership of at least two production systems end-to-end, from ambiguous problem definition through measured business impact, ideally including an LLM- or agent-based system.
- Track record of driving vague business problems to closure, including scoping initiatives, defining metrics, executing work, and shipping measurable results.
- Strong stakeholder communication with clinicians, coders, operations leads, product teams, and other non-technical domain experts.
- Deep hands-on agent engineering experience, including agent loops, single-agent and multi-agent topologies, context engineering, structured outputs, citation grounding, and failure-mode debugging.
- Experience building reproducible evaluation harnesses and applying eval-first development practices.
- Strong Python engineering skills, including clean abstractions, type discipline, asynchronous programming, and tested code.
- Hands-on experience with a major agent SDK such as OpenAI Agents SDK, Anthropic SDK, Claude Agent SDK, LangGraph, or equivalent.
- Power-user fluency with Claude Code or Codex, including planning, executing, debugging, and evaluating non-trivial engineering tasks.
- Solid command of VS Code and Git, including branches, rebases, worktrees, conflict resolution, and pull request workflows.
- Experience defining and owning trusted business metrics, such as precision and recall against expert ground truth, dollar-weighted impact, or appeal-survival rate, including the supporting data pipeline.
- Experience with long-context, citation-grounded systems requiring evidence-based model outputs.
- Experience in healthcare, legal, finance, or another high-consequence domain where findings are challenged by experts.
- Experience setting technical direction for a small engineering group, reviewing designs, mentoring engineers, and owning quality for a problem area.
- Familiarity with reasoning models such as o-series, Claude extended thinking, or Gemini thinking.
- Production experience with caching, observability, and cost control for LLM workloads at scale.
- Experience with document understanding, OCR, layout-aware models, table extraction, vision-language models, or multimodal retrieval.
- Experience presenting technical results to executive, customer, or regulator audiences.
Machinify Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Machinify and has not been reviewed or approved by Machinify.
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Healthcare Strength — Health coverage is described as employer-paid for employees with additional support for dependents, alongside dental, vision, mental health, and FSA/HSA options. Listings consistently depict comprehensive medical benefits.
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Leave & Time Off Breadth — Policies include unlimited PTO, paid holidays and sick time, and a weekly no‑meetings day. These elements indicate broad time‑off access alongside flexible scheduling.
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Parental & Family Support — Inclusive paid parental leave is stated at 14 weeks for birth and non‑birth parents. Family benefits are prominently featured across public materials.
Machinify Insights
What We Do
Machinify is an AI start-up in the Healthcare space. Our software platform leverages the latest advances in machine learning, large language models, data analytics, and cloud processing to solve previously intractable problems in the healthcare industry impacting millions of lives.
Why Work With Us
We are a heavily cross-functional, collaborative diverse team working together to solve big problems that matter. If you are looking for an exciting environment where you'll be challenged to do the best work of your career, consider joining us!
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