What you'll be doing:
- Own complex ML problems end-to-end - Take on the hardest technical challenges (like fine-tuning LLMs to maximize clinical outcomes) from initial exploration through production deployment and real-world iteration.
- Drive technical strategy in your domain - Define how we approach model development, evaluation, and optimization for clinical AI applications.
- Build and optimize production LLM systems - Design and implement fine-tuning pipelines, preference optimization (RLHF, DPO), and rigorous evaluation frameworks for clinical use cases.
- Work deeply across the full AI stack - From data preparation and model training through deployment, monitoring, and iteration in production environments.
- Influence across teams - Partner with Product, Clinical, and Engineering teams to shape technical decisions and ensure we’re solving the right problems.
- Raise the technical bar - Mentor engineers, establish best practices, and help define what excellent ML engineering looks like at Sword.
- May lead 1-2 engineers on specific projects, providing technical direction and mentorship.
What you need to have:
- Deep expertise in production ML systems - You’ve built and shipped ML systems that users depend on, with a track record of solving complex technical problems.
- Production LLM experience - You’ve fine-tuned, evaluated, and deployed LLMs in production environments.
- Experience with preference optimization - You’ve implemented techniques like RLHF, DPO, or similar approaches in production settings.
- Strong ML fundamentals - You understand when to use different ML approaches, can design rigorous evaluation frameworks, and make principled technical tradeoffs.
- End-to-end ownership - You’ve taken ambiguous, complex problems from initial exploration through production deployment and ongoing iteration.
- Excellent engineering skills - You write production-quality code, understand distributed systems, and can debug complex ML pipelines.
- Communication and influence - You can drive technical decisions across teams and explain complex tradeoffs to technical and clinical stakeholders.
What we would love to see:
- Experience with healthcare AI or clinical applications and the unique challenges of building ML for high-stakes domains.
- Track record of designing evaluation frameworks for LLMs in specialized domains.
- Contributions to the ML community through open source, technical writing, or other knowledge sharing.
To ensure you feel good solving a big Human problem, we offer:
- A stimulating, fast-paced environment with lots of room for creativity;
- A bright future at a promising high-tech startup company;
- Career development and growth, with a competitive salary;
- The opportunity to work with a talented team and to add real value to an innovative solution with the potential to change the future of healthcare;
- A flexible environment where you can control your hours (remotely) with unlimited vacation;
- Access to our health and well-being program (digital therapist sessions);
- Remote or Hybrid work policy;
- To get to know more about our Tech Stack, check here.
The interview process:
- 30-minute call with the recruiter
- 30-minute call with an initial screener
- 1 take-home assignment (to be delivered within 1 week)
- 1h general skills and working principles interview
- 1h mindset and cultural fit interview
Top Skills
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.








