What you’ll be doing:
- Design and build the autonomous system that takes "high risk" signals and triggers coordinated Email, SMS, and Voice outreach at scale.
- Build the backend systems that power our AI concierge—enabling agents to intelligently reach out, engage, and guide members through their care journey.
- Oversee data ingestion and tagging pipelines that process healthcare claims data for ML models.
- Improve our ML models using latest technologies and techniques to increase the relevance of our targeting and outreach.
- You'll lead the development of our agentic AI systems, including: Outbound AI Voice Agents (and Set up payloads and integrations); Multi-channel agents with sophisticated backend orchestration and API composition.
- Build tools and dashboards to monitor, evaluate, and improve agent performance.
- Implement metrics for AI agent success and identify failure modes.
- Evaluate foundation models and understand tradeoffs for specific use cases.
- Manage LLM token budgets, latency, and performance through smart routing and caching.
What you need to have:
- Production ML Experience: 5+ years developing and deploying machine learning algorithms in production environments.
- AI Agent Development: End-to-end experience building AI agents, including prompt engineering, model evaluation, and agentic workflows.
- Backend Engineering: Strong backend architecture skills — you can design scalable systems, not just train models.
- Engineering Management: 2+ years managing diverse technical teams (3-10 people), with a track record of developing and elevating engineers.
- High-Growth Experience: You've worked in fast-paced, high-growth environments where you've had to balance speed and quality.
- Technical Leadership: Comfortable being in the code while also setting technical direction and strategy.
- Cross-Functional Collaboration: Proven ability to work with business leaders, product teams, and growth teams to make technology accessible and understandable.
What we would love to see:
- Healthcare claims data experience or work in regulated industries (fintech, insurtech).
- Light full-stack capabilities for building internal evaluation tools.
- Experience with LLM optimization (token management, caching, model routing).
- Data science algorithm development.
- Experience with agentic frameworks and multi-agent systems.
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.
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.









