Senior Generalist (Python, Data) Engineer - Healthcare AI Platform (US, Remote)

Job Description

About the Role:
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We are looking for a senior hands-on engineer to own and maintain a sophisticated AI platform already in production. This is not a greenfield project. You will be working on a live system used in a regulated enterprise environment, handling real scale and real complexity. You will operate autonomously, make technical decisions independently, and be the primary technical owner of the solution.

What You'll Do:
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* Maintain, improve, and extend an AI platform already running in production
* Handle a mix of backend development, data engineering, DevOps, and infrastructure work
* Translate business and product requirements into technical decisions independently
* Work directly with internal stakeholders and consumer teams
* Establish and maintain engineering best practices for the platform
* Identify and resolve technical issues as the first line of defense

What You'll Bring:
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* 6+ years of hands-on engineering experience with production systems
* Generalist mindset, comfortable across backend development, data pipelines, and cloud infrastructure
* Strong production Python skills and solid software engineering fundamentals
* Hands-on experience with AWS (S3, Lambda, ECS, SQS, Bedrock, RDS or similar)
* Experience with analytical data pipelines (SQL, Spark) and data processing at scale
* Experience with Infrastructure as Code (Terraform, CDK, or CloudFormation)
* Experience with AI-assisted development workflows (Claude Code or alternatives), not just autocomplete
* Experience maintaining and scaling systems in production, not just building POCs
* Autonomous working style, you don't need a project manager to tell you what to do next
* US-based, required due to project compliance and data security constraints

Nice to Have:
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* Experience with AI/ML systems or LLM-based applications
* Container-based deployments and Lambda optimization
* DevOps or MLOps background
* Prior consulting or professional services experience

What We Offer:
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* Full ownership of a production AI platform
* Remote-first, fully flexible work environment
* Annual performance bonus
* Health, dental, vision, 401(k) with company match, unlimited PTO
* Long-term engagement; this role extends beyond the initial project