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Senior Backend Software Engineer (Python, LLM)

As a Senior Backend Software Engineer on our LLM Services team, you’ll be at the forefront of integrating AI into healthcare delivery. Your tasks will include designing and implementing Python-based services that leverage Large Language Models to enhance our core healthcare platform. Working closely with our distributed engineering and product teams, you'll:

  • Architect and build scalable micro-services that power our LLM-enabled features
  • Collaborate with other Software, ML and Infrastructure engineers to optimize LLM integration and deployment
  • Design and implement LLM orchestration services, including prompt management, model switching, and response streaming
  • Build robust evaluation pipelines to measure and improve LLM output quality and consistency
  • Develop scalable APIs for LLM-powered features, including context injection and retrieval augmentation
  • Implement efficient caching and optimization strategies for LLM inference
  • Create monitoring systems for tracking token usage, latency, and other LLM-specific metrics
  • Work on prompt engineering and chain-of-thought implementations
  • Ensure compliance with healthcare regulations while working with LLM outputs
  • Participate in technical design discussions and code reviews
  • Monitor and maintain services in production, including LLM Observability using tools like LangFuse

Requirements

  • Strong proficiency in Python and experience building production-grade backend services
  • Understanding of prompt engineering principles and LLM evaluation metrics
  • Experience with vector databases (like Pinecone, Weaviate, or similar) for semantic search
  • Familiarity with streaming architectures for real-time LLM responses
  • Experience implementing rate limiting and failover strategies for API services
  • Strong grasp of software engineering best practices, including testing, documentation, and version control
  • Excellent problem-solving skills and attention to detail
  • Strong written and verbal communication skills

You'd be a great fit if you have

  • Experience fine-tuning or implementing RAG (Retrieval Augmented Generation) systems
  • Experience with LLM frameworks such as LangGraph, LangChain, LlamaIndex, or similar orchestration tools
  • Familiarity with different LLM providers (OpenAI, Anthropic, etc.) and their APIs
  • Familiarity with the use of Open LLMs, either self-hosted or on through a third party provider, e.g. Amazon Bedrock
  • Knowledge of LLM output validation and safety measures
  • Experience with embeddings and semantic search implementations
  • Background in prompt engineering or LLM evaluation metrics
  • DevOps experience, particularly with containerised service deployment, GPU-enabled compute environments and scaling
  • Knowledge of healthcare data privacy regulations and security best practices
  • Experience working in distributed teams across multiple time zones

Location & Work Style

  • All-remote position
  • Flexible working hours. However due to need to work closely with engineers in Europe, we are not able to consider US applicants in the PST timezone
  • Occasional late meetings to collaborate with US-based team members
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Full-time, remote
DATE POSTED
May 14, 2025

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