Senior AI Engineer

We are hiring a Senior AI Engineer to own and scale production AI systems across our platform. This is a hands-on, high-impact role focused on building reliable, performant, and cost-effective AI-powered workflows used daily by healthcare providers, billers, and internal teams.

You will operate at the intersection of product, infrastructure, and data-designing and shipping AI systems end-to-end while helping define our AI architecture, evaluation strategy, and best practices.

What You'll Own

· Design, build, and deploy production AI systems from concept through rollout and iteration

· Lead development of LLM-powered workflows (e.g., claim scrubbing, intake automation, documentation, data extraction, copilots)

· Own system reliability, latency, and cost optimization for AI features in production

· Establish and evolve evaluation frameworks, monitoring, and continuous improvement loops

· Build and standardize reusable AI patterns (prompting, retrieval, agent workflows, safety guardrails)

· Partner cross-functionally with Product, Engineering, and Clinical teams to translate real-world problems into scalable AI solutions

· Contribute to overall AI architecture and technical direction

What Success Looks Like (First 6 Months)

· Ship multiple production AI workflows that improve efficiency in areas like billing, intake, or documentation

· Establish evaluation + monitoring frameworks for LLM-based features

· Improve reliability and reduce manual operational workload through AI automation

· Define and implement best practices for building and deploying AI features at scale

Do you have experience in Scalable systems?, · Languages: Python, Node.js, .NET

· AI/LLMs: OpenAI, Azure OpenAI, Anthropic, Bedrock

· Frameworks: RAG, agent orchestration, structured outputs

· Data: SQL Server, Postgres, Redis, vector databases

· Cloud & Infra: Azure, AWS, Docker, Kubernetes

· Observability: OpenTelemetry, Prometheus, Grafana

What You Bring

· 7-10+ years building and shipping production software systems

· Proven experience deploying AI/LLM-powered features into production used by real users

· Strong understanding of system design, performance, and scalability

· Experience working with LLMs, retrieval systems (RAG), or AI agents in production environments

· Familiarity with evaluation, monitoring, and iteration of AI systems

· Ability to balance speed, quality, cost, and reliability in real-world systems

· Strong ownership mindset and ability to operate independently in ambiguous environments

Nice to Have

· Experience in healthcare, RCM, or HIPAA-compliant environments

· Experience building internal AI tooling or developer platforms, * Have you personally built and shipped at least one AI/LLM-powered feature to production (customer-facing or internal)?

• Have you helped teams ship and operate LLM/AI features and/or improved engineering productivity including reliability/cost guardrails?
• Have you used the following AI/LLM platforms in production: OpenAI, Azure OpenAI, Anthropic, AWS Bedrock, Hugging Face?
• How many years of experience do you have with tools such as: GitHub Copilot, Claude Code, Cursor, Kiro, Kilo?
• This position is based in the Dallas-Frisco area, currently remote but with a hybrid schedule soon requiring 2-3 days per week in-office. Are you able to commit to this schedule?
• How many years experience do you have building production software systems?
• Do you have experience with Healthcare or HIPAA?
• Will you now or in the future require sponsorship for employment visa status?
• Do you have 7+ years of hands-on software engineering experience building production systems (APIs/services/workflows)?

Work Location: Hybrid remote in Frisco, TX 75033

Pulled from the full job description

• 401(k) 4% Match
• 401(k) matching
• Vision insurance
• Dental insurance
• Profit sharing
• Internet reimbursement, · 70% employer-covered health, dental, and vision

· 401(k) with 4% match

· Cell & internet stipend

· Profit sharing

Pay: $120,000.00 - $150,000.00 per year

Aloha Practice Management is a fast-growing healthcare technology platform serving ABA organizations nationwide. We deliver end-to-end Practice Management, Revenue Cycle Management (RCM), and AI-powered automation across clinical, operational, and financial workflows. As we scale, AI is becoming foundational to our platform-from automating billing and documentation to powering intelligent workflows across the product. We are investing heavily in production-grade AI systems that deliver real, measurable impact for providers.