> Markdown version of [/jobs/ext/3960064-senior-full-stack-ai-engineer-natural-language-systems](https://www.wearedevelopers.com/jobs/ext/3960064-senior-full-stack-ai-engineer-natural-language-systems). Every page supports `.md` or `Accept: text/markdown`. Links point to the HTML versions so they work for humans too. Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Senior Full Stack AI Engineer (Natural Language Systems) - **Company:** Prompt, Inc. - **Location:** United States - **Experience:** Expert - **Contract:** Permanent contract - **Skills:** Artificial Intelligence, Amazon Web Services, Amazon Elastic Compute Cloud, Amazon S3, Medical Software, Python (Programming Language), PostgreSQL, Routing, Recommender Systems, Regression Testing, Software Engineering, SQLAlchemy, Data Streaming, Twilio, Speech Recognition, Workflow Management Systems, Enterprise Software Applications, Large Language Models, Fastapi, Amazon Relational Database Service, Low Latency, Enterprise Integration, Machine Learning Operations, Evaluation of Large Language Models, Natural Language Understanding, Data Pipelines, Docker - **Published:** October 27, 2026 - **Apply:** https://www.careerbuilder.com/job-details/senior-full-stack-ai-engineer-natural-language-systems--f8664987-51e2-43c4-9e3d-3f498a37c58a ## About the Role * 4+ years of experience building AI/ML systems in industry or academia, with meaningful production ownership * Strong experience building and evaluating NLP and/or LLM systems (e.g., retrieval, summarization, classification, extraction, agent workflows) * Experience working with speech-related pipelines in production or near-real-time settings (e.g., speech-to-text, spoken intent classification, conversational AI) * Track record of benchmarking and iteratively improving accuracy, cost, and latency * Enthusiastic and pragmatic problem-solving mindset * Excellent communication skills, with the ability to explain complex AI concepts to non-technical stakeholders * Python (>3.9) * Docker (Basics) * AWS familiarity (S3, RDS, EC2) preferred * Willingness to learn and deeply understand the healthcare sector, specifically physical therapy, occupational therapy, and speech therapy * Please only apply if you are interested in a heavy code contribution role; this is not an engineering management position, though growth opportunities exist over time Nice-to-Haves * Experience building and optimizing real-time speech processing systems (latency, streaming, stability) * Experience with modern STT engines and their evaluation * Experience with modern TTS enginesand voice pipeline integration * Experience designing, developing, and optimizing IVR applications * Experience working with CPaaS platforms (e.g., Twilio) for telephony workflows and conversational routing * Experience architecting ML/LLM evaluation pipelines and quality systems (offline + online evaluation, golden sets, regression testing) * Experience with recommendation systems, automation systems, or large-scale workflow orchestration * Familiarity with FastAPI, Pydantic, SQLAlchemy, PostgreSQL * Experience with CI/CD pipelines and production observability tooling * Experience building healthcare software and/or data processing pipelines ## Description * Drive Prompt's mission to improve healthcare through modern technology including AI * Lead AI projects from ideation architecture production iteration until features are widely adopted and loved! * Develop and deploy real-time AI systems involving speech and natural language understanding (e.g., transcription, summarization, classification) * Build robust model and prompt pipelines for LLM-powered workflows with high accuracy and monitoring standards * Partner with Product and Engineering to identify high-leverage AI opportunities and deliver measurable outcomes * Help develop Prompt's strategic AI roadmap across speech, NLP, and core automation workflows * Apply AI to improve client and internal operations including clinical documentation, customer support, and billing workflows * Develop a deep understanding of Prompt's product, customers, and the business of rehab therapy * Help grow and lead the AI team, including training and development of junior team members