AI Native Engineer
Role details
Job location
Tech stack
Job description
- LLM Extraction Agents: Design, build, and maintain production-grade LLM-based extraction pipelines to automatically parse years of unstructured PDF pathology reports.
- Structured Parsing: Programmatically extract clinical entities such as diagnoses, tumor grades, pathological staging, and critical biomarker statuses from raw, free-text documents.
- Framework Selection: Evaluate and integrate specialized agentic frameworks and orchestration tooling (e.g., LangChain, LlamaIndex, or direct LLM API implementations) based on measurable extraction accuracy against real-world clinical text, rather than what is fashionable.
- Confidence Scoring & Human-Review Loops: Build programmatic confidence scoring systems and human-inthe- loop validation queues that flag low-confidence extractions for clinical review based on validation parameters defined by our Clinical Informatics Lead.
- Multi-Modal Pipeline & Next-Gen API Infrastructure
- Diagnostic Data Fusion: Architect and maintain the data pipelines that link pathology LIS data with separate molecular/genetics information systems. You will ensure that vital markers like KRAS, NRAS, BRAF, MMR/MSI status, and ctDNA results seamlessly map to the exact same case record as the histology diagnosis.
- Interoperable Interface Engineering: Implement robust REST APIs, HL7 v2, or HL7 FHIR interfaces to feed structured pipelines directly into downstream matching layers or ecosystems like Proscia Concentriq and Aperture.
- Future Ecosystem APIs: Lay the architectural groundwork for secure, high-throughput API layers destined to interface with premium consumer wearables, external preventive health apps, and cloud-native hospital systems.
- Data Quality Observability: Develop automated data-quality monitoring systems to catch and flag anomalous outputs, missing biomarker fields, or incomplete clinical records before they touch delivery endpoints.
- Governance, De-Identification & Compliance
- Anonymization Infrastructure: Implement technical de-identification protocols to securely strip or pseudonymize direct and indirect patient identifiers.
- Regulatory Alignment: Technical execution must align completely with strict health data privacy guardrails across global and regional frameworks, including the Swiss nDSG and EU GDPR Article 9.
- Lineage Tracking: Build exhaustive audit logging and data lineage tracking for every clinical record processed, preserving clinical data provenance for pharma and clinical partner credibility.
Requirements
- LLM Engineering Pro: Practical, hands-on experience utilizing LLM APIs, building system prompt state
machines, and fine-tuning prompt engineering for highly structured text-extraction tasks.
- Agent Infrastructure Fluency: Direct experience working with agentic frameworks (LangChain, LlamaIndex, or
equivalent custom graph state setups) to orchestrate complex, multi-step clinical data transformation workflows.
- Production Focus: You have shipped non-deterministic models into production environments and understand
how to manage context windows, token costs, rate limits, and output evaluation metrics.
Core Software Engineering & Stack Experience
- Backend Proficiency: 4-7+ years of core software engineering experience with deep mastery of Python and
SQL, capable of debugging asynchronous, multi-step pipelines independently.
- Regulated API Design: Deep familiarity with constructing and consuming production-grade REST APIs within
highly regulated or clinical environments.
- Cloud & Containerization: Practical deployment experience across cloud infrastructure providers (AWS, Azure,
or GCP) utilizing Docker containerization.
- Data Standards (Highly Preferred): Working knowledge of clinical health standards like HL7 v2, FHIR, or
relational data models such as OMOP CDM and CDISC conventions.
- Data Formats (A Plus): Exposure to digital pathology data formats (DICOM, whole slide image file formats like
SVS and NDPI), or LIS systems.
Working Environment Expectation
AI-Assisted Workflow: We build with modern tooling. You are expected to comfortably utilize AI-assisted
environments like Cursor, GitHub Copilot, or equivalent editors as an active force multiplier to accelerate problemsolving.
Benefits & conditions
What We Offer
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Hybrid working model ( office & remote flexibility)
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International, collaborative, and regulated product environment
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Competitive compensation and benefits
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Long-term ownership of a strategic healthcare product
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The Ultimate Unfair Data Moat: Direct engineering access to Europe's largest diagnostic pool-
combining deep Pathology, Imaging, and Blood tests across millions of real, longitudinal patient journeys.
- No Toy Problems: The opportunity to move past generic chatbot wrappers and deploy agentic AI that
directly impacts precision clinical trial execution, therapeutic drug development, and global preventative
longevity markets.
- True Entrepreneurial Ownership: The execution speed, raw ownership, and equity upside of a venturebacked
standalone seed-stage company, powered by the structural footprint of Unilabs and A.P. Møller
Holding.