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Senior Machine Learning Engineer( Austin based)

Pay
Pay not listedSimilar roles state $166K–$240K
Work setting
Not stated
Employment
Not stated

What you’ll work on

Full posting
  • Architect and deploy LLM-powered agents and ML pipelines for utilization management, claims, and appeals

  • Set the approach for extracting and reasoning over medical documents and faxes with VLMs and OCR

  • Lead fine-tuning strategy, including SFT, LoRA, and preference/RL-based tuning on GPUs

  • Define evaluation strategy, metrics, and golden datasets, and lead error analysis

  • Build feedback loops that turn reviewer corrections into continuous model improvement

From the employer’s posting
Design and deploy LLM-powered agents, reasoning workflows, and ML pipelines for utilization management, payment integrity, claims, care management, and appeals.
Set the approach for extracting and reasoning over medical documents, faxes, and healthcare forms using state-of-the-art VLMs, OCR, and structured extraction.
lead SFT, parameter-efficient (e.g., LoRA), and preference/RL-based tuning, including distributed training on GPUs.
Define eval strategy, metrics, and golden datasets; lead error analysis; and drive accuracy toward customer targets.
Design feedback systems that turn human reviewer corrections and production signals into continuous model improvement.

What you’ll bring

All qualifications

Core experience

  • 4+ years in ML engineering, with 2+ years building production LLM or GenAI systems.
  • Experience with cloud ML platforms such as Azure ML or SageMaker.
  • Hands-on experience with RAG, embeddings, vector search, prompt chaining, tool use, and agent architectures.
  • Experience scaling ML training and inference efficiently.
  • Experience with MLOps/LLMOps tooling (MLflow, Kubeflow, Kubernetes) and observability for ML systems.
  • Experience with knowledge graphs, graph databases, or self-improving agent systems.
Qualification wording
4+ years in ML engineering, with 2+ years building production LLM or GenAI systems.
Experience with cloud ML platforms such as Azure ML or SageMaker.
Hands-on experience with RAG, embeddings, vector search, prompt chaining, tool use, and agent architectures.
Experience scaling ML training and inference efficiently.
Experience with MLOps/LLMOps tooling (MLflow, Kubeflow, Kubernetes) and observability for ML systems.
Experience with knowledge graphs, graph databases, or self-improving agent systems.

Benefits in the posting

Full benefits wording
  • Real-world impact. Your models run in production at some of the largest U.S. health enterprises, shaping decisions in prior authorization, claims, and appeals.
  • Category-defining AI products. Help build the AI operating layer for healthcare, a space where the playbook is still being written.
  • 100% employer-paid health, vision, and dental insurance.
  • Retirement plans (401k), disability insurance, and employee assistance programs.

From the employer’s posting.

About Autonomize

Autonomize AI is an enterprise intelligence platform transforming how healthcare organizations access, orchestrate, and act on complex operational and clinical knowledge.

In the employer’s words · Read in context

Apply at Autonomize

Posting record

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Actively hiringFirst seen by us 5 days ago, still listed, and not a repost of an earlier posting.

Status in our records
Live
First seen by us
Oct 29, 20265 days ago
Recorded sightings
7
Last seen by us
Nov 4, 2026
Employer says posted
Oct 5, 2026

These dates show when we found the posting. Check the employer’s website to confirm it is still accepting applications.

How this job compares

Pay

$166K–$240K is typical

The middle half of what similar US postings state. This one doesn’t list pay.

From 1,279 postings in the last year. Stated ranges, not salaries paid.

Time since we first saw it

Day 5

Early. Similar jobs usually come down between day 6 and day 69.

From 4,284 similar postings that came down. Coming down is not always a hire.

Autonomize is hiring

2 open jobs

Open jobs by the week we first saw them, last 12 weeks.

Hiring record

See how this role fits your experience

Add your resume and we’ll mark which of these tools you already use, and point out anything in the posting that could rule you out.

  • Python
  • Azure
  • Kafka
  • Kubernetes
  • MLflow
  • SageMaker
  • Snowflake
  • Spark
  • Hugging Face
  • PyTorch
  • Transformers
Where the posting names them
- Rigor in evaluation methodology: experimental design, statistical testing, error analysis, and evals for non-deterministic systems. - Advanced Python skills and fluency with PyTorch, Hugging Face Transformers, and LLM frameworks (LangChain, LangGraph, LlamaIndex). - Experience with MLOps/LLMOps tooling (MLflow, Kubeflow, Kubernetes) and observability for ML systems.
- Healthcare payer domain knowledge (prior authorization, UM, claims, payment integrity, CPT/HCPCS/ICD-10). - Experience with cloud ML platforms such as Azure ML or SageMaker. - Experience scaling ML training and inference efficiently.
- Experience with knowledge graphs, graph databases, or self-improving agent systems. - Experience with big data tools (Kafka, Spark, Snowflake). - Experience deploying ML/NLP in large or complex organizations.
- Advanced Python skills and fluency with PyTorch, Hugging Face Transformers, and LLM frameworks (LangChain, LangGraph, LlamaIndex). - Experience with MLOps/LLMOps tooling (MLflow, Kubeflow, Kubernetes) and observability for ML systems. - Solid software engineering fundamentals: data structures, algorithms, testing, and code quality.

Your next step

Complete your application on autonomize.keka.com. The employer’s form will show what is required.

Already applied? Track this application

About the role

We file this job under ML Engineer, by the work the posting describes.

ML engineers put machine learning models into products. They write the code that trains, ships, serves and monitors models so a recommendation or prediction works for real users.

Postings ask for strong Python and software engineering, a framework such as PyTorch, cloud services, and more and more often experience with large language models.

A data scientist often works out which model to build; an ML engineer makes it run reliably in production.

US government figures for computer and information research scientists

Median yearly pay, May 2025
$140,300
Expected change, 2025 to 2035
21.8% more jobsagainst 3.5% for all jobs

The government has no code for ML engineers, so these figures are for the closest group, computer and information research scientists.

Source: US Bureau of Labor Statistics, Occupational Employment and Wage Statistics (May 2025) and Employment Projections (2025 to 2035). Occupation code 15-1221.

Job description

View original posting ↗

About Autonomize AI


Autonomize AI is an enterprise intelligence platform transforming how healthcare organizations access, orchestrate, and act on complex operational and clinical knowledge. Recognized as a World Economic Forum Technology Pioneer 2026, a Top 100 company on the Inc. 5000, and trusted by three of the five largest U.S. health enterprises, Autonomize AI combines healthcare-specific AI agents, workflow intelligence, and deep domain expertise to enable smarter decision-making across utilization management, care management, claims, pharmacy, and appeals. Backed by Valtruis, Asset Management Ventures, Cigna Group Ventures, ATX Venture Partners, and others. We're building the critical infrastructure for AI-native healthcare operations. We're growing fast and looking for bold, driven teammates to join us.

The Opportunity


As a Senior Machine Learning Engineer, you'll lead the design, development, and deployment of the ML and AI systems behind our healthcare AI agents and copilots, spanning large language models, vision-language models, and classical ML/NLP. You'll own systems end to end, set technical direction on our hardest problems, and turn the latest research into production systems that hold up in a regulated environment. This role is for someone who ships real-world impact, not just benchmarks, and who raises the bar for the engineers around them.

What You'll Do


  • Architect production AI systems. Design and deploy LLM-powered agents, reasoning workflows, and ML pipelines for utilization management, payment integrity, claims, care management, and appeals.
  • Lead document intelligence. Set the approach for extracting and reasoning over medical documents, faxes, and healthcare forms using state-of-the-art VLMs, OCR, and structured extraction.
  • Drive fine-tuning strategy. Decide when to prompt, retrieve, or fine-tune, and lead SFT, parameter-efficient (e.g., LoRA), and preference/RL-based tuning, including distributed training on GPUs.
  • Design retrieval and reasoning systems. Architect RAG pipelines, knowledge graphs, and multi-step agent workflows (e.g., LangGraph) that reason over clinical policies and operational rules.
  • Blend classical ML and LLMs. Combine classical ML, NLP, and LLM components into systems that are accurate, cost-efficient, and explainable.
  • Own evaluation and accuracy. Define eval strategy, metrics, and golden datasets; lead error analysis; and drive accuracy toward customer targets.
  • Build learning loops. Design feedback systems that turn human reviewer corrections and production signals into continuous model improvement.
  • Ensure quality, safety, and governance. Make model outputs traceable and auditable, and monitor quality, latency, drift, and safety in production.
  • Turn research into a product. Track emerging work in LLMs, agents, and evaluation, decide what's worth adopting, and take it from prototype to production.
  • Communicate across audiences. Explain technical trade-offs clearly to product, engineering, clinical experts, leadership, and customers.

Qualifications


  • 4+ years in ML engineering, with 2+ years building production LLM or GenAI systems.
  • A proven track record shipping production-grade models and pipelines, ideally in healthcare or another regulated industry.
  • Deep hands-on expertise with LLMs, vision/VLM models, and classical NLP/ML.
  • Strong command of fine-tuning, hyperparameter optimization, and model optimization, including distributed training and efficient inference.
  • Hands-on experience with RAG, embeddings, vector search, prompt chaining, tool use, and agent architectures.
  • Rigor in evaluation methodology: experimental design, statistical testing, error analysis, and evals for non-deterministic systems.
  • Advanced Python skills and fluency with PyTorch, Hugging Face Transformers, and LLM frameworks (LangChain, LangGraph, LlamaIndex).
  • Experience with MLOps/LLMOps tooling (MLflow, Kubeflow, Kubernetes) and observability for ML systems.
  • Solid software engineering fundamentals: data structures, algorithms, testing, and code quality.
  • An understanding of responsible AI, explainability, and working with compliance-sensitive data.
  • A BS/MS in Computer Science, Engineering, Data Science, or a related field, or equivalent experience.

Nice to Have


  • Healthcare payer domain knowledge (prior authorization, UM, claims, payment integrity, CPT/HCPCS/ICD-10).
  • Experience with cloud ML platforms such as Azure ML or SageMaker.
  • Experience scaling ML training and inference efficiently.
  • Experience with knowledge graphs, graph databases, or self-improving agent systems.
  • Experience with big data tools (Kafka, Spark, Snowflake).
  • Experience deploying ML/NLP in large or complex organizations.
  • Published research, patents, open-source contributions, or technical writing.

Who You Are


  • Owner mentality. The buck stops with you. You own it, you learn it, and you get it done.
  • Naturally curious. You'd rather experiment than hypothesize. You push boundaries and experiment your way through any problem.
  • Passionate and unafraid. You're committed to the team and the mission.
  • A team player. You love to learn and win together.
  • A strong communicator. You're clear in voice, writing, chat, and video.

What We Offer


  • Real-world impact. Your models run in production at some of the largest U.S. health enterprises, shaping decisions in prior authorization, claims, and appeals.
  • Category-defining AI products. Help build the AI operating layer for healthcare, a space where the playbook is still being written.
  • Hard, unsolved ML problems. Work on VLM document understanding over messy real-world faxes, agentic reasoning over clinical policy, domain fine-tuning (SFT, LoRA, RL), and models that learn from expert feedback in production.
  • Significant ownership and autonomy. Help shape AI strategy, not just execute it.
  • Modern stack and compute. You'll have GPU resources and access to the latest open-source and frontier models.
  • Build your public profile. Publish papers, file patents, write for our tech blog, and speak at conferences.
  • Learn with strong peers. Grow through design reviews, paper discussions, and close collaboration with ML engineers and clinical experts.
  • A high-growth environment with exceptional technical challenges.
  • Competitive compensation with performance incentives.
  • 100% employer-paid health, vision, and dental insurance.
  • Retirement plans (401k), disability insurance, and employee assistance programs.

How to Apply


Send your resume and a brief cover letter to careers@autonomize.ai explaining why you're the right partner for this mission.
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Austin, TX, United States

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