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Pivotal Health

Senior Applied AI/ML Engineer

Pivotal Health

Senior Applied AI/ML Engineer developing high-impact AI systems in healthcare reimbursement. Collaborating on product workflows and improving decision-making processes with AI.

Posted 4/24/2026full-timeSanta Monica • California • 🇺🇸 United StatesSenior💰 $180,000 - $200,000 per yearWebsite

About the role

Key responsibilities & impact
  • Own and improve applied AI and ML systems that influence important business workflows.
  • Build and refine production workflows around generation, decisioning, retrieval, evaluation, and orchestration.
  • Work on concrete systems such as position statement generation, offer engine improvements, open negotiation agents, and configurable rules or decisioning systems.
  • Design and run experiments that improve model quality, workflow quality, and business outcomes.
  • Partner with product, operations, and engineering teammates to define success metrics and translate messy real-world problems into buildable systems.
  • Improve prompt, model, and workflow behavior through tight feedback loops and practical iteration.
  • Contribute to the engineering quality of these systems, including instrumentation, testing, rollout safety, and operational visibility.
  • Use AI as a force multiplier in your own work and help the team move faster by bringing strong AI-native habits.
  • Balance speed and rigor in an environment where shipping matters and iteration is constant.

Requirements

What you’ll need
  • You are excited by applied AI and ML problems that sit close to product and business outcomes.
  • You are strong technically, but you are not looking for a research-only role detached from shipping.
  • You can work across experimentation, implementation, debugging, and productionization.
  • You are comfortable with ambiguity and can move from rough opportunity to concrete execution quickly.
  • You have a product-oriented mindset and care about whether a system is actually useful, not just whether it is technically interesting.
  • You are an AI power user yourself and actively use AI in your day-to-day work with good judgment.
  • You like operating in fast-moving environments where the feedback loop between work and impact is short.

Benefits

Comp & perks
  • Competitive compensation, including equity
  • Full health, dental, and vision coverage
  • Retirement savings plan through 401(k)
  • Flexible time off
  • Opportunities for company-wide connection and events

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools
applied AImachine learningproduction workflowsdecisioning systemsexperimentationmodel quality improvementworkflow quality improvementinstrumentationtestingproductionization
Soft Skills
product-oriented mindsetcomfort with ambiguitystrong technical skillsability to work across teamsgood judgmentadaptabilitycollaborationiterationproblem-solvingspeed and rigor balance