Full-Stack AI Engineer (evergreen)

Komodo HealthSan Francisco, CA
Hybrid

About The Position

At Komodo Health, our mission is to reduce the global burden of disease by leveraging data and innovative algorithms. We have built the Healthcare Map, the industry's largest and most complete view of the U.S. healthcare system. Our suite of software applications helps clients unlock critical insights into patient behaviors, treatment patterns, and care gaps. We are seeking ambitious and supportive individuals to join our team of 'Dragons' who are passionate about our mission and enjoy the journey. This role is part of the Labs@Komodo team, which builds AI-native platforms and systems, including Marmot, our AI-native product with AI embedded in its interface and development workflow. Marmot combines Komodo's healthcare data with modern LLMs to deliver real-world insights. The Full-Stack AI Engineer role redefines 'full-stack' to encompass the entire intelligence stack, from data context and lineage to agent orchestration, model versioning, and governance, all connected to real outcomes. In healthcare, trustworthiness is paramount for AI systems operating with complex data, privacy constraints, and high-stakes decisions.

Requirements

  • Experience building production-grade AI systems or AI-powered applications.
  • Strong proficiency in Python.
  • Experience working with LLMs, prompt engineering, or agent-based architectures.
  • Familiarity with modern GenAI tooling and frameworks: vLLM, CrewAI, Strands, OpenAI / Chat Completions APIs.
  • Ability to integrate AI capabilities across backend services and product interfaces.
  • Experience designing evaluation frameworks, testing strategies, or monitoring systems for AI features.
  • Strong collaboration skills across engineering, product, and data teams.

Nice To Haves

  • Healthcare data expertise.
  • Experience with distributed computing frameworks (e.g., Spark, Snowflake, Databricks) for large-scale data processing.

Responsibilities

  • Design and deploy end-to-end AI solutions that power real products and internal tools.
  • Work at the intersection of applied research, engineering, and product development, bringing modern AI techniques into scalable production systems.
  • Operate in a lean, high-leverage pod with a PM to compress the discovery loop and ship impactful products.
  • Collaborate with platform and data teams to build AI capabilities that transform healthcare data exploration, understanding, and operationalization.
  • Design, build, and deploy end-to-end AI systems across the full intelligence stack, including data context, retrieval, agent orchestration, evals, versioning, and governance.
  • Develop agent pipelines, prompt chains, and orchestration frameworks for LLM-driven workflows.
  • Select the appropriate AI technique (LLMs, classic ML, or hybrid approaches) for specific problems.
  • Collaborate with PMs, engineers, and data scientists to define requirements and deliver solutions.
  • Build scalable AI services with monitoring, evaluation, and deployment pipelines.
  • Contribute reusable patterns to Komodo's AI infrastructure and internal tooling ecosystem.
  • Actively experiment with new AI techniques, share learnings, and contribute to evolving best practices for building reliable, scalable AI systems.
  • Integrate AI into daily work, from summarizing documents to automating workflows and uncovering insights.

Benefits

  • Comprehensive health, dental, and vision insurance
  • Flexible time off and holidays
  • 401(k) with company match
  • Disability insurance
  • Life insurance
  • Leaves of absence in accordance with applicable state and local laws and regulations and company policy
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