Lead AI & Automation Engineer – Business Process & Healthcare Operations

Custom Care Pharmacy•Milton, PA

11d•$150,000 - $180,000•Hybrid

About The Position

The Lead AI & Automation Engineer will build and maintain an internal AI and automation capability across businesses that include pharmacy and senior-living operations. This is a hands-on engineering role involving direct work with ownership and employees to identify inefficient processes, troubleshoot existing automation, integrate systems, and deploy practical AI solutions. The engineer will become the internal technical owner of existing third-party bots and automations, determining what to repair or replace and ensuring the company understands and controls its technology. The role involves observing employee workflows, building and improving production systems, and ensuring solutions are reliable, secure, validated, documented, and adopted. The successful candidate will work with regulated healthcare information under company HIPAA and security policies, measure operational impact, train employees, create reusable tools and standards, and manage technical vendors. The position requires regular on-site work in Milton, Pennsylvania; it is not fully remote. The expected schedule is about four days on-site per week during the first 60–90 days, transitioning to approximately two to three days per week depending on projects. Success in the first 90 days includes understanding the critical automation environment, making bot failures visible, improving high-value workflows, establishing company ownership and documentation standards, and delivering a prioritized roadmap of further opportunities. Compensation is a base salary of $150,000–$180,000 depending on capability and experience, plus a performance bonus and benefits. Relocation or signing assistance may be available for an exceptional candidate.

Requirements

Approximately 5 or more years of hands-on software engineering, systems integration, automation engineering, or equivalent real-world experience.
Demonstrated personal experience building and deploying production software or automation, rather than only managing developers.
Strong Python or comparable software-development skills.
Strong experience with REST APIs, JSON, webhooks, authentication, and systems integration.
SQL and practical data-processing experience.
Experience debugging production systems using logs, error traces, and systematic root-cause analysis.
Experience with Git and professional source-control practices.
Experience with at least one workflow or automation platform, such as n8n, Microsoft Power Automate, Make, Zapier, UiPath, or similar.
Hands-on experience integrating modern LLM/AI APIs into real workflows.
Understanding of testing, AI evaluation, exception handling, observability, and production reliability.
Ability to explain technical issues clearly to nontechnical employees.
Curiosity about business operations and willingness to observe employees doing their work.
Willingness and ability to work regularly on-site in Milton, Pennsylvania.

Nice To Haves

Experience in pharmacy, healthcare, senior living, or another regulated environment.
Experience handling PHI or other sensitive regulated data.
Familiarity with HIPAA security considerations and Business Associate Agreement requirements.
Familiarity with healthcare interoperability standards such as FHIR, HL7, and/or NCPDP.
Document-processing or OCR experience.
RPA experience with legacy systems that lack modern APIs.
Experience with Docker and AWS, Azure, or Google Cloud.
Experience with process mapping, Lean/Six Sigma, root-cause analysis, or operational improvement.
Experience managing outside development or automation vendors.

Responsibilities

Observe employee workflows and identify repetitive work, data-entry problems, bottlenecks, errors, and automation opportunities.
Audit, troubleshoot, and improve existing bots and vendor-built automations, including pharmacy-operation workflows supported by outside vendors.
Build and deploy production AI and automation solutions using software, APIs, workflow platforms, databases, and appropriate AI models.
Integrate business and healthcare systems using APIs, webhooks, database connections, secure file exchange, and, when necessary, RPA/UI automation.
Automate document- and data-processing workflows involving PDFs, forms, structured files, and other operational information.
Build AI-assisted workflows with validation, evaluation, exception handling, and human review.
Create reliable systems with logging, monitoring, retries, alerts, and clear failure states.
Work with regulated healthcare information and follow company HIPAA and security policies.
Maintain source code, workflows, and documentation in company-controlled repositories and systems.
Measure project impact, including labor hours eliminated, cycle time, error rates, automation success rate, and employee adoption.
Train employees to use AI safely and productively.
Create reusable AI tools and standards across pharmacy, senior-living, and other businesses.
Manage technical vendors and hold them accountable for documentation, access, reliability, and deliverables.
Work directly with ownership to turn ideas into operating systems.
Within the first 90 days, understand the critical automation environment, improve high-value workflows, establish ownership and documentation standards, and provide a prioritized roadmap of further opportunities.