Medical Guardian is building a next generation Intelligent Orchestration Engine (IOE), a real-time AI platform that powers proactive engagement, personalization, emergency response intelligence, and member safety. We are seeking a highly capable Machine Learning Engineer to design, build, and operationalize ML models and pipelines that drive intelligent decisioning across the MG ecosystem. This role will collaborate with Data Science, Engineering, Product, and our AI partners to bring predictive and generative capabilities into production at scale. You will play a core engineering role in shaping the intelligence layer behind Nexus, Engage360, caregiver insights, emergency workflows, and member engagement.