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Senior GenAI Software Engineer (LLM/Agentic Systems)

Abridge • United State
Relocation
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Design and build advanced LLM-driven agentic systems for healthcare, focusing on clinical workflows, evaluation frameworks, and production-grade deployment. Collaborate with cross-functional teams to ensure reliability, scalability, and clinical trustworthiness of AI-generated outputs. Requires 3+ years of production-grade LLM experience, deep fluency in orchestration, and rigorous evaluation methodologies.

Key Highlights
Build agentic LLM systems for clinical documentation with retrieval, tool-use, and structured outputs
Develop and apply automated/human-in-the-loop evaluation frameworks for accuracy, robustness, and multilingual capabilities
Own end-to-end productionization: deployment, monitoring, observability, and guardrails for low-latency, high-uptime systems
Key Responsibilities
Design and implement agentic LLM workflows for clinical documentation, integrating retrieval systems, tool-use, and structured outputs
Collaborate with ML/infra engineers to scale agentic systems while managing latency, context windows, and model selection
Develop rigorous evaluation frameworks (automated + human-in-the-loop) to assess accuracy, robustness, and multilingual capabilities
Prototype and test frontier LLM capabilities, open-source tools, and novel prompting techniques for clinical use cases
Deploy and monitor LLM workflows in low-latency, high-uptime environments with observability and guardrails
Drive architectural decisions for data flow, caching, and generative output structuring
Conduct A/B tests and analyze clinician feedback to guide model improvements
Technical Skills Required
Python LLM Orchestration (e.g., LangChain, LlamaIndex) Model Evaluation & Benchmarking
Benefits & Perks
Competitive compensation ($255K–$300K annually)
Generous time off (14 paid holidays, flexible PTO)
Comprehensive health plans (medical, dental, vision, HSA contributions)
Paid parental leave and family-forming benefits
401(k) matching, personal device allowance, lifestyle wallet (fitness/professional development)
Sabbatical leave after 5 years
Mental health support (therapy/coaching)
Hybrid work model (3x/week in-office, SF/NYC)
Nice to Have
Experience with async programming, performance profiling, and deployment tooling
Familiarity with vector databases (e.g., semantic/lexical retrieval, efficient kNN)
Knowledge of function calling and tool-use patterns in LLM systems

Job Description

Abridge was founded in 2018 with the mission of powering deeper understanding in healthcare. Our AI-powered platform was purpose-built for medical conversations, improving clinical documentation efficiencies while enabling clinicians to focus on what matters most—their patients.
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