Senior AI Applications Engineer

Twin Health is a company dedicated to improving and preventing chronic metabolic diseases through AI Digital Twin technology. They are seeking a Senior AI Applications Engineer to design and develop AI solutions that enhance clinical workflows and member engagement.

Responsibilities:

• Lead the design, development, and deployment of sophisticated AI agents and tools that streamline clinical decision-making, automate complex administrative tasks, and enhance clinical workflows
• Explore and implement the full-stack architecture required for AI-agentic systems, from context engineering, MCP servers, to API design and deployment
• Architect and build robust, scalable backend services and integrations (using Python, Java Spring Boot, SQL) that serve as the foundation for our AI applications
• Collaborate with cross-functional teams to shape the user experience of AI systems, translating clinical and operational needs into concrete technical specifications and prototypes
• Champion best practices for developing reliable, secure, and scalable AI applications, ensuring all solutions meet compliance standards such as HIPAA
• Mentor and coach other engineers, modeling cross-functional thinking and helping to elevate the team’s capabilities in building AI-driven products
• Monitor and optimize the performance of AI systems in production to handle rapid growth and ensure a seamless user experience
• Take on additional responsibilities as needed, including on-call rotations
• Regular travel to our Menlo Park headquarters for planning workshops and team collaboration sessions
• Other duties as assigned

Requirements:

• Bachelor's degree in Computer Science or a STEM-related field
• 5+ years of software engineering experience, with a strong foundation in building backend services
• Demonstrated experience in developing and deploying AI-powered applications using Large Language Models (LLMs) like GPT, Claude, or Gemini
• Strong practical knowledge of prompt engineering, vector databases, Retrieval-Augmented Generation (RAG), and other techniques for building reliable LLM-based systems
• Proficiency in Java and/or Python and experience developing microservices
• Hands-on experience with SQL databases (PostgreSQL, MySQL) and query optimization
• Proven ability to work across disciplines, collaborating effectively with product, design, and non-technical stakeholders to build user-centric solutions
• Excellent communication skills and a demonstrated ability to navigate ambiguity and drive projects from concept to completion
• This remote opportunity based out of the U.S. Applicants must be authorized to work for any employer in the U.S
• Master's degree in Computer Science or a STEM-related field
• Experience in healthcare, biosensors, or related fields