Note: The job is a remote job and is open to candidates in USA. Aledade, Inc. is a technology company focused on improving healthcare through innovative solutions. They are seeking a Senior Software Engineer II to maintain, improve, and expand their web application and data pipelines, focusing on platform reliability and AI/ML infrastructure.
Responsibilities
- Develop and implement scalable and performant solutions
- Partner, as a peer, with Engineering Managers, Product Managers, and stakeholders throughout Aledade to develop and execute technical roadmaps using Agile processes
- Mentor and coach more junior engineers including thorough pull request reviews for other developers and be receptive to critical feedback on your own work
- Deep AWS + infrastructure experience
- Networking and distributed systems knowledge
- Auth/authz experience (IAM, OAuth, API gateways, service-to-service auth, etc.)
- Experience working with enterprise security/compliance requirements
- Some familiarity with LLM/agent ecosystems (Bedrock, LangGraph, LiteLLM, MCP, OpenAI APIs, Claude Code, etc.)
- Improve AI/ML infrastructure for model development, training, and deployment, with a focus on large language models and other generative AI architectures
- Design multi-year vision, shaping the direction of crucial generative AI areas - text generation, image synthesis, multimodal models, and personalized content creation
- Architect systems to enhance the capabilities and relevance of AI models, making complex data sets more accessible and actionable
- Design and implement prompt engineering strategies to effectively guide generative AI models
- Work closely with Product Management, Practices, Sales, Customer Success, and other stakeholders to identify and prioritize applied AI use cases within the organization
- Analyze product usage patterns and trends to make data-driven decisions and forecasts for generative AI applications
- Maintain the security of protected patient health information and ensure compliance with relevant regulations in the context of AI
- Contribute to the development of APIs and interfaces for integrating generative AI capabilities into existing healthcare systems and applications
Skills
- BS/BTech (or higher) in Computer Science, Engineering or a related field
- 6+ years experience as an engineer building full-stack web applications as part of a cross-functional team
- 3+ years of experience working with SQL or other database querying language on large multi-table data sets
- 3+ years of experience acting as a trusted technical decision-maker in a team setting, solving for short-term and long-term business value
- 3+ years of experience coaching other engineers
- Deep AWS + infrastructure experience
- Networking and distributed systems knowledge
- Auth/authz experience (IAM, OAuth, API gateways, service-to-service auth, etc.)
- Experience working with enterprise security/compliance requirements
- Some familiarity with LLM/agent ecosystems (Bedrock, LangGraph, LiteLLM, MCP, OpenAI APIs, Claude Code, etc.)
- Improve AI/ML infrastructure for model development, training, and deployment, with a focus on large language models and other generative AI architectures
- Design multi-year vision, shaping the direction of crucial generative AI areas - text generation, image synthesis, multimodal models, and personalized content creation
- Architect systems to enhance the capabilities and relevance of AI models, making complex data sets more accessible and actionable
- Design and implement prompt engineering strategies to effectively guide generative AI models
- Work closely with Product Management, Practices, Sales, Customer Success, and other stakeholders to identify and prioritize applied AI use cases within the organization
- Analyze product usage patterns and trends to make data-driven decisions and forecasts for generative AI applications
- Maintain the security of protected patient health information and ensure compliance with relevant regulations in the context of AI
- Contribute to the development of APIs and interfaces for integrating generative AI capabilities into existing healthcare systems and applications
Company Overview
Aledade is a physician-led public benefit corporation and national leader in value‑based care. It was founded in 2014, and is headquartered in Bethesda, Maryland, USA, with a workforce of 1001-5000 employees. Its website is https://www.aledade.com.Company H1B Sponsorship
Aledade, Inc. has a track record of offering H1B sponsorships, with 5 in 2026, 19 in 2025, 11 in 2024, 7 in 2023, 1 in 2020. Please note that this does not guarantee sponsorship for this specific role.