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Lead AI Engineer

Role overview

Summary

This role focuses on developing AI systems that enhance home care benefits management at IHCS. You will lead the design and implementation of these systems while also mentoring a growing engineering team, contributing to the company's mission of delivering exceptional patient care.

Qualifications

  • 5+ years of professional software engineering experience delivering and maintaining production systems.
  • 1+ years of hands-on experience building and deploying LLM-powered or agentic systems that are live in production.
  • Experience evaluating and benchmarking multiple third-party LLM providers/models.
  • Strong experience with AWS.
  • Experience working in a regulated industry, including navigating data privacy and compliance considerations.

Responsibilities

  • Own the design, implementation, and ongoing operation of AI systems for home care benefits management.
  • Build and ship agentic systems while leading a small engineering team.
  • Evaluate and benchmark third-party LLM providers/models for specific use cases.
  • Shape and transform data for optimal model consumption.

Key facts

  • Remote from: United States
  • Full time
  • Senior (5-10 years)
  • AI Engineer
  • English

Hard skills

Other skills

  • Mentorship
  • Team Leadership
  • Curiosity
  • Problem Solving
  • Collaboration

About the company

Integrated Home Care Services, Inc. logo

Integrated Home Care Services, Inc.

  • Hospitals & Health Systems
  • SME
  • 501–1,000
Integrated Home Care Services (IHCS) delivers value-based home care solutions that help patients, providers, and health plans achieve their care goals in the home. IHCS is a leading home care benefits manager and home care provider offering home health, home infusion, and durable medical equipment services to over 2.7 million patients across 13 states and Puerto Rico. For over 25 years, IHCS’s relentless focus on integrated, high-quality care has reduced avoidable hospitalizations and emergency department visits and enabled more patients to improve their health at home. Our award-winning home care insights and outcomes platform, MedTrac, delivers data-driven insights and efficient processes that enables our comprehensive network of providers to deliver timely, highly coordinated care. To learn more about how IHCS’s model unlocks the full potential of care in the home, download our position paper or visit ihcscorp.com.

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Job description

Who we are:

Integrated Home Care Services (IHCS) provides a comprehensive Integrated Delivery System in the home setting, offering Durable Medical Equipment (DME), Respiratory, Home Health, and Home Infusion services. Through our select network of Medicare and Medicaid Certified and Accredited providers, we are available 24/7 to meet the needs of our patients with compassion, expertise, and excellence.

For more than 30 years, we have been dedicated to improving lives by delivering the highest quality in-home care services. As a trusted market leader in value-based Home Health, Durable Medical Equipment, and Home Infusion Services, we proudly serve more than 2 million lives across the United States and the Commonwealth of Puerto Rico. Our integrated care model is trusted by leading Managed Care Organizations (MCOs), physicians, and healthcare partners because of our commitment to exceptional patient outcomes and coordinated care.

At IHCS, our patients are at the heart of everything we do. We believe in creating a culture built on compassion, integrity, collaboration, and innovation. Every team member plays a vital role in fulfilling our mission of enhancing the quality of life for those we serve through Exceptional Customer Service, Proven Outcomes, and Seamless Care.

If you are passionate about making a meaningful impact, thrive in a collaborative environment, and are committed to excellence, we invite you to join our growing team. Together, we can continue transforming home healthcare while making a difference in the lives of our patients and the communities we serve.

Join IHCS where our patients are #1, and our people make the difference. Apply today!

Offering a competitive compensation package, including but not limited to;

  • Medical, Vision, Dental, Short- and Long-term insurance
  • 6+ Days of Holidays Pay
  • 17 days of PTO
  • Employer paid life insurance
  • 401K with employer contribution
  • Wellness program with reward incentives
  • Employee recognition and reward programs
  • Comprehensive paid training program

What will you be doing:

IHCS is investing heavily in building and maintaining an agentic digital workforce -- AI systems that augment the key internal roles involved in our core business of coordinated home care benefits management. We already have several early-stage implementations of these workforce agents in production and in development, and we're ready to scale that work into a coordinated, well-engineered program.

The Lead AI Engineer will own the design, implementation, and ongoing operation of these agentic systems. This is a player/coach role: you'll be hands-on building and shipping agents yourself, while also growing and leading a small engineering team as it scales. You'll bring senior software engineering judgment to a fast-evolving space, with the freedom to set technical direction on architecture and stack.

We're looking for someone who is highly curious and genuinely energized by solving complex business problems through automation and AI — not technology for its own sake, but real solutions that get into production and deliver measurable business value.

What will you need to succeed:

  • 5+ years of professional software engineering experience delivering and maintaining production systems
  • 1+ years of hands-on experience building and deploying LLM-powered or agentic systems that are live in production - not proof-of-concept or research-only work
  • Experience evaluating and benchmarking multiple third-party LLM providers/models against each other for a given use case (e.g., accuracy, cost, latency, consistency) not training or fine-tuning custom model
  • Experience shaping and transforming data for optimal model consumption (e.g., OCR/text extraction, structured-to-markdown conversion, chunking, summarization) and managing context window constraints to produce consistent agent outputs
  • Strong experience with AWS
  • Experience working in a regulated industry (healthcare, financial services, insurance, or similar), including navigating data privacy and compliance considerations (e.g., PHI handling, BAAs) when integrating third-party LLM providers
  • Some experience leading, mentoring, or setting direction for other engineers, whether in a formal management role or informally as a senior/staff-level contributor

Join our team as we strive for excellence through teamwork, where our patients are #1!

IHCS is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

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