Jobs · Engineering · New York

Large Language Model Engineer - AI & Human Health Research

Mount Sinai Morningside · New York, NY · 2 wk ago
Engineering$109k–$164k/yrFull-time

About the role

The LLM Engineer I will play a key role in designing, building, and deploying large language model (LLM) applications including retrieval-augmented generation (RAG) systems, agentic platforms, and clinical chatbots. This position requires close collaboration with AI product teams, clinical and technical stakeholders, DevOps engineers, and the AI Governance Committee.

Responsibilities

  • Build and maintain robust ETL pipelines for structured and unstructured clinical data from EHR, imaging, and text sources.
  • Design systems to automate data preparation, lineage tracking, and reproducibility for AI model inputs and outputs.
  • Develop data infrastructure for benchmarking and stress-testing models in clinical simulation environments.
  • Collaborate with DevOps and cloud teams to ensure deployment pipelines meet compliance and performance standards.
  • Set up and monitor model tracking infrastructure for evaluation metrics and drift detection.
  • Aid in the development of standards and procedures affecting data management, design, and maintenance.
  • Collaborate with Data Scientists and Clinical Product Owners to validate data integrity, reproducibility, and fairness in AI workflows.
  • Ensure compliance with HIPAA, ethical guidelines, and institutional governance policies on sensitive health data use.
  • Build dashboards and tools that provide observability across the ML lifecycle: data, models, outcomes.
  • Design, build, and deploy LLM-powered applications including clinical chatbots, copilots, and decision-support tools for end-users across MSHS.
  • Develop retrieval-augmented generation (RAG) pipelines that integrate vector databases with clinical knowledge sources, EHR data, and institutional documents.
  • Build agentic platforms and multi-agent workflows using frameworks such as LangChain, LlamaIndex, LangGraph, CrewAI, or equivalent, including tool use, function calling, and orchestration logic.
  • Operationalize LLM deployment, including inference optimization, latency and cost tuning, model serving (e.g., Azure), and integration of safety guardrails.
  • Implement prompt engineering, prompt versioning, and structured prompt-evaluation workflows across model providers and versions.
  • Fine-tune and adapt foundation models (full fine-tuning, LoRA/PEFT, instruction tuning) to clinical and operational use cases where appropriate.
  • Build LLM evaluation harnesses covering accuracy, hallucination, safety, bias, sycophancy, and clinical appropriateness, with red-teaming and stress-testing of deployed systems.
  • Effectively communicate technical findings related to model and data integrity to governance teams, clinical stakeholders, and leadership.
  • Maintain clear and well-organized documentation of data workflows, platform architecture, and validation processes.
  • Help write internal reports on data infrastructure resilience, validation system status, and operational risk.
  • Stay informed on industry best practices in data engineering and healthcare-focused machine learning.
  • Possess an extremely flexible attitude. Willing to work with multiple types of technologies and languages with an open mind and without technology bias.
  • Continuous interest in updating skill sets and knowledge of trends in the Big Data Technology space.
  • Work closely with cross-functional teams including data scientists, healthcare providers, and IT professionals to understand data requirements, develop solutions, and support data-driven decision-making.

Qualifications

  • Bachelor's degree in Computer Science, Statistics, Mathematics, or related field.
  • Knowledge of at least one programming language among Scala, Python, Java, C, or C++.
  • Knowledge of big data technologies (e.g., Hadoop, Spark).
  • Self-motivated with a demonstrated ability to work independently, and to exercise independent judgment in developing complex techniques or programs in a dynamic environment.
  • Play a key technical role in maintaining deployed products.
  • Understanding of machine learning algorithms (Supervised, Unsupervised ML algorithms).
  • Familiarity with SQL or other database languages.
  • Master's degree in a quantitative discipline (e.g., Statistics, Operations Research, Bioinformatics, Economics, Computational Biology, Computer Science, Information Technology, Mathematics, Physics) or equivalent practical experience.
  • 2+ years of experience in data engineering, software engineering, or machine learning.
  • Proficient in Python and SQL.
  • Proficiency in at least one cloud computing platforms (e.g., AWS, Azure, GCP).
  • Intermediate knowledge of Machine Learning.
  • Familiarity with ML lifecycle management tools (e.g., MLflow, Kubeflow, Airflow).
  • Experience on deployment and operationalization of ML Systems.
  • Experience with monitoring tools for AI model tracking.
  • Understanding of DevOps principles, CI/CD pipelines, and containerization (e.g., Docker, Kubernetes).
  • Experience with version control systems (e.g., Git).
  • Knowledge of big data technologies (e.g., Hadoop, Spark).
  • Hands-on experience building and deploying LLM-based applications in production (chatbots, copilots, summarization, Q&A, or decision-support tools).
  • Experience designing and implementing retrieval-augmented generation (RAG) architectures, including chunking strategies, embedding models, and vector databases (e.g., Pinecone, Weaviate, FAISS, pgvector, Milvus).
  • Experience with agentic frameworks and orchestration libraries (e.g., LangChain, LlamaIndex, LangGraph, CrewAI, AutoGen, Semantic Kernel) including tool/function calling and multi-agent workflows.
  • Experience building conversational AI / chatbot systems, including dialog state management, memory, and integration with enterprise systems.
  • Familiarity with foundation model APIs and SDKs (e.g., OpenAI, Anthropic, Google, Azure OpenAI, AWS Bedrock) and open-weight model families (e.g., Llama, Mistral, Qwen, Gemma).
  • Working knowledge of prompt engineering, prompt evaluation, and LLM observability/evaluation tooling (e.g., LangSmith, Langfuse, Arize, Ragas, DeepEval).
  • Familiarity with fine-tuning and model adaptation techniques (e.g., supervised fine-tuning, LoRA/QLoRA, PEFT, instruction tuning, RLHF/DPO) and serving stacks (e.g., vLLM, TGI, Triton).
  • Awareness of LLM safety, guardrails, and evaluation practices (hallucination, bias, sycophancy, jailbreak resistance) — experience with healthcare-specific evaluation is a plus.
  • Strong problem-solving skills and ability to work in cross-functional teams.

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