As an AI Engineer at Regard, you’ll play a key role in developing and deploying AI-powered features that enhance physician workflows and improve patient care. You’ll be instrumental in integrating large language models into our platform—building scalable, reliable systems that deliver real value in clinical settings. Working closely with product, design, and engineering teammates, you’ll help prototype, implement, and refine innovative features that push the boundaries of what’s possible in healthcare.
Your primary focus will be on building and maintaining production-grade AI systems using best practices—leveraging tools like LangChain, vector databases, and retrieval-augmented generation techniques. You’ll bring hands-on experience in prompt engineering and LLM development, helping the team accelerate feature delivery and deepen our AI capabilities.
In this role, you’ll also contribute to a culture of learning by sharing practical insights and collaborating closely with teammates. You’ll have the opportunity to grow your own expertise while helping the team move faster and build smarter, more reliable systems.
About Regard
Our mission is to bring world-class healthcare to everyone. Regard is the world’s first comprehensive, automated diagnosis tool. Regard streamlines clinical and revenue cycle efforts to dramatically improve hospital finances, patient safety, and physician happiness. We are excited by challenges, mission-oriented work, and meaningful relationships. We work closely with some of the top health systems in the country and are leading the change that healthcare - one of the largest and most inefficient industries in the world - needs. We want you to join us.
At Regard, we carefully consider a wide range of factors when determining compensation, including your skills, qualifications, location, and experience. We expect the base salary range for this position to be $175,000 to $215,000. This is subject to change and may be modified in the future. We encourage all interested candidates to apply.
Responsibilities:
Lead the design and implementation of production-grade AI systems and tooling
Architect and deploy AI systems using frameworks like LangChain, vector databases, RAG techniques and prompt management, tracing, and benchmarking tools
Perform prompt engineering to optimize the output for LLM-based tasks, modify LLM system designs to add more functionality or improve the performance of our AI agents or tasks
Mentor and level up engineering team members on AI agent development, system design, and production AI best practices
Design architectures that improve end-user response times and reduce both algorithmic and AI-based latency and cost using appropriate prompting techniques
Collaborate with product and design teams to rapidly prototype and iterate on AI-powered features while maintaining engineering quality standards
Own end-to-end delivery of AI systems, from conception through production, deployment, and monitoring
Navigate technical ambiguity and make architectural decisions that balance speed to market with system reliability and scalability
Qualifications:
BS in Computer Science or equivalent experience
4+ years of software engineering experience with demonstrated ability to build and ship products end-to-end
1.5+ years of hands-on applied AI experience, including extensive work with OpenAI or Anthropic LLMs in production settings
Demonstrated proficiency in Python
Proven experience building AI agents with expertise in prompt engineering, LLM pipelines, and optimization of latency, cost, and quality
Experience with retrieval-augmented generation, context window optimization, chunking, semantic search, vector databases, and other technologies used in conjunction with LLMs
Strong mentoring and teaching abilities to level up team members on AI system design and implementation
Preferred Qualifications:
Exposure to startup and/or high growth environments
Background in ML techniques, including fine-tuning of models/LLMs and building evaluation and training datasets
Experience in healthcare technology or other highly regulated industries
Experience working with health technology
Experience with machine learning systems, including building evaluation, training, and inference pipelines, and deploying custom-built ML models
Hybrid Work | Location | Work Authorization
For this role, Regard is currently only considering candidates who are authorized to work in the US without visa sponsorship, and are within the New York City metro area
We expect our Engineers to be in the office on Tuesdays and Thursdays. We may request more frequent in-office work during the onboarding period
We will provide relocation assistance to anyone who does not already reside in the NYC metro area
For those who enjoy working from our Manhattan office on a more regular basis, we offer catered lunches and other fun perks
Additionally, hybrid employees have the flexibility to work from locations outside of their home office from up to 6 weeks per year
Comp | Perks | Benefits
Eligible for equity
99% employer paid health benefits (Medical, Dental, and Vision) + One Medical subscription
18 PTO days/yr + 1 week holiday break
Annual $750 learning & development stipend
Company-sponsored team retreat + social events
A sabbatical program
Our goal at Regard is to provide and maintain a work environment that fosters mutual respect, professionalism and cooperation. Regard is proud to be an equal opportunity employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, national origin, ancestry, alienage or citizenship status, age, disability or handicap, sex, gender identity, marital status, familial status, veteran status, sexual orientation or any other characteristic protected by applicable federal, state or local laws. We celebrate diversity and are proud of our supportive, inclusive workplace.
All candidates must successfully complete a background check as part of the hiring process.
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