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Senior AI Engineer (Portugal-based Remote/Hybrid)

Swordhealth

Porto Remote permanent

Posted: February 26, 2026

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Quick Summary

Sword Health is shifting healthcare from human-first to AI-first through its AI Care platform, making world-class healthcare available anytime, anywhere, while significantly reducing costs for payers, self-insured employers, national health systems, and other healthcare organizations.

Job Description

Sword Health is shifting healthcare from human-first to AI-first through its AI Care platform, making world-class healthcare available anytime, anywhere, while significantly reducing costs for payers, self-insured employers, national health systems, and other healthcare organizations. Sword began by reinventing pain care with AI at its core, and has since expanded into women’s health, movement health, and more recently mental health. Since 2020, more than 700,000 members across three continents have completed 10 million AI sessions, helping Sword's 1,000+ enterprise clients avoid over $1 billion in unnecessary healthcare costs. Backed by 42 clinical studies and over 44 patents, Sword Health has raised more than $500 million from leading investors, including Khosla Ventures, General Catalyst, Transformation Capital, and Founders Fund. Learn more at www.swordhealth.com.

The Internal AI Solutions Team
The Internal AI Solutions Team leads the transformation of the company’s internal processes through Generative AI, enhancing how we work across the organization. By equipping teams like Finance, Commercial, and Talent with AI-powered tools and techniques, this team empowers departments to expand their reach and impact, thus ultimately driving the success of the company.

We’re a small team with a style reminiscent of an early-stage company, characterized by highly generalist roles and a proactive attitude. We work very closely with key stakeholders in each vertical at Sword to learn their processes and understand how we can help them succeed through AI.


What you’ll be doing::
• Implementing and optimizing AI-driven solutions to improve internal operations and workflows, under the strategic guidance of the Head of Internal AI Solutions;
• Translating strategic objectives into functional software applications using specific technologies;
• Handling both front-end and back-end development tasks, ensuring seamless integration and performance across our tech stack;
• Proactively identifying and resolving technical challenges to enhance system functionality and user experience.


What you need to have::
• At least 3 years of experience as a Senior Software Engineer, with strong hands-on proficiency in JavaScript (React, Node.js) and Python;
• Proficiency in SQL;
• Hands-on experience with LLM APIs (OpenAI, Anthropic, etc.) or open-source models;
• Familiarity with cloud services (AWS, Azure, Google Cloud), particularly for deploying and managing AI-powered applications;
• Experience integrating AI capabilities into internal tools (e.g., Slack bots, internal dashboards, or workflow assistants);
• Strong analytical and problem-solving skills, with a track record of handling complex projects that require integrating multiple systems;
• A proactive approach to process improvement, demonstrating a track record of enhancing system efficiencies and effectiveness;
• Strong communication skills for effective collaboration across multidisciplinary teams.


What we would love to see::
• Familiarity with Retrieval-Augmented Generation (RAG) pipelines and integrating structured/unstructured data into LLM workflows;
• Practical experience building or orchestrating AI agents;
• Understanding of AI governance principles.


Portugal - Sword Benefits & Perks:

• Health, dental and vision insurance
• Meal allowance
• Equity shares
• Remote work allowance
• Flexible working hours
• Work from home
• Discretionary vacation
• Snacks and beverages
• English class

Note: Please note that this position does not offer relocation assistance. Candidates must possess a valid EU visa and be based in Portugal.

Sword Health complies with applicable Federal and State civil rights laws and does not discriminate on the basis of Age, Ancestry, Color, Citizenship, Gender, Gender expression, Gender identity, Gender information, Marital status, Medical condition, National origin, Physical or mental disability, Pregnancy, Race, Religion, Caste, Sexual orientation, and Veteran status.

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