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Sr. Full Stack AI Engineer

Pacific Health Group

San Diego, California, United States Hybrid permanent

Posted: April 22, 2026

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Quick Summary

The Senior Software Engineer & AI Prompt Engineer is responsible for the end-to-end design, development, and optimization of AI systems, with a focus on improving health outcomes through machine learning and AI technologies.

Job Description

About Pacific Health Group

At Pacific Health Group, we are at the forefront of revolutionizing healthcare. You will play a vital role in this mission. We are dedicated to improving health outcomes by addressing social determinants of health and coordinating comprehensive community-based services, particularly through our programs. If you are passionate about making a difference and thrive in a dynamic, mission-driven environment, we invite you to join our team.

Overview

The Senior Software Engineer & AI Prompt Engineer is responsible for the end-to-end design, development, and optimization of AI-powered software systems across Pacific Health Group. This role combines full-stack engineering with advanced prompt engineering to build scalable, production-grade Generative AI solutions, including LLM integrations, Retrieval-Augmented Generation (RAG) pipelines, and agentic AI systems.

This position owns the full lifecycle of AI applications—from architecture and prompt design to deployment, monitoring, and continuous optimization—ensuring performance, reliability, and measurable operational impact. The role requires both hands-on technical execution and leadership in establishing AI engineering standards, best practices, and system scalability.

Core Areas of Responsibility

1. AI & Prompt Engineering

• Design, develop, and optimize prompts, chains, and workflows for LLM-based applications.
• Build and manage RAG pipelines, including ingestion, preprocessing, chunking, embeddings, indexing, retrieval, and evaluation.
• Architect and implement agentic AI systems, including multi-step reasoning, tool usage, orchestration, and multi-agent patterns.
• Establish prompt evaluation frameworks, benchmarking processes, and continuous improvement loops for quality, latency, and cost.
• Apply fine-tuning and domain adaptation techniques where necessary.
• Ensure responsible AI practices, including governance, safety, and reliability in production environments.

2. Software Engineering & Full Stack Development

• Design and build scalable backend systems using Python (FastAPI or similar) and/or Java-based architectures.
• Develop modern front-end applications using React, Angular, or Vue frameworks.
• Build and maintain APIs, microservices, and integrations across internal and external systems.
• Ensure system performance, scalability, observability, and reliability across the stack.
• Contribute to architectural decisions and long-term technical roadmap development.

3. Data & AI Infrastructure

• Design and manage data pipelines (ETL) to support AI workflows and model performance.
• Implement and maintain vector databases and embedding-based retrieval systems.
• Deploy, monitor, and optimize AI models in production environments.
• Optimize inference performance, scalability, and cost efficiency.
• Leverage cloud platforms (AWS, GCP, Azure) and AI services such as Vertex AI.

4. Architecture & Technical Leadership

• Translate business requirements into scalable architectures, technical specifications, and delivery plans.
• Lead development efforts, including system design, code reviews, and engineering best practices.
• Mentor team members and promote a culture of engineering excellence and AI adoption.
• Collaborate cross-functionally with product, operations, and leadership teams to deliver impactful AI solutions.
• Evaluate emerging AI tools, frameworks, and technologies for practical implementation.

5. Quality, Testing & Deployment

• Develop and implement testing strategies across application and AI layers, including unit, integration, regression, and performance testing.
• Maintain CI/CD pipelines and ensure production readiness of all systems.
• Monitor system performance, manage incidents, and drive continuous optimization.
• Ensure high standards of reliability, scalability, and consistency across releases.

6. Compliance, Data Security & Governance (PHI, HIPAA, and AI Safety)

• Ensure all AI systems, data pipelines, and integrations comply with HIPAA and organizational data security standards.
• Implement safeguards for handling Protected Health Information (PHI), including encryption, access control, and secure transmission.
• Establish audit trails, monitoring systems, and governance frameworks for AI usage and data handling.
• Conduct risk assessments related to AI systems, data exposure, and model behavior.
• Collaborate with compliance and security teams to enforce best practices in data protection and AI governance.

Authority & Accountability

• Responsible for architecture, development, and performance of AI-powered systems across the organization.
• Authority to define and enforce engineering standards, AI practices, and system design decisions.
• Accountable for system reliability, scalability, security, and production readiness.

Key Traits

• Strong systems thinker with high attention to detail.
• Ability to translate complex business problems into technical solutions.
• Bias toward automation, scalability, and performance optimization.
• High ownership mindset with proactive problem-solving capabilities.
• Comfortable operating in fast-paced, evolving technical environments.

Performance Indicators

• Successful deployment of scalable, production-grade AI systems.
• Measurable improvements in AI model performance, latency, and cost efficiency.
• High system uptime, reliability, and performance across applications.
• Increased adoption and impact of AI-driven features across the organization.
• Reduction in manual processes through intelligent automation and AI integration.

Compensation:

Pay Range: $82,500-$145,500 (based on experience and qualifications)

Location:
Hybrid (San Diego, CA)

Reports To:

Executive Team, Pacific Health Group


Requirements:
Required Qualifications

• Bachelor’s degree in Computer Science, Engineering, Data Science, or a related field.
• 5+ years of experience in software engineering or full-stack development.
• Hands-on experience with Generative AI technologies and LLMs (e.g., OpenAI, Anthropic, Gemini).
• Strong experience with prompt engineering, RAG pipelines, and agent-based AI systems.
• Proficiency in Python and JavaScript/TypeScript.
• Experience with modern front-end frameworks (React, Angular, or Vue).
• Experience with APIs, microservices architecture, and system integrations.
• Familiarity with vector databases and embedding-based systems.
• Experience with cloud platforms (AWS, GCP, or Azure).
• Strong foundation in data structures, algorithms, and system design.

Preferred Qualifications

• Experience with model fine-tuning, training, and evaluation workflows.
• Familiarity with deep learning frameworks such as PyTorch or TensorFlow.
• Experience with agent frameworks such as LangChain, LangGraph, or LlamaIndex.
• Knowledge of AI governance, risk, and compliance frameworks.
• Experience leading engineering teams or delivering client-facing AI solutions.
• Cloud or AI/ML certifications (AWS, Azure, or GCP).


Benefits:
Benefits

Time Off & Leave

• Paid Time Off (PTO)
• Paid Holidays
• Volunteer Time Off
• Bereavement Leave

Health & Wellness

• Comprehensive Medical Coverage
• Flexible Spending Accounts (FSAs) and wellness-related benefits
• Disability Insurance
• Employee Assistance Program (EAP)

Financial & Professional

• 401(k) Retirement Plan
• Role-based Stipends
• Professional Development and Continuing Education Support

Culture & Perks

• Employee Discounts
• Team Events and Offsites
• Career Growth and Advancement Opportunities

Equal Opportunity Employer

Pacific Health Group is an Equal Opportunity Employer committed to fostering an inclusive and equitable workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex (including pregnancy, childbirth, breastfeeding, and related medical conditions), gender, gender identity or expression, sexual orientation, national origin or ancestry, citizenship status, physical or mental disability, medical condition, age, marital status, military or veteran status, genetic information, or status as a victim of domestic violence, assault, or stalking.

We value diverse perspectives and encourage candidates from underrepresented backgrounds to apply.

Job Application & Offer Disclaimer

Pacific Health Group maintains a structured, compliant, and secure hiring process in alignment with California labor laws.

Employment offers are contingent upon successful completion of all required hiring steps, which may include:

• Submission of an internal or external application
• Recruiter screening
• Skills assessment (if applicable)
• Final interview with hiring leadership
• Formal verbal offer issued by an authorized representative

Important Notice: Any communication claiming to represent Pacific Health Group that does not follow this process should be considered unauthorized.

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