RapidClaims is a leader in AI-driven revenue cycle management, transforming how US healthcare providers run mid- and end-revenue cycle operations — from medical coding and charge capture through claim scrubbing, denials management, appeals, and payment posting.
The company has raised $11 million in total funding from top investors, including Accel and Together Fund.
Join us as we scale a cloud-native platform that runs self-hosted, fine-tuned Large Language Models, knowledge graphs, and embedding-based retrieval over millions of clinical notes, claims, and payer-policy documents every month. You’ll engineer autonomous pipelines that parse clinical records and translate into codes, provide documentation improvement parameters, and even solve for denials with autonomous calling if needed; Tackle the
deep-domain challenges that make clinical and RCM AI one of the most rewarding problems in tech.
Senior AI/ML Engineer- Job Overview
We are hiring a Senior AI/ML Engineer to own the end-to-end applied LLM, retrieval, and evaluation layer of our healthcare AI platform. You will build production systems that automate mid- and end-revenue cycle workflows for US healthcare spanning coding, claim edits, denials triage, appeal generation, and payer-rule reasoning.
This is a production engineering role (not research) focused on building scalable, auditable, and cost-efficient LLM systems in a regulated healthcare environment
What You’ll Own
1. Self-Hosted LLM Infrastructure
● Deploy, fine-tune, and operate open-source models (Llama, Qwen, MedGemma, and successors) as our primary inference stack
● Work with vLLM / SGLang / TensorRT-LLM for serving at scale, with disciplined
attention to throughput, tail latency, batching, KV-cache, and GPU economics
● Own fine-tuning workflows end-to-end (SFT, LoRA, QLoRA, DPO) on clinical notes,
claims, and payer-rule data
● Optimize GPU usage, latency, batching, and cost; make build-vs-buy and
hosted-vs-self-hosted trade-offs explicit and measured
2. Knowledge Graphs & Embedding-Based Retrieval
● Design and maintain the knowledge graph encoding ICD-10-CM, CPT, HCPCS,
modifiers, HCC, NCCI edits, LCD/NCD policies, and payer-specific rules — and the
relationships between them
● Build embedding-based retrieval over clinical notes, historical claims, denial reasons, and payer-policy corpora — including chunking, embedding model selection, hybrid search, and re ranking
● Combine graph traversal and dense retrieval so every coded line, scrubbed edit, and appeal response is grounded in auditable evidence
● Own ingestion, versioning, and quality of underlying knowledge sources (CMS, AHA,
AMA, NCCI, payer bulletins)
3. Evaluation & Monitoring
● Build continuous evaluation pipelines that gate every model, prompt, retrieval, and
graph change before production
● Run offline eval suites grounded in coder- and biller-validated labels; use LLM-as-judge where appropriate, calibrated against human ground truth
● Monitor drift, hallucinations, regressions, and output quality in production; operate
shadow-mode rollouts and per-cohort accuracy tracking (specialty, payer, chart type)
● Track business metrics: chart-level and opportunity-level coding accuracy, denial rate impact, clean-claim rate, cost per chart, and end-to-end latency
4. LLM Systems & Prompt Engineering
● Design prompts and context pipelines for coding (CPT, ICD, HCC, E/M), claim edits,
denial classification, and appeal drafting
● Implement structured outputs (JSON, function calling, constrained decoding) on top of the self-hosted stack
● Apply RAG over medical coding standards (CMS, ICD-10, AHA, NCCI) and payer
policies, grounded in the knowledge graph and embedding stores
● Treat prompts as a thin, well-versioned, well-evaluated layer — never the
load-bearing piece
5. Agentic Workflows & Tooling — MCP
● Build MCP servers for internal tools: code lookup, NCCI / rule checks, payer logic,
eligibility, denial classification
● Design multi-step agent workflows with audit trails and human-in-the-loop
checkpoints for coder, biller, and AR-analyst review
● Define deterministic vs. LLM-based tool boundaries for reliability — reliability comes
from knowing which is which
What We’re Looking For
Must-Have
● 5+ years in ML/AI engineering, including 6+ months in production LLM systems
● Hands-on experience deploying and operating self-hosted LLMs (vLLM, SGLang,
TensorRT-LLM, or equivalent)
● Strong experience designing embedding-based retrieval and/or knowledge graphs for
grounded LLM applications
● Demonstrated ownership of evaluation infrastructure — offline benchmarks, online
monitoring, drift and regression detection
● Strong Python + PyTorch + Hugging Face experience
● Production experience with monitoring, incidents, and system ownership
Strongly Preferred
● Fine-tuning experience (SFT, LoRA, QLoRA, DPO) on domain-specific corpora
● Experience with graph databases (Neo4j, ArangoDB, or equivalent) and graph-aware
retrieval
● Experience with vector databases and hybrid search (BM25 + dense, rerankers)
● Familiarity with LLM observability tools (Langfuse, LangSmith, Arize, Braintrust, or
in-house equivalents)
● Exposure to healthcare, RCM, claims, or other regulated domains
● Experience with MCP or similar tool-orchestration frameworks
● Strong prompt-engineering and LLM-evaluation instincts
What We Offer
● Work on high-impact healthcare AI systems used in real billing and RCM workflows
● Ownership of production LLM, retrieval, and evaluation systems end-to-end
● Solve real-world problems with real constraints (cost, latency, compliance,
auditability)