Machine Learning Engineer
San Francisco$225k - $300kFull-timePosted 6mo ago
About the role
Machine Learning Engineer responsible for design, development, and operation of production-grade ML systems that run in real clinical workflows, with ownership of end-to-end systems and collaboration with clinicians.
Responsibilities
- Own end-to-end ML systems, including architecture, data, modeling, evaluation, and production infrastructure
- Train and fine-tune large language models (LLMs) for: Clinical reasoning, Medical question answering, Evidence-grounded generation
- Make and own tradeoffs across accuracy, latency, cost, and safety in high-stakes production environments
- Develop evaluation frameworks to ensure model safety and clinical validity
- Integrate ML systems into product workflows and patient-facing applications
- Monitor system performance in production and iterate based on real-world usage and feedback
- Define what “correct” means in ambiguous clinical workflows in collaboration with engineers and clinicians
Qualifications
- Strong foundation in machine learning and software engineering
- Track record of building and owning ML systems in production where performance, reliability, or correctness materially mattered
- Experience driving ambiguous ML problems from 0→1, including problem formulation, model design, and productionization
- Hands-on experience with PyTorch or similar frameworks
- Ability to operate independently in high-ambiguity environments with minimal guidance
- Strong product and engineering judgment
- Comfort working in a fast-moving, early-stage environment
- Experience working on systems where decisions have real-world consequences (e.g., healthcare, finance, infrastructure)
Skills
Required:Machine LearningProduction ML SystemsPyTorchAmbiguity NavigationStrong product/engineering judgment
Nice to have:Healthcare/regulated data experience
Benefits
- Competitive compensation, including meaningful equity
- Medical, dental, and vision insurance for employee and dependents
- Flexible PTO policy
- Paid parental leave
- Fertility and family-building stipend through Carrot
Last updated Oct 7, 2026. Interested? Apply on the company site.

About Latent
Faster Prior Authorizations, Better Outcomes
Streamline prior authorizations and accelerate patient access to advanced therapies with Latent Health’s platform for health systems and pharmacies.
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