Cairns Health · 1 day ago
Lead LLM Engineer, Full Stack
Cairns Health is creating a fundamentally better healthcare experience for people with chronic health conditions. They are seeking a mission-driven Lead LLM Engineer to manage and innovate their LLM architecture, ensuring a best-in-class experience while collaborating with the prompt engineering team to enhance user engagement and reduce friction for patients.
Consumer ElectronicsElder CareHealth CareHome Health Care
Responsibilities
Manage and maintain LLM infrastructure with appropriate guardrails to ensure we are maximizing access to features that can be delivered consistently and on persona while mitigating hallucinations
Design and implement appropriate architecture to ensure performance including constellations with failover capabilities
Daily coding and and weekly code reviews with CTO
Daily collaboration with prompt engineering team to drive pipeline of new features to staging and production environments
Optimize our LLM applications for latency, concurrency, uptime, and other key metrics
Collaborate with a team of accomplished, high-performing engineers
Qualification
Required
Bachelor's degree in Computer Science, Engineering, or a related field or equivalent practical experience, coupled with 3-5 years of professional experience as a Full Stack Software Engineer or in a similar role
3 years professional experience in LLM architectures (e.g. RAG, Constellations, etc…) is a must
Familiarity with commonly used LLM APIs (OpenAI, Gemini, Claude, etc.)
Proficient in Python and Java 11+ for developing robust server-side applications and experienced in designing and implementing RESTful APIs to facilitate seamless integration between front-end and back-end systems
Hands-on experience with PostgreSQL or other relational databases, ensuring efficient data storage, retrieval, and management for scalable applications
Proficient in containerization using Docker and orchestration with Kubernetes, with a proven track record of deploying and managing applications on AWS EKS (Elastic Kubernetes Service) and ECS (Elastic Container Service)
Familiarity with messaging systems like Kafka and MQTT for real-time data processing and communication, along with proficiency in using GitHub for version control and collaborative development
Experience implementing and managing CI/CD pipelines using GitHub Actions or similar tools, familiarity with Agile/Scrum methodologies for iterative and collaborative software development, and strong problem-solving and analytical abilities to tackle complex technical challenges
Positive, team player with strong people skills and excellent communication
Preferred
Familiarity with modern Voice AI application stacks (STT models, LLM models, TTS models) desired
Healthcare experience is a plus but not required
Benefits
Competitive compensation
Equity & benefits
Medical
Dental
Vision
Paid vacation/sick days
401(k) plans
Company
Cairns Health
Cairns Health is a digital care companion for senior living and home care, integrating ambient sensing, AI, and LLMs to empower patients.
Funding
Current Stage
Early StageTotal Funding
$5.32MKey Investors
Lightspeed Venture PartnersY Combinator
2017-10-06Seed· $5.2M
2017-08-21Pre Seed· $0.12M
Recent News
Los Angeles Business Journal
2025-11-11
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