MedAscend
AI Developer – Conversational & LLM Training
Job Description
About the Role
We’re hiring an Applied AI Engineer to design, build, and operate LLM- and voice-powered features in production. You’ll work primarily with hosted foundation models and real-time audio APIs rather than training models from scratch — owning prompt design, evaluation, observability, and the engineering around inference at scale.
This is a hands-on engineering role for someone who enjoys shipping AI features end-to-end:
integrating providers, designing prompts and evals, hardening real-time pipelines, and iterating from real user data.
Responsibilities
● Build and operate production features powered by hosted LLMs (OpenAI, Google Vertex / Gemini, Anthropic, or similar).
● Design and maintain real-time conversational pipelines, including STT, TTS, turn-taking, and websocket-based audio streaming.
● Own prompt engineering, versioning, tracing, and evaluation across model providers.
● Run model selection and provider migrations, balancing latency, cost, and output quality.
● Build evaluation harnesses and guardrails for safety, bias, and content quality.
● Ship behind feature flags and iterate from real user data.
● Collaborate with product, engineering, and domain experts to ground model behaviour in real requirements.
Requirements
● Strong TypeScript / Node.js; comfortable in Python where needed.
● Production experience with hosted LLM APIs — prompt design, function/tool calling, structured output, streaming.
● Experience with real-time audio systems: websockets, STT/TTS integration, latency budgets, turn-taking.
● Comfortable with serverless / edge runtimes (Cloudflare Workers, Vercel, Lambda) and their constraints.
● LLM-ops practice: prompt versioning, tracing, evals (Langfuse, Braintrust, Helicone, or similar).
● Solid software engineering fundamentals: testing, observability, incremental delivery.
● Clear written communicator who can work independently across time zones.
Preferred Qualifications
● Prior experience in healthcare, medical education, or other regulated / sensitive-data domains.
● Knowledge of multimodal AI (speech, text, images).
● Contributions to open-source AI projects.
● Experience with HTMX or server-rendered UIs.
● Familiarity with SQLite / D1 / Drizzle ORM or similar typed database tooling.
● Experience operating multilingual speech systems.
● Working knowledge of ML frameworks such as PyTorch, TensorFlow, or Hugging Face Transformers (not required).
● Exposure to fine-tuning, RAG pipelines, or model-agnostic training approaches (not required).
First 90 Days
Within the first three months, we’d expect you to:
● Establish a versioned prompt evaluation harness across our core LLM features.
● Reduce voice pipeline tail-latency by a measurable margin.
● Land a provider migration or model upgrade with a documented quality, latency, and cost comparison.
● Onboard into our LLM-ops tooling and own day-to-day prompt and model changes.
What We Offer
● From £120.00 per day.
● Flexible, fully remote working.
● Opportunity to work on cutting-edge AI applications with real-world impact in education and training.
● A small, focused engineering team with short paths from idea to production.
Job Type: Full-time
Pay: From £120.00 per day
Work Location: Remote