Staff Machine Learning Engineer

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Logo of Monogram Health

Monogram Health

1001 - 5000 employees

Founded 2019

⚕️ Healthcare Insurance

🤝 B2B

👥 B2C

Healthcare Insurance • B2B • B2C

Monogram Health is a leading multispecialty provider that delivers in-home, evidence-based care and benefit management for patients with complex, multiple chronic conditions, with a strong focus on chronic kidney disease and related metabolic, cardiovascular, pulmonary, and behavioral health needs. The company coordinates multispecialty clinical teams (nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care), provides 24/7 home-based support including home dialysis and medication management, and partners with payers and physician groups to improve outcomes, reduce hospitalizations, and lower costs.

📋 Description

• Architect and maintain enterprise-grade ML infrastructure, including model versioning, automated testing frameworks, containerization strategies, CI/CD pipelines, and comprehensive monitoring systems for model performance, data quality, and drift detection • Drive MLOps strategy and standards across the organization • Mentor data scientists and engineers on production best practices, system design, and scalable architecture patterns • Own the complete journey from model development through production deployment, including real-time and batch inference systems, A/B testing frameworks, and automated retraining pipelines • Collaborate with clinical leaders, product teams, and data scientists to translate complex healthcare requirements into robust, scalable ML solutions • Present technical strategies to executive stakeholders • Build fault-tolerant, compliant systems that meet healthcare security and privacy standards • Establish SLAs, incident response protocols, and disaster recovery procedures for mission-critical ML services • Evaluate and integrate cutting-edge MLOps tools and practices • Design systems that scale with Monogram's growth while reducing operational overhead and improving model iteration velocity

🎯 Requirements

• Bachelor’s degree in computer science, engineering, or related field required; master’s degree preferred • Minimum of ten (10) years in software engineering with five (5) years focused on ML infrastructure, MLOps, or production ML systems and Python development with strong software engineering fundamentals and three (3) years architecting and deploying production ML systems on cloud platforms (Azure preferred) • Proven track record building and scaling ML platforms from the ground up • Healthcare or regulated industry experience strongly preferred • Expert-level proficiency with MLOps tooling (MLflow, Kubeflow, SageMaker, Azure ML, etc.) • Deep experience with containerization (Docker, Kubernetes), orchestration tools (Airflow, Prefect), and infrastructure-as-code (Terraform, ARM templates) • Advanced knowledge of CI/CD systems, automated testing strategies, and GitOps workflows • Data engineering skills: SQL, Spark/PySpark, Databricks, data pipeline optimization • Expertise in model monitoring, observability, feature stores, and experiment tracking at scale • Production experience with both batch and real-time inference architectures • Understanding of healthcare data standards (FHIR, HL7, claims data) is a plus • Demonstrated ability to influence technical direction and mentor senior engineers • Proven communication skills with ability to distill complex technical concepts for diverse audiences • Track record of driving consensus on architectural decisions across multiple stakeholders • Systems thinking skills with focus on reliability, scalability, and maintainability preferred • Understanding of security, compliance, and privacy requirements in healthcare (HIPAA) preferred • Bias toward action with pragmatic approach to technical debt and iterative improvement preferred

🏖️ Benefits

• Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts • Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources • Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave • Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts

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