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EXL

Analyzes business data and runs outsourced operations

AI Architect / Forward Deployed Engineer

AI Application EngineeringConfirmed live in the last 24 hours
Full-timeUnited StatesNo salary listed

About the Job

Requirements

  • A bachelor's degree in computer science, engineering, data science, or a related technical field is required.
  • At least 10 years of progressive experience in software/AI engineering, cloud architecture, or forward deployed/solution engineering roles.
  • Demonstrated hands-on architecture and deployment experience across at least one major cloud provider (Azure, AWS, or GCP), delivering production-grade, secure, scalable systems in client environments.
  • Demonstrated design and delivery of Agentic AI, multi-agent, and generative AI systems, including large language models, retrieval-augmented generation, and orchestration frameworks, in production.
  • Strong understanding of U.S. healthcare payer operations, including prior authorization, utilization management, care management, or claims.
  • A proven record of personally taking AI solutions from proof of concept to live production through hands-on work, rather than purely advisory work.
  • Hands-on and architectural expertise in large language models, embeddings, vector search, prompt engineering, and retrieval-augmented generation pipelines.
  • Strong coding ability in Python and related AI/machine-learning stacks, with the ability to ship production-quality solutions directly.
  • Proficiency with cloud AI platforms including Azure OpenAI, AWS Bedrock, and Google Cloud Vertex AI.
  • Expertise with agent orchestration frameworks such as LangChain, LangGraph, CrewAI, or AutoGen, or equivalent frameworks.
  • Strong understanding of Model Context Protocol, agent-to-agent protocols, and multi-agent system design.
  • Experience with infrastructure as code, Docker/Kubernetes, continuous integration and delivery, machine-learning and large-language-model operations, and GPU capacity planning.
  • Knowledge of secure API design, OAuth2/JWT, enterprise integration patterns, and healthcare data standards including HL7, FHIR, and X12 EDI transactions 837, 835, 270, 271, 276, and 277.
  • Deep understanding of payer clinical and claims workflows and integration with platforms such as QNXT, Facets, and CareRadius.
  • Familiarity with clinical criteria sources such as MCG and InterQual, and CMS regulatory frameworks including CMS-0057-F.
  • Comfort working embedded on-site in client environments, with significant travel and day-to-day collaboration with client technical teams.
  • Ability to lead distributed U.S. and offshore engineering support while remaining hands-on.
  • A master's degree (M.Tech, MS, or MBA) is preferred.
  • Ability to operate autonomously in ambiguous, rapidly changing conditions.

Responsibilities

  • Own end-to-end technical architecture for AI-powered healthcare solutions, including agent orchestration, large-language-model serving, retrieval pipelines, data ingestion, and integration with legacy payer systems.
  • Define and maintain reusable reference architectures, design patterns, and architectural guardrails for Agentic AI solutions that can be adapted across client deployments.
  • Establish and govern AI development, quality assurance, and production environments, continuous integration and delivery pipelines, and machine-learning and large-language-model operations practices; serve as the team's AIOps architect.
  • Embed within client environments to understand workflows, data, constraints, and edge cases and translate them into working AI solutions.
  • Build, configure, and deploy solutions inside client infrastructure, including bring-your-own-subscription and client-hosted environments.
  • Prototype, demonstrate, gather feedback, and harden solutions for production in rapid iterative cycles.
  • Troubleshoot live deployments, resolve integration and performance issues, and ensure reliable operation in client environments.
  • Capture reusable learnings, accelerators, and intellectual property from deployments to shorten time-to-value for subsequent deployments.
  • Architect and implement secure, scalable, multi-cloud and hybrid deployments across Azure, AWS, and GCP, including client-controlled subscriptions and networks.
  • Build infrastructure-as-code and containerized Docker/Kubernetes deployments, plan GPU capacity, and optimize cost and latency for large-language-model workloads.
  • Implement AI gateway design, PHI de-identification layers, and enterprise integration patterns with payer platforms and data stores.
  • Ensure deployments meet stress and throughput targets, such as high-volume FHIR record processing, with resilient and observable systems.
  • Architect and build multi-agent systems, including policy decision-tree, clinical review, data-gathering, and intelligent document processing agents, with human-in-the-loop governance.
  • Set standards for prompt engineering, retrieval-augmented generation pipelines, fine-tuning and domain adaptation, embeddings, and vector search.
  • Build agent execution layers for navigating legacy systems, including mainframes, Onbase/ECM, CareRadius, Salesforce, and Epic, using MCP servers and browser/desktop automation.
  • Champion explainability-first, audit-ready AI design suitable for CMS audits and payer compliance reviews.
  • Apply payer-workflow expertise across prior authorization, utilization management, care management, claims, and provider operations to translate operational challenges into deployed AI solutions.
  • Integrate AI solutions with clinical criteria sources such as MCG, InterQual, and CMS medical policies, and payer platforms such as QNXT, Facets, and CareRadius, using API-first, standards-based design with HL7, FHIR, and X12 EDI.
  • Support alignment with regulatory drivers such as CMS-0057-F interoperability and prior-authorization mandates.
  • Champion privacy-first design, data anonymization, and compliance with HIPAA and PHI/PII handling requirements.
  • Establish governance-grade AI controls, including model monitoring, bias detection, drift management, and human-in-the-loop overrides, within each deployed environment.

Desired Qualifications

  • Experience building AI Centers of Excellence or reusable agent frameworks and accelerators for healthcare.
  • Patent holder, published researcher, or recognized contributor in AI/healthcare innovation.
  • Experience with Databricks, Snowflake, or similar data platforms in a healthcare context.
  • Cloud/AI certifications such as Azure Solutions Architect, AWS Solutions Architect Professional, or GCP Professional Architect, or equivalent.

About the Company

EXL

Analyzes business data and runs outsourced operations

EXL analyzes business data and runs outsourced operations for insurers, healthcare payers, banks, retailers, and other large organizations. Its teams combine industry expertise with data engineering and AI to handle tasks such as claims processing, payment reviews, customer service, and finance within existing technology environments. The company also builds software, including LifePRO, which manages insurance policies, and EXLdata.ai, which connects fragmented data for use in AI systems. Clients pay for consulting projects, ongoing managed services, and software delivered through the cloud. EXL was founded in 1999 and is headquartered in New York City.

Company size
10,001+
Company stage
IPO
Headquarters
New York City, New York
Founded
1999

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