Machine Learning Engineer

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Latent is building the intelligence infrastructure for American healthcare. Our flagship multi-modal search and question-answering platform analyzes EHR data to surface the most relevant information, reducing operational overhead and improving care delivery.

We’re a small, mission-driven team backed by General Catalyst, Conviction, and YC, tackling some of healthcare’s hardest technical challenges. If you're passionate about applying cutting-edge machine learning in a high-stakes domain, we’d love to meet you.

About The Role

As a Machine Learning Engineer at Latent, you’ll design and deploy advanced models at the frontier of medical language understanding. You will develop systems that can interpret long-form clinical text, generate auditable justifications for medical decisions, and reason over structured and unstructured data to automate the prior authorization process end-to-end.

You’ll work on some of the most pressing problems in applied AI—balancing model expressiveness with verifiability, maintaining safety in open-ended generation, and scaling LLMs to production in high-stakes environments. This is a rare opportunity to bring research into production at the edge of what’s possible in medicine and AI.

This is a high-impact, high-ownership role based full-time onsite in our San Francisco office.

What You’ll Do

• Train and fine-tune large open-source language models for clinical reasoning, medical question answering, and evidence-grounded generation, where the stakes are human health
• Design and scale multimodal embeddings to encode clinical documents, structured EHRs, and payer policies in a unified space
• Own the lifecycle of ML systems—from research prototypes to fault-tolerant, privacy-compliant services running in production
• Build robust retrieval pipelines for real-time semantic search and RAG architectures in the clinical domain
• Collaborate with clinicians, engineers, and product leaders to ensure outputs are interpretable, auditable, and aligned with real-world constraints

You Might Be a Fit If You

Compensation

The expected Pay Scale is $165,000-250,000 annually, in addition to equity and comprehensive benefits. Compensation packages are highly variable based on a variety of factors including experience and expertise. If your compensation expectations fall outside this range, we still encourage you to apply.

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