Senior Developer

Company Overview

Health Stream is the leader in healthcare workforce solutions. We help organizations work better by helping their people work smarter. Health Stream provides the leading learning, clinical development, credentialing, and scheduling applications delivered on healthcare’s #1 platform. We streamline everyday tasks while improving performance, engagement, and safety – fostering a workplace where people flourish, and care thrives.

At Health Stream, you’ll have the opportunity to make a meaningful impact on the future of healthcare by collaborating with a team of talented professionals dedicated to innovation and excellence. We offer competitive compensation, comprehensive benefits, and a supportive work environment where creativity and collaboration thrive. Our shared vision is to enhance the quality of healthcare by empowering the people who deliver care – a commitment we have upheld for over 30 years through innovative solutions and constant growth.

We’re proud of our values‑forward culture that offers our people mission‑oriented work, a diverse and inclusive culture, competitive compensation & bonuses, comprehensive insurance plans, mental and physical health support, work‑from‑home flexibility, fitness center reimbursements, volunteer time off, wellness workshops, a buddy program, a collaborative work environment, career growth opportunities, continuous learning, inspiring work spaces, and free employee parking at our Resource Centers in Nashville and San Diego.

Health Stream's Platform Architecture team is seeking a Senior Developer to join our AI Technology team. This team builds AI‑powered services and capabilities integrated across Health Stream's product portfolio, serving healthcare organizations nationwide. In this role, you will lead the design, development, and delivery of production‑grade AI/ML services — including large language model (LLM) integration, vector search systems, prompt engineering pipelines, and AI service APIs — all within a HIPAA‑compliant healthcare SaaS environment.

As a Senior Developer, you will serve as a technical anchor for AI initiatives, collaborating closely with product managers, architects, and cross‑functional engineering teams. You will mentor junior developers, contribute to architectural decisions, and set the bar for engineering quality on a team where AI innovation directly impacts the development and empowerment of people to deliver the highest quality of care.

• Adhere to all Health Stream security policies, procedures, and assigned training.
• AI Service Development & Architecture
  • Design, develop, and own production AI service APIs that power intelligent features across Health Stream's SaaS products.
  • Architect scalable LLM integration pipelines including retrieval‑augmented generation (RAG), vector embedding workflows, and multi‑step prompt orchestration.
  • Build and maintain AI microservices on AWS (Lambda, API Gateway, Dynamo
    
    DB, S3) following security and compliance standards.
  • Lead technical design reviews and contribute to architectural decision records (ADRs) for AI platform components.
• LLM & Prompt Engineering
  • Develop, optimize, and maintain prompt pipelines for LLM‑based product features (e.g., content summarization, semantic search, recommendations).
  • Evaluate and integrate Azure OpenAI services (GPT‑4o‑mini, text‑embedding‑ada‑002) and other model providers into product workflows.
  • Establish prompt versioning, A/B testing, and regression testing practices for LLM‑powered features.
• Quality, Evaluation & Observability
  • Define and implement AI evaluation frameworks — including benchmark datasets, quality metrics, and automated test harnesses for AI outputs.
  • Instrument AI services with observability tooling (logging, tracing, latency monitoring) suitable for regulated healthcare environments.
  • Own incident response for AI service reliability, leading root cause analysis and remediation.
• Collaboration & Mentorship
  • Mentor and guide junior developers and interns; conduct code reviews with constructive technical feedback.
  • Partner with product managers and UX designers to translate AI capabilities…