Full Stack AI/ML Developer

About Fulcrum: We’re a team of tech-savvy, creative & passionate IT professionals. We’ve created a vibrant and performance-driven culture for ourselves where everyone is free to think & act outside the box. There are literally no limits to what you can do here, as long as we WOW our clients and OVER deliver what we promise.About the role: We are developing an AI-driven platform that transforms healthcare delivery by enabling health systems to provide truly personalized care at scale. The technology leverages machine learning to understand patients, support clinicians in real time, and generate accurate documentation — helping improve outcomes, reduce non-beneficial care, and align treatment with each patient’s quality-of-life goals.Key responsibilitiesOwn the technical architecture of the platform – design, build, and maintain scalable infrastructure for ML, data processing, and product delivery. Translate business and clinical needs into elegant, performant, and compliant technology – from proof of concepts to production. Build and maintain robust data pipelines to handle video, audio, EMR data, and natural language inputs. Develop and fine-tune ML models that support real-time coaching, sentiment analysis, and personalized documentation. Lead full-stack product development for internal tools, clinician-facing apps, and workflow integrations (e.g., Epic, ambient AI platforms). Collaborate cross-functionally with clinicians, researchers, and design to create solutions that are both clinically effective and technically feasible. Drive experimentation, iteration, and validation – balancing speed with safety in healthcare-grade deployments. Implement best practices for data privacy, security, and compliance (e.g., HIPAA). Lead technical planning for clinical studies and research pilots (option to serve as PI if desired). Help build out and lead a high-performing engineering team as the company scales.RequirementsExperience with direct ownership over product, code architecture, or platform codebases. Deep fluency in Python, ML frameworks (e.g., PyTorch, TensorFlow), and production-grade backend systems. Experience building and deploying ML or AI-powered features in real-world applications (bonus if healthcare-related). Proficiency in designing scalable infrastructure on cloud platforms (e.g., AWS, GCP, Azure). Experience with audio, text, or multimodal data pipelines is a major plus. Comfortable operating in ambiguity and wearing multiple hats in a fast-moving startup environment. Care deeply about ethical AI and patient-centered technology. Prior startup or founding experience is a strong plus.Fluent English level.What we offer:— Flexible schedule & opportunity to work remotely or workspace in Kyiv (kooperativ.cc— Friendly & open team who have fun creating cool projects together;— Opportunity to boost your professional & personal growth;— Regular team gathering activities;— 20 business days of paid vacation + UA national holidays;— Medical insurance full coverage;— 10 + 5 days paid sick leave;How we operate:— We promise dramatic professional growth & interesting work;— Bring ideas that will change how Fulcrum operates, and you will receive our gratitude and rewards;— Your opinion matters. Fulcrum is not a typical ’bureaucratic company, and our employees are our core value;— Your compensation grows with your responsibility zone;— If something doesn’t go smoothly or can be simplified, just let us know — you are welcome to do so;— You have a say in everything we do, starting from the roadmap, creating requirements, sprint planning, etc.;— If you feel that everything above is about you, get in touch. We’re always glad to welcome stubborn, enthusiastic, and result-oriented buddies to our team.Are you interested in working with us?LET’S MOVE THE WORLD TOGETHER!Originally posted on Himalayas

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