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Meraki Labs

Posted 28 Aug 2026

AI Engineer - Backend

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Employment
Full time
Workplace
Remote
Team
Software Engineering
Posted
28 Aug 2026

About the role

Responsibilities:

  • Launch and scale high-quality AI agents.
  • Build and deploy voice AI for automating patient activation and outbound calls to insurance, vendors, and providers.
  • Design individual agents that orchestrate end-to-end workflows such as DME delivery, prior authorisations, and care coordination.
  • Build copilots that assist and nudge advocates in real time.
  • Build the eval and reinforcement learning pipeline.
  • Set up the evaluation infrastructure that measures agent quality across every interaction.
  • Capture the right data from product usage, build the feedback loop, and implement RL pipelines so that agent performance improves continuously with real-world usage.
  • Create the usage-driven product improvement flywheel.
  • Scale AI Nurse by composing multiple agents.
  • Bring together voice, workflow, and copilot agents into a unified AI Nurse experience.
  • Ensure that as we scale, each agent reinforces the others through shared learning and a consistent improvement loop.
  • Ship fast and iterate with real users.
  • Deploy to production, monitor how agents perform with actual patients, and improve based on real conversations.
  • Own the tight loop from usage data to system-level improvements.
  • Shape the technical roadmap.
  • Work with the founders to decide what to build next.
  • Bring deep knowledge of what's possible with current AI capabilities and help us make smart bets on where the technology is heading.
  • Lay the foundation for scale.
  • Make architectural decisions that will hold up as we grow from hundreds of patients to hundreds of thousands.
  • Document systems, establish best practices, and build with the next engineer in mind.


Requirements:

  • You've built AI agents or LLM-powered systems from scratch and shipped them to production, not just demos, but systems handling real interactions with real users at scale.
  • You have hands-on experience building evaluation pipelines for AI systems, designing metrics, capturing signals from production usage, and using that data to systematically improve agent quality.
  • You have experience with reinforcement learning from human feedback (RLHF), reward modelling, or other feedback-driven improvement loops for LLM-based systems.
  • You've monitored and debugged AI systems in production, you know what it takes to keep agents reliable when they're interacting with real people.
  • You're comfortable with ambiguity.
  • The playbook doesn't exist yet, and you're excited to build it.


Nice to Have:

  • Experience in healthcare, health tech, or regulated industries (HIPAA, PHI handling).
  • Familiarity with Medicare, insurance workflows, or clinical operations.
  • Experience with voice AI systems, speech-to-text, text-to-speech, and real-time voice orchestration.
  • Background in RAG systems, vector databases, and knowledge retrieval pipelines.
  • Contributions to open-source AI projects or a portfolio of side projects that show your range.

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