GenAI Engineer (Azure Cloud, Azure AI Foundry, LangGraph, RAG, Healthcare - Epic/FHIR)

GenAI Engineer (Azure Cloud, Azure AI Foundry, LangGraph, RAG, Healthcare - Epic/FHIR) - 100% Remote - W2 Contract

Optomi, in partnership with a leading not-for-profit healthcare system serving communities across the Carolinas, is seeking a GenAI Engineer to fulfill a contract-to-hire with a client based in the Carolinas.

This role is focused on building real, production-grade AI solutions that are embedded directly into healthcare applications used by clinicians, care teams, and patients every day.

This is not a research or proof-of-concept role. You’ll be designing, building, and deploying Generative AI and Machine Learning solutions that improve patient experience, streamline clinical workflows, and operate safely within a highly regulated healthcare environment.

What the Right Professional Will Enjoy

• The opportunity to build production AI solutions that are used every day by clinicians and patients, not just internal demos or research experiments!
• The opportunity to apply Generative AI and LLMs in a real healthcare setting, directly improving patient access, communication, and clinical workflows!
• The opportunity to work on meaningful problems where safety, privacy, and reliability genuinely matter and where your work can have real human impact!
• The opportunity to work in a modern AI stack, leveraging LLMs, RAG architectures, conversational AI, and cloud-native platforms within Azure!

Apply Today If Your Background Includes:

• Previous experience in traditional application development

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• Strong full-stack engineering background, with the ability to work across modern backend and frontend technologies
• Proven experience as an AI Engineer (or similar role) building applications with Generative AI and Machine Learning
• Experience working with LLMs, RAG architectures, and AI-driven services in production
• Familiarity with the Azure ecosystem, including Azure OpenAI / Foundry; Databricks experience is a plus
• Experience building or integrating healthcare-related applications is preferred; direct Epic integration experience is a strong plus
• Solid coding skills, with an expectation that you actively leverage AI tools to write and improve code efficiently (this will be discussed during interviews)
• Strong analytical and problem-solving skills, with the ability to translate business needs into scalable technical solutions
• Excellent communication skills and comfort collaborating with cross-functional teams