Senior AI Orchestration Engineer & Technical Program Lead (Healthcare)

Transform Healthcare Through AI‑Orchestrated Workflows

Build and operate Azure‑ready AI systems that power clinical workflows end‑to‑end. If you thrive at the intersection of AI engineering, orchestration, and product, and you can turn complex, multi‑model pipelines into reliable, cost‑efficient production systems, this role is for you.

About Zenara

Founder‑led US health‑tech startup building AI‑powered clinical software clinicians love. We combine cutting‑edge technology with deep healthcare expertise to solve real provider problems. Our culture values builders who ship, leaders who serve, and teams that deliver through clear communication and collaboration.

Why This Role Is Different

You architect and ship GA‑ready AI orchestration on Azure that directly improves patient care. You balance robust pipelines (prompt chaining, RAG, tool‑calling, multi‑model) with cross‑functional coordination so every feature is reliable, observable, low‑latency, and cost‑effective.

What Success Looks Like

• First 30 days :
• Ship improvements to deterministic multi‑step prompt chains for patient intake, validation, summarization, document generation, and outbound artifacts.
• Establish flows‑as‑code and prompt versioning with GitHub and environments.
• Provide clarity and hands‑on guidance on complex model / tool integrations.
• First 90 days :
• Operationalize multi‑model workflows (GPT‑4.1 / 5 + SLMs like LLaMA / Nous) with step‑specific model selection for latency / cost.
• Stand up automated evaluation workflows, telemetry, and dashboards (App Insights / OpenTelemetry).
• Implement resilience patterns : idempotency, retry / backoff, dead‑letter queues, rate‑limit handling.
• Azure GA stack in production for orchestration, scaling, and retries (e.g., Azure Functions Durable, Container Apps, Queues / Event Grid, KEDA).
• First 6 months :
• Act as the AI / technical hub for the team, mentoring engineers on prompt engineering, structured generation, tool‑calling, and agentic best practices.
• Align stakeholders; maintain clear documentation; drive sprints that deliver decisions and outcomes.

Core Responsibilities

Builder (40%)

Orchestrator (40%)

Communicator (20%)

Technical Requirements

Communication Requirements

Intangibles We Value

Major Advantages

What We Offer

Job Types & Benefits