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Must work core hours that overlap with the US Eastern/Mountain time zones\nThe company:\nOur client is a growing US healthcare technology company building a portfolio of applications and AI-powered products for the healthcare sector. Their engineering function is new and expanding quickly, with existing products being refactored and extended while new products are built from the ground up.\nThey are now adding contract engineers who work on US hours alongside their in-house team: engineering director, technical Scrum Master and product leadership. The role is hands-on and high-impact. You will be one of a small group shaping how the company builds, ships and governs AI in a regulated, PHI-sensitive environment.\nRole and Responsibilities:\nThe focus of this role is building and maintaining the client’s applications and AI-powered systems. That covers everything from application code through agent design, deployment and lifecycle governance.\nBuild, extend and maintain application components, interfaces and integrations that meet business needs without unnecessary complexity\nUse AI-assisted development tools to implement, test and iterate on application and integration work\nDesign, build and deploy AI-powered workflows and agents, applying established prompt standards and evaluation frameworks\nMonitor deployed agents for performance issues, unexpected behaviour and quality drift, and fix or escalate issues with clear documentation\nEnforce clear guardrails: agents recommend, while deterministic controls (checks, gates, approvals and rollback) stay outside the agent’s authority. No agent approves its own production release\nMaintain the CI/CD pipelines, infrastructure and observability tooling that keep applications and agents running reliably\nContribute to golden paths and shared patterns that other engineers and citizen developers build on\nBuild and maintain integrations with source systems such as Epic, managing dependencies and handling failures reliably\nWork closely with the US-based engineering director and Scrum Master during shared working hours, joining stand-ups, planning and code reviews in real time\nJob Requirements:\nA track record of building, extending and shipping production application components and integrations\nHands-on experience designing and deploying AI-powered agents, including prompt engineering, evaluation against defined quality criteria and monitoring for drift\nFamiliarity with AI-assisted development tooling and modern CI/CD practices in a Microsoft-centric environment (e.g. Azure, Azure DevOps/GitHub Actions)\nExperience integrating with Epic or other enterprise platforms\nStrong written and spoken English, and confidence working directly with US stakeholders\nAble to work core hours with substantial overlap with the US Eastern/Mountain time zones\nNice to have:\nA background in healthcare application environments, including PHI-aware development practices (HIPAA)\nExperience working in small, fast-moving teams where you own work end to end\nAccessibility Statement:\nWe make an active choice to be inclusive towards everyone every day.? Please let us know if you require any accessibility adjustments through the application or interview process.\nOur Commitment to Diversity, Equity, and Inclusion:\nSignify’s mission is to empower every person, regardless of their background or circumstances, with an equitable chance to achieve the careers they deserve. 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