AI Deployment Engineer

This role is responsible for the technical implementation of agents and workflows on Medable's Agent
Studio platform. The primary work is full-stack engineering: building and maintaining server-side
applications, databases, API integrations, and front-end interfaces that support agentic clinical
deployments. The engineer also executes acceptance testing, maintains build documentation, and
provides structured product feedback before any agent hands off to a Forward Deployed Engineer
(FDE).
Core Responsibilities
Engineering & Build
● Build and maintain full-stack infrastructure supporting Agent Studio deployments: React,
Node.js, REST APIs, Postgres, Docker.
● Configure workflow orchestration, task routing logic, Human-in-the-Loop (HITL) escalation
gates, and confidence scoring thresholds.
● Use AI-native engineering tools and workflows — Claude Code, Cursor, Model Context
Protocol (MCP) integrations — as standard practice.
● Set up and test MCP connector integrations with clinical systems: Electronic Data Capture
(EDC), Clinical Trial Management System (CTMS), electronic Trial Master File (eTMF), and
sponsor-specific tools.
● Write and refine agent prompts to Medable's context engineering standards: precise,
functional, and Good Practice (GxP)-defensible.
● Identify reusable patterns across builds and contribute documented components to the shared
pattern library.
Quality & Documentation
● Execute acceptance testing against Medable's formal quality standards before FDE handoff.
● Document test results, log failures with root causes, and iterate until pass criteria are met.
● Systematically evaluate and debug AI outputs and workflows: identify whether failures stem
from model behavior, prompt design, integration issues, or configuration gaps before
escalating or iterating.
● Build and maintain a standard helpdesk subagent for each deployed clinical agent.
● Maintain build documentation clear enough for another engineer to pick up or configure the
agent in a new environment.
Product Feedback
● Capture where Agent Studio creates friction, where platform capabilities fall short, and where
gaps limit reusability.
● Submit structured product feedback to the Agent Studio & Services team. Surface gaps with
specifics, not anecdotes.
Scope & Decision Rights
● Owns technical implementation, quality gates, and documentation for all assigned agents and
workflows on Agent Studio.
● Has decision authority over Agent Studio configuration, prompt design, and workflow
orchestration within approved, developer-ready specifications.
● Accountable for acceptance testing before FDE handoff.
● Provides structured product feedback that directly informs the Agent Studio platform roadmap.

Pay Ranges from $20/hr-$30/hr

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

Experience, Skills & Capabilities
● 1–3 years in software engineering, applied artificial intelligence (AI)/machine learning (ML), or
clinical technology.
● Hands-on experience with large language model (LLM) orchestration or agentic AI platforms.
● Experience with AI-native engineering tools: Claude Code, Cursor, MCP integrations, or
equivalent.
● Learns unfamiliar tools and systems quickly; demonstrates a track record of picking up new
stacks or platforms without heavy ramp time.
● Experience producing tested outputs from formal specifications. Structured discovery
experience is a plus.
● Strong prompt engineering skills: precise, auditable instructions. Strong system integration
skills: API connections, connector configuration, and agent output flow into clinical systems.
● Ability to move quickly from a problem to a working build without dropping quality gates.
● Ability to produce structured documentation for build decisions and test results.
● Understanding of GxP regulatory requirements for audit trails, HITL gates, and confidence
thresholds preferred.
● System-level thinking to identify reuse opportunities and drive consistency across builds.
● Comfortable navigating ambiguous inputs. Asks clarifying questions before building, not after.
● Effective collaborator in a distributed team environment.

MUST be able to work some PT hours, 6:00 am to 10:00 am PT

Preference for Bangalore

But open to Latam for hours!

Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.