Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research. Organization: VICTR Job Summary: Sr Java Application Developer **REMOTE AVAILABLE** – VICTR Position Summary: The Sr Java Application Developer will perform a variety of programming tasks in support of the Big Data team within the VICTR department. This Sr Java Developer will be joining out team that builds and maintains large-scale clinical research data repositories, which contain data gathered from the EMR and across the clinical enterprise. We transform the data to make it more suitable for data mining and research, as well as build tools that allow researchers to explore and interact with the data. This person's main focus will be developing and maintaining applications that help researchers search and explore the data in our repositories. Our applications are continually evolving to incorporate more data sources and provide greater utility, requiring flexible software architecture and the ability to rapidly refactor/modernize. As a senior application developer, you will work with stakeholders to define specifications, as well as collaborate with peers to integrate systems and build shared codebases. Our goal is always to produce software befitting of a leading medical institution. Department Summary: The Vanderbilt Institute for Clinical & Translational Research (VICTR) is Vanderbilt’s virtual home for clinical and translational research. Supported by Vanderbilt University Medical Center’s Office of Research and the NIH-sponsored Clinical and Translational Service Award (CTSA), the mission of the institute is to transform the way ideas and research discoveries make their way from origin to patient care. VICTR functions to help researchers and clinicians do their jobs better by providing tools and support to improve the quality of research, publications, grant writing, and training for future doctors and researchers. . RESPONSIBILITIES: - Interpret functional requirements and translate it to technical designs, features. - Author and maintain documentation of the system, covering how custom-built solution(s) or vendors´ product(s) are designed and built to integrate with existing systems and meet specific requirements in a consistent, coherent, and universal way to show and discuss the design and delivery of solution´s IT capabilities. - Leverages Best Practices to encourage the use of "open" technology standards, global technology interoperability and existing IT platforms. - Ensure the IT ecosystem interactions are optimized for maintainability, scalability, interoperable and secure. - Serve as the technical lead between software development and product management. Be a trusted advisor through outstanding knowledge, ability. Mentor less experienced members. - Participate in roadmap development exercises that anticipate future requirements, address technical debt, and incorporate new, advanced technologies and capabilities. - Identify areas where organizational spend can be optimized or be most useful to advance program objectives or improve performance. - Evaluate existing and proposed systems and recommend upgrades and/or modifications. - Lead complex troubleshooting; analyzing problems; identify and locate the source of the problem; diagnosis problem and develop logical, reliable solutions; and design and initiate corrective actions. - Continuously improve the automated and build process. - Be an integral team player, which involves flexibility, cooperation, and communication. REQUIREMENTS: · BS in Computer Science or Software Engineering. MS preferable. · Minimum of 5 years’ experience as a hands-on, practicing java developer. · Understanding on how to manage cloud computing resources – IaaS and PaaS · Ability and know-how to review and recommend secure applications and computing resources, data and users from threats and operational disruptions. · Possesses strong critical thinking, problem solving, and effective decision-making abilities. · Works independently on multiple issues or requests with conflicting priorities and timelines · Project planning, execution, and monitoring experience · Strong communication skills, capable of communicating to a variety of audiences with varying technical knowledge; articulate objectives, problem statements and success criteria. · Facilitates meetings and discussions. · Experience on complex projects involving extremely large volumes of data; preferably in a healthcare setting. · Ability to refactor code due to upgrades, changes in architecture, or adoption of new tools. · Positive attitude, confidence, and emotional intelligence · Master new technologies quickly and able to switch between tasks/contexts quickly and effectively · Required knowledge and experience: · Java (Java 11+ preferred), JavaScript, SQL · Front end frameworks, Angular, React, Vaadin · Spring Boot, Hibernate, YAML · Tomcat, Nginx · Databases - Big Query, Postgres, & MySQL · Databricks (nice to have) · Experience creating and modifying data schemas. · Cloud services, AD, key vaults, GAE · CI/CD solutions – Git, Jira, CircleCI, Liquibase, Kubernetes, Docker, Puppeteer · GCP (should have), Azure (nice to have) TECHNICAL CAPABILITIES • Applications System Design (Advanced): Demonstrates mastery of systems design tasks for difficult and complex applications. Presented design documents for new systems to user management. Has led in the conduct of all of the tasks and activities required to complete the systems design phase and participated in the process of fully developing and implementing the system. In terms of structured systems design, if applicable, has extensive experience in the development of structure designs, including application to such complex systems as transaction-centered designs, real time/interactive systems, data base managers, distributed processing, etc. • Application Development (Advanced): Demonstrates expertise of application development tasks for complex applications. Has played a lead role in the conduct of all of the tasks and activities required to complete the application development phase and participated in the process of fully implementing the system. In terms of structured programming, has used structured code to produce modules of complex logic. Familiar with the basic principles of structured design as applied at the module level and has environmental knowledge of data structure. Is capable of educating others in the use of structured code and has been involved in directing the work of others. • Applications System Analysis (Advanced): Demonstrates mastery of systems analysis tasks for difficult and complex applications. Able to identify and eliminate barriers and pitfalls before they become problems. Presented proposals for new systems to user management. Has led in the conduct of all of the tasks and activities required to complete the systems analysis phase and participated in the process of fully designing, developing and implementing the system. Has conducted feasibility studies and cost benefit analyses. In terms of structured systems analysis, if applicable, has used data flow diagrams and data structured diagrams to analyze a complex system, and using data flow transformation techniques developed a proposed physical data flow. Has used data dictionary, structured English, decision tables to document the functional specifications of the system. Has been responsible for its presentation to the user and other management groups. • Applications Development Standards and Procedures (Advanced): Demonstrates the uppermost levels of expertise in applying applications development standards and procedures in challenging and complex situations. Helps set guidelines for critical areas such as security, encryption, data usages, etc. Often takes a role in establishing standards and procedures for the company. May participate in advanced technology or architecture areas which set standards for new products and processes as they are brought into the company. Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more. At our growing health system, we support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at Vanderbilt Health for professional growth, appreciation of benefits, and a sense of community and purpose. Core Accountabilities: Organizational Impact: Independently delivers on objectives with understanding of how they impact the results of own area/team and other related teams. Problem Solving/ Complexity of work: Utilizes multiple sources of data to analyze and resolve complex problems; may take a new perspective on existing solution. Breadth of Knowledge: Has advanced knowledge within a professional area and basic knowledge across related areas. Team Interaction: Acts as a "go-to" resource for colleagues with less experience; may lead small project teams. Core Capabilities : Supporting Colleagues: - Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas. - Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships. - Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences. Delivering Excellent Services: - Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them. - Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions. - Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness. Ensuring High Quality: - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly. - Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them. - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring. Managing Resources Effectively: - Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure. - Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area. - Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities. Fostering Innovation: - Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches. - Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges. - Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements. Position Qualifications: Responsibilities: Certifications: Work Experience: Relevant Work Experience Experience Level: 5 years Education: Bachelor's (Required) Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Design, develop, and deploy next-generation software applications that advance the Directed Spending business - Build robust, scalable, and high-performance systems using modern engineering practices - Integrate AI/ML techniques to create intelligent features, optimize workflows, and enable data-driven decision-making - Analyze complex technical issues and implement root-cause fixes using AI-assisted and traditional engineering methods - Research, prototype, and adopt emerging technologies to maintain a competitive advantage and accelerate innovation - Collaborate closely with product and business stakeholders to translate strategic goals into engineering solutions - Ensure system reliability, performance, and scalability as the platform grows - Contribute to reducing technical debt through modernization and continuous improvement - Design, develop, and deploy AI-powered solutions to address complex business challenges with emphasis on responsible use of AI - Leverage enterprise-approved AI tools to streamline workflows, automate tasks, and drive continuous improvement - Evaluate emerging trends to inform solution design and strategic innovation You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: - Bachelor’s degree in Computer Science, Engineering, or related technical field (or equivalent experience) - 5+ years of hands-on software engineering experience - 5+ years of experience modern programming languages (e.g., Java, Python, Go, C#, or similar) - 5+ years of experience developing scalable, cloud-based applications (AWS, GCP, or Azure) - 5+ years of experience with modern frameworks, microservices, APIs, and CI/CD pipelines - 5+ years of experience analyzing complex problems, debugging efficiently, and delivering high-quality solutions - 5+ years of experience collaborating and working with cross-functional partners (product, business, architecture) - 3+ years of experience/knowledge of AI/ML concepts and ability to integrate AI-driven functionality into applications Preferred Qualifications: - Experience in payments, fintech, or consumer-directed benefits/Directed Spending systems - Practical experience using AI tools for code generation, optimization, or defect analysis - Experience evaluating and implementing emerging technologies in production environments - Familiarity with event-driven architectures, distributed systems, and performance tuning *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

• Desarrollar y optimizar interfaces de usuario para aplicaciones web (React/Angular) y móviles (React Native). • Implementar una gestión de estado robusta y coherente utilizando Redux y Redux Saga. • Integrar APIs RESTful de manera segura utilizando Axios. • Extender las capacidades de React Native mediante el desarrollo de módulos nativos en Java, Swift o Objective-C. • Configurar y mantener flujos de automatización para CI/CD en Azure o GitHub Actions.

Role Description US Renal Care is expanding its Clinical Intelligence and Workflow Automation capabilities to support clinicians, reduce administrative burden, and improve patient outcomes. We are seeking a Senior ML/LLM Engineer to design and implement advanced AI systems that power intelligent decision support, workflow automation, and real‑time clinical insights. This role focuses on building agentic AI systems, Retrieval-Augmented Generation (RAG) pipelines, and scalable ML infrastructure that integrates seamlessly with EHR systems, clinical workflows, and operational platforms across the organization. The Team Member will collaborate with clinicians, product leaders, and engineering teams to deliver safe, reliable, and high‑impact AI solutions. - Design and implement AI Agents using frameworks such as LangGraph, Semantic Kernel, or custom orchestration layers. - Build and maintain RAG pipelines grounded in clinical guidelines, evidence-based medicine, and real-time patient data. - Develop systems that synthesize fragmented clinical data (EHR, labs, imaging, notes) into prioritized insights for clinicians. - Architect scalable inference services capable of low-latency performance in clinical environments. - Create evaluation frameworks to ensure AI outputs are clinically accurate, unbiased, and aligned with source-of-truth medical records. - Implement vector search infrastructure using Pinecone, Milvus, or equivalent technologies. - Perform fine‑tuning, PEFT/LoRA training, and model optimization for production workloads. - Build high-performance backend services using C#/.NET to integrate AI systems with existing clinical platforms. - Ensure all AI systems comply with HIPAA, data privacy requirements, and internal security standards. - Research emerging AI technologies and apply them to improve clinician productivity and patient care. - Mentor and support other engineers in AI-LLM/ML best practices. - Participate in code reviews and contribute to consistent engineering standards. - Collaborate with cross-functional teams to translate clinical workflows into automated, intelligent systems. - Regular and reliable attendance is required for the job. Qualifications - Bachelor's degree preferred - 5 years of professional experience in ML/LLM engineering, including production-grade systems - Deep experience with LLM orchestration, tool-calling, and long-context document handling - Strong proficiency with vector databases (Pinecone, Milvus, Weaviate) - Experience with MLOps: Docker, Kubernetes, CI/CD, model deployment - Understanding of HIPAA, PHI handling, and clinical data privacy a plus but not mandatory - Proficiency with C#/.NET for backend service development - Familiarity with healthcare interoperability standards (FHIR, HL7) - Experience designing scalable, low-latency inference systems - Strong understanding of data modeling and workflow mapping - Experience with automated testing, unit tests, and evaluation frameworks - Proficient understanding of version control tools (Git, TFS) - Experience with JIRA for task tracking - Analytical mindset with strong problem-solving skills - Experience with AI development tools (e.g., Cursor, Copilot) - EHR/HealthCare claims domain knowledge a plus but not mandatory - Proficient understanding of code versioning tools (e.g. ADO) - Experience with JIRA to enable tracking of development tasks - Should be analytical and have good problem-solving skills