Senior Developer

Company Overview

HealthStream is the leader in healthcare workforce solutions. We help organizations work better by helping their people work smarter.

HealthStream provides the leading learning, clinical development, credentialing, and scheduling applications delivered on healthcare's #1 platform. We streamline everyday tasks while improving performance, engagement, and safety - fostering a workplace where people flourish, and care thrives.

Why Join Us

At HealthStream, you'll have the opportunity to make a meaningful impact on the future of healthcare by collaborating with a team of talented professionals dedicated to innovation and excellence. We offer competitive compensation, comprehensive benefits, and a supportive work environment where creativity and collaboration thrive.

Our shared vision is to enhance the quality of healthcare by empowering the people who deliver care - a commitment we have upheld for over 30 years through providing innovative solutions and driving constant growth. Join us in revolutionizing the healthcare industry and shaping the future of patient care. As a HealthStreamer, you will be at the forefront of healthcare technology innovation, making a recurring impact on the industry.

We're proud of our values-forward culture that offers our people:

• Mission-oriented work
• Diverse and inclusive culture
• Competitive Compensation & Bonuses
• Comprehensive Insurance Plans
• Mental and Physical Health Support
• Work-from-home flexibility
• Fitness Center Reimbursements
• Streaming Good time off for volunteering
• Wellness workshops
• Buddy Program for new HealthStreamers
• Collaborative work environment
• Career growth opportunities
• Continuous learning opportunities
• Inspiring workspaces to collaborate and connect with other HealthStreamers
• Free employee parking at our Resource Centers in Nashville and San Diego

At HealthStream, our thriving culture encourages collaboration and values contributions, allowing our team members to continuously solve big problems and grow. We offer flexibility and paid time off to support work-life integration for all employees, including a hybrid work environment and Streaming Good volunteer day. For team members in commutable distance, HealthStream has Resource Centers in Nashville, TN and San Diego, CA. Our resource centers provide an inspiring workspace to collaborate and recharge as well as company-sponsored onsite social events for development, connection, and celebration.

We are committed to driving innovation in healthcare and ensuring that patients receive competent care from qualified professionals. As a HealthStream team member, you will help bring this vision to life. If you want to work for a company committed to its values and vision, HealthStream is the place for you!

HealthStream is an equal opportunity employer. HealthStream prohibits employment practices that discriminate against individual employees or groups of employees on the basis of age, color, disability, national origin, race, religion, sex, sexual orientation, pregnancy, veteran or military status, genetic information or any other category deemed protected by state and/or federal law.

Position Information

Position Overview

HealthStream's Platform Architecture team is seeking a Senior Developer to join our AI Technology team. This team builds AI-powered services and capabilities integrated across HealthStream's product portfolio, serving healthcare organizations nationwide. In this role, you will lead the design, development, and delivery of production-grade AI/ML services - including large language model (LLM) integration, vector search systems, prompt engineering pipelines, and AI service APIs - all within a HIPAA-compliant healthcare SaaS environment.

As a Senior Developer, you will serve as a technical anchor for AI initiatives, collaborating closely with product managers, architects, and cross-functional engineering teams. You will mentor junior developers, contribute to architectural decisions, and set the bar for engineering quality on a team where AI innovation directly impacts to develop and empower people to deliver the highest quality of care.

Key Responsibilities

You will be responsible for adhering to all HealthStream security policies, procedures, and assigned training.

AI Service Development & Architecture

• Design, develop, and own production AI service APIs that power intelligent features across HealthStream's SaaS products
• Architect scalable LLM integration pipelines including retrieval-augmented generation (RAG), vector embedding workflows, and multi-step prompt orchestration
• Build and maintain AI microservices on AWS (Lambda, API Gateway, DynamoDB, S3) following security and compliance standards
• Lead technical design reviews and contribute to architectural decision records (ADRs) for AI platform components

LLM & Prompt Engineering

• Develop, optimize, and maintain prompt pipelines for LLM-based product features (e.g., content summarization, semantic search, recommendations)
• Evaluate and integrate Azure OpenAI services (GPT-4o-mini, text-embedding-ada-002) and other model providers into product workflows
• Establish prompt versioning, A/B testing, and regression testing practices for LLM-powered features

Quality, Evaluation & Observability

• Define and implement AI evaluation frameworks - including benchmark datasets, quality metrics, and automated test harnesses for AI outputs
• Instrument AI services with observability tooling (logging, tracing, latency monitoring) suitable for regulated healthcare environments
• Own incident response for AI service reliability, leading root cause analysis and remediation

Collaboration & Mentorship

• Mentor and guide junior developers and interns; conduct code reviews with constructive technical feedback
• Partner with product managers and UX designers to translate AI capabilities into user-facing features
• Participate actively in Agile sprint ceremonies: planning, standups, demos, and retrospectives
• Present technical findings, architecture proposals, and project outcomes to engineering and product leadership