Senior Machine Learning Software Engineer IV
Trilliant Health
Nashville, TN · Posted September 30, 2026
See every open role at Trilliant Health
More in Tennessee job market · Healthcare & Hospital Systems · Data & Analytics jobs
About the job
SENIOR MACHINE LEARNING SOFTWARE ENGINEER IV
Trilliant Health
About Trilliant Health
At Trilliant Health, we help hospitals and healthcare systems make smarter, data-driven decisions in an increasingly complex healthcare environment.
Our teams combine healthcare data, analytics, machine learning, and AI to build products that help healthcare leaders understand what is happening in their markets—and act with confidence.
About the Role
We are seeking a Senior Machine Learning Software Engineer IV to join our Machine Learning (ML) team and help build the software, systems, and frameworks that power Trilliant Health’s machine learning and AI capabilities.
This is a senior individual contributor role with significant technical leadership responsibility . You’ll work hands-on to build production-quality software, data pipelines, tooling, and applications while helping shape the technical direction of our ML engineering organization.
You will partner closely with software engineers, ML engineers, product leaders, and other cross-functional teams to turn ideas and product strategy into well-designed, maintainable software.
The strongest candidates will be hands-on engineers who can take ownership of ambiguous, technically challenging problems; make sound engineering decisions; communicate their thinking clearly; and influence others without relying on formal authority.
You will also be expected to speak up, challenge assumptions, contribute to technical direction, and help raise the engineering capabilities of the team .
This is not a traditional data science or research role. We are looking for a software engineer who enjoys building the systems that make machine learning products possible .
Our Technology
Our engineering environment is Python-first and designed for modern data and ML development.
Python managed with uv in a monorepo
Kubernetes for running production jobs and workloads
DuckDB and Parquet for high-performance data processing
Spark and Databricks for portions of our existing data pipelines
scikit-learn, XGBoost, and PyTorch for machine learning
LangChain for newer LLM-based systems
FastAPI and NiceGUI for services and internal web applications
SQLite for several applications and tools
Azure for cloud infrastructure and deployment
GitHub and modern CI/CD practices for development and deployment
Automated testing, static type checking, and pre-commit validation
Open-source Python libraries published through PyPI and GitHub
What We're Looking For
Engineering Experience
8+ years of professional software engineering experience
Strong track record of building and maintaining production-quality software
Demonstrated ownership of significant technical initiatives from concept through delivery
Experience making architectural and technical decisions in complex software environments
Experience working effectively across engineering, product, data, and/or ML teams
Demonstrated ability to operate independently in ambiguous or evolving environments
Bachelor's, Master's, or PhD in Computer Science, Engineering, Mathematics, or a related field—or equivalent professional experience
Technical Skills
Strong, hands-on Python development experience
Experience designing and maintaining data pipelines and distributed data-processing systems
Strong understanding of software engineering fundamentals, including testing, code quality, maintainability, and performance
Experience with SQL and relational databases
Experience with CI/CD, Python packaging, and software deployment
Strong proficiency with Git and modern version-control practices
Strong familiarity with Linux and command-line tools
Experience configuring and managing development environments
Ability to design clean, reusable, well-tested, and maintainable software
Experience using AI-powered coding assistants or coding agents as part of your day-to-day development workflow
Ability to review, test, debug, and take ownership of AI-generated code rather than treating generated code as production-ready by default
Technical Leadership & Collaboration
We are looking for someone who can have an impact beyond their individual contributions.
You should be able to:
Lead significant technical initiatives without formal management authority
Influence architecture and engineering practices across the team
Speak up and constructively challenge ideas when you see a better technical approach
Clearly explain complex technical concepts to both technical and non-technical audiences
Make decisions in ambiguous situations and communicate the reasoning behind them
Work effectively with engineers, ML practitioners, product leaders, and other stakeholders
Provide mentorship and technical guidance to less-experienced engineers
Balance technical excellence with practical product and business considerations
Nice to Have
Experience building or supporting machine learning systems in production
Experience working with healthcare, healthcare data, or other complex regulated datasets
Understanding of statistics and experimental design
Experience with Spark, Databricks, or other distributed computing frameworks
Experience with Kubernetes and cloud-based production environments
Experience developing APIs or internal web applications
Contributions to open-source software
Experience working with LLMs, RAG systems, or other AI-powered applications
If you don’t meet every requirement, we’d still love to hear from you.
Why Join Trilliant Health?
You’ll have the opportunity to work at the intersection of healthcare, data, software engineering, machine learning, and AI —building technology that helps healthcare organizations make better decisions.
You’ll have meaningful ownership of challenging technical problems and the opportunity to influence how our ML engineering organization builds and scales its software.
You’ll work with a highly talented team that values:
Curiosity — asking questions and continuously learning
Ownership — taking responsibility for outcomes
Deep listening — understanding the problem before jumping to a solution
Effective communication — making complex ideas clear
Pragmatism — favoring simple, effective solutions
Collaboration — making the team better, not just the indi