Backend & Agent Engineer – AI/Agentic Automation

Remote / WFO / Hybrid

Remote

Hire Type (FTE/Contract)

Contract

Project Duration

5 months – most likely to extend till 12 months

Expected Start Date

11/02/2026

Rate – 60/hr

Backend & Agent Engineer – AI/Agentic Automation

Experience

6–9 years

Domain

Healthcare / Medicaid

Project

Medicaid Record-to-Report (R2R) Agentic Automation

Role Summary

We are looking for a hands-on Backend & Agent Engineer to design and develop scalable backend services and AI/agentic workflows for Medicaid R2R processes. The role combines strong Python/API engineering with agent orchestration, enterprise integrations, workflow state management, observability, security, and production deployment.

Key Responsibilities

• Develop scalable Python backend services, REST APIs, and integration components.
• Build and orchestrate AI agents for reconciliation, exception investigation, variance analysis, and close processes.
• Implement agent state, routing, tool/function calling, retries, checkpoints, and failure recovery.
• Integrate agents with enterprise data, SQL, APIs, rules engines, and governed tools.
• Implement human-in-the-loop review and approval workflows.
• Develop prompts, grounded context, structured outputs, and evidence-backed agent responses.
• Build automated unit, API, integration, regression, and agent-evaluation tests.
• Implement logging, tracing, monitoring, security, and production-readiness controls.
• Support CI/CD, deployment, configuration, and operational troubleshooting.

Required Technical Skills

• Strong Python and SQL
• FastAPI or equivalent Python API framework
• REST APIs and microservices
• AI/LLM and Agentic AI concepts
• Agent orchestration and state management
• Prompt engineering and tool/function calling
• RAG and enterprise data integration
• Workflow orchestration and exception handling
• Automated testing and CI/CD
• Observability, logging, telemetry, and tracing
• IAM/RBAC, secrets management, encryption, and secure API design

Preferred Technology Experience

• LangChain / LangGraph
• Azure OpenAI
• Databricks / Delta Lake
• MLflow tracing and evaluation
• Unity Catalog
• MCP (Model Context Protocol)
• Databricks Workflows / Model Serving
• Azure DevOps or GitHub Actions
• Docker / containerized deployment

Healthcare / Medicaid Knowledge

Working knowledge of

• Medicaid enrollment and eligibility
• Capitation and reconciliation
• Claims and encounters
• 834, 820, 837, and 835 healthcare transactions
• R2R / financial close processes
• HIPAA and PHI/PII security requirements

Ideal Candidate

A strong Python backend and AI/agent engineer capable of translating Medicaid finance workflows into secure, scalable, observable, and production-ready agentic solutions, with a clear understanding of when to use deterministic business rules versus LLM-driven reasoning.