Are you interested in harnessing technology and AI to transform healthcare?
 At XiFin, we believe a healthier, more efficient healthcare system starts with strong financial and operational foundations. Our innovative technologies help diagnostic providers, laboratories, and healthcare systems manage complexity, drive better outcomes, and stay focused on what matters most: patient care.
We’re on a mission to simplify the business side of healthcare—and we know that mission takes people from all backgrounds and experiences. Whether you’re early in your career or bringing years of expertise, we welcome your perspective, your curiosity, and your passion. We value individuals who ask questions, challenge the status quo, and want to grow while making a real difference.
About the Role
The AI Architect will lead the design and implementation of Agentic AI platforms that automate complex workflows in healthcare revenue cycle management (RCM). This role focuses on building scalable AI architectures that combine large language models (LLMs), knowledge graphs, retrieval systems, and multi-agent orchestration to support high-volume operational workflows.
The AI Architect will design and implement systems capable of supporting hundreds of thousands of AI-driven decisions per month, including automated appeals processing, prior authorization support, and medical policy interpretation. The role requires deep expertise in LLM-based systems, distributed AI architectures, and enterprise cloud platforms.
The ideal candidate has experience building production-scale AI systems, with strong knowledge of LLM orchestration, knowledge graphs, and cloud-based AI infrastructure.
This position will be located at our offices in San Diego, CA.
How you will make an impact:
In this role, you’ll:
Agentic AI Architecture
- Design and implement Agentic AI architectures where multiple AI agents collaborate to perform complex tasks such as document analysis, policy interpretation, and decision support.
- Define frameworks for AI agent planning, reasoning, validation, and workflow orchestration.
- Architect scalable solutions capable of processing hundreds of thousands of AI-driven workflow cases per month.
Healthcare & RCM Automation
- Develop AI solutions to support healthcare revenue cycle processes such as:
- Integrate AI systems with enterprise healthcare platforms while ensuring compliance with security, privacy, and regulatory requirements.
Knowledge Graph & Retrieval Architecture
- Design architectures with GraphRAG-based reasoning workflows.
- Implement retrieval-augmented generation (RAG) pipelines combining structured knowledge, payer policies, and clinical documentation.
- Develop semantic search and knowledge linking strategies to improve AI accuracy, traceability, and explainability.
Enterprise AI Infrastructure
- Architect enterprise AI systems built on AWS cloud infrastructure, including services such as:
- Design distributed systems supporting high throughput, reliability, and observability.
AI Platform & Governance
- Define standards for AI service deployment, monitoring, and operational management.
- Implement guardrails for AI safety, validation, and hallucination mitigation.
- Ensure AI systems meet enterprise requirements for security, auditability, and responsible AI usage.
Cross-Functional Leadership
- Partner with product leaders, engineering teams, and data scientists to translate business needs into scalable AI systems.
- Provide technical leadership and architectural guidance to engineering teams implementing AI capabilities.
- Contribute to the overall enterprise AI platform strategy and roadmap
What you will bring to the team: Â
We’re looking for someone with a growth mindset and a passion for learning. You might be a great fit if you:
- Strategic architecture mindset with the ability to design scalable, enterprise-grade AI platforms that support complex operational workflows.
- Adaptability in rapidly evolving AI environments, staying current with emerging technologies and applying them to practical business solutions.
- Strong cross-functional collaboration, partnering effectively with product, engineering, and operations teams to translate business needs into scalable technical solutions.
- Clear technical leadership and communication, aligning teams around architecture decisions and enabling successful delivery of AI-driven capabilities.
Skills and experience you have:Â
You don’t need to check every box. We will consider a combination of education and experience, including:
- Bachelor’s or master’s degree in computer science, Artificial Intelligence, Data Engineering, Statistics or a related field (master’s degree preferred).
- 5+ years of experience in software architecture, AI engineering, or machine learning systems.
- Experience designing production-grade AI/ML platforms in enterprise environments.
- Hands-on experience building systems using large language models (LLMs).
- Strong experience with Python and distributed systems architectures.
Preferred Qualifications
- Experience building Agentic AI or multi-agent orchestration systems.
- Experience integrating LLMs with knowledge graphs (Neo4j or similar technologies).
- Familiarity with AWS Bedrock and foundation models such as Claude.
- Experience implementing RAG pipelines, vector search, and semantic retrieval systems.
- Knowledge of healthcare data systems, clinical documentation, or revenue cycle management (RCM) processes.
Technical Skills
- Agentic AI / Multi-Agent Systems
- Large Language Models (LLMs)
- Retrieval-Augmented Generation (RAG)
- Knowledge Graphs (Neo4j)
- AWS Cloud Infrastructure
- WS Bedrock / Foundation Models
- Python / AI Frameworks
- Microservices Architecture
- Distributed Systems & Workflow Orchestration
Why XiFin?
We’re more than just a healthcare technology company—we’re a team that cares about people.
 Here’s a glimpse at what we offer:
- Comprehensive health benefits including medical, dental, vision, and telehealth
- 401(k) with company match and personalized financial coaching to support your financial futureÂ
- Health Savings Account (HSA) with company contributions
- Wellness incentives that reward your preventative healthcare activities
- Tuition assistance to support your education and growth
- Flexible time off and company-paid holidays
- Social and fun events to build community at our locations!Â
Pay Transparency
At XiFin, we believe in pay transparency and fairness. The expected annual salary range for this role is: $185,000- $215,000.
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Final compensation will be determined during the selection process and may vary based on experience, skills, and geographic location.
Accessibility & Accommodations
We’re committed to providing an inclusive and accessible experience for all applicants. If you need a reasonable accommodation during the application process, please contact us at 858-436-2900.
Equal Opportunity Employer
XiFin is proud to be an equal opportunity employer. We value diverse voices and do not discriminate on the basis of race, color, religion, national origin, gender, gender identity, sexual orientation, disability, age, veteran status or any other basis protected by law.
Ready to apply?
 We’d love to hear from you—even if you’re not sure you meet every qualification. If you're excited about the role and believe you can contribute to our team, please apply. Let's build something meaningful together.
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